6. Exhibit F - Non-Conflict of Interest.pdf

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Attached to
Fresh Eggs - Request for Quote
Solicitation number
DQ1 CAAA 2027000002 1
Issued by
Garfield County, Colorado

About this file

This is a Non-Conflict of Interest declaration form required by the Colorado Department of Corrections for bidders participating in a state procurement process. The form mandates that authorized signers certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and affirm adherence to the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Signers must declare that they have no actual, potential, perceived, or apparent conflicts of interest and do not hold any personal or beneficial interest in the services or property described in the procurement. The form must be completed and returned with the bid submission and requires the printed name, signature of an authorized representative, and the company name or doing-business-as designation.

The declaration further establishes that bidders understand the Procurement Official has authority to remove them as appropriate and that bidders may request removal at any time, subject to the Procurement Official's approval or denial. Signers acknowledge that as procurement participants, they may have access to State information and records, which must be treated as confidential and not distributed, sold, or shared with third parties except as expressly authorized. Bidders must commit to immediately notifying the Procurement Agent if any situation arises that could alter their representations or create an appearance of conflict or impropriety. The form specifies that signers are employees of private employers or independent contractors under contract with the State of Colorado and are receiving such information in that official capacity.

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EXHIBIT F

COLORADO DEPARTMENT OF CORRECTIONS

STATE OF COLORADO

NON-CONFLICT OF INTEREST

(You must complete and return this document with Bid)

I have read Colorado Revised Statutes, 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and no violations of such provisions are present.

I have read the State of Colorado State Controller Policy – Procurement conflicts of Interest Policy (https://www.colorado.gov/pacific/osc/procurement-conflicts-interest-policy) and affirm I have no actual, potential, perceived or apparent conflicts of interest.

I understand the Procurement Official is empowered to remove me in any way he/she deems appropriate. I can request to be removed at any time, which can be granted or denied by the Procurement Official.

I understand that as a participant in this process I may have access to State information and/or records. The CDOC Procurement Official is the custodian of records. Information shall not be distributed, sold or shared with any third party or used in any way except as expressly authorized by

I do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes.

If I should become aware of any situation, which might arise, that could alter any of the representations above or that might otherwise create the appearance of a conflict or other impropriety, I will notify the Procurement Agent immediately.

I am an employee of a private employer or an independent contractor under contract with the State of Colorado. I understand that I am receiving such information in such capacity.

Print Name of authorized signer and Signature of authorized signer

Print Company Name/dba

EXHIBIT F
COLORADO DEPARTMENT OF CORRECTIONS
STATE OF COLORADO
NON-CONFLICT OF INTEREST
(You must complete and return this document with Bid)
I have read Colorado Revised Statutes, 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and no violations of such provisions are present.
I have read the State of Colorado State Controller Policy – Procurement conflicts of Interest Policy (https://www.colorado.gov/pacific/osc/procurement-conflicts-interest-policy) and affirm I have no actual, potential, perceived or apparent conflicts of interest.
I understand the Procurement Official is empowered to remove me in any way he/she deems appropriate. I can request to be removed at any time, which can be granted or denied by the Procurement Official.
I do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes.

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