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

169 KB Posted

Attached to
Fresh Eggs - Request for Quote
Solicitation number
DQ1 CAAA 2027000006 1
Issued by
Garfield County, Colorado

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This is a Non-Conflict of Interest affidavit form required by the Colorado Department of Corrections for bidders responding to state procurement opportunities. The document serves as a mandatory certification that must be completed and submitted with all bids in response to Colorado state and local contract solicitations.

The affidavit requires bidders to certify compliance with Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and to affirm adherence to the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Signatories must declare that they have no actual, potential, perceived, or apparent conflicts of interest and no personal or beneficial interest in the services or property described in the solicitation. Bidders acknowledge that they may receive access to state information and records, which must not be distributed, sold, shared with third parties, or used except as expressly authorized. Signatories agree that the Procurement Official has authority to remove them from the process at any time and 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 requires the signature and printed name of an authorized representative and the company name or doing-business-as designation.

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Other files

File Type Posted
5. Exhibit E - Contract Performance Outside of the US.pdf PDF
1. Exhibit A - SOW, Specifications, Bidder Response-Fresh Eggs.pdf PDF
2. Exhibit B - Required Vendor Information - Goods.pdf PDF
3. Exhibit C - W-9 Request for Taxpayer ID Number.pdf PDF
4. Exhibit D - Egg Price Order Form.xlsx XLSX spreadsheet
0. DQ 2027000006 -Fresh Eggs 072026.pdf PDF
7. Attachment 1 - PO Terms & Conditions.pdf PDF
8. Attachment 2 - Insurance Information.pdf PDF

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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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