6. Exhibit F - Non-Conflict of Interest.pdf
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- Attached to
- Fresh Eggs - Request for Quote
- Solicitation number
- DQ1 CAAA 2027000053 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest declaration form issued by the Colorado Department of Corrections for a Fresh Eggs Request for Quote. The form must be completed and submitted with all bids in response to this state procurement opportunity. Bidders are required to certify they have read Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and confirm no violations exist. Additionally, bidders must affirm compliance with the State of Colorado State Controller Policy on Procurement Conflicts of Interest and declare they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement.
The form establishes that the Procurement Official holds authority to remove participants as deemed appropriate and that participants may request removal at any discretion of the Procurement Official. Bidders acknowledge that access to State information and records may be provided during the process and such information cannot be distributed, sold, shared with third parties, or used except as expressly authorized. Participants certify they have no personal or beneficial interest in the services or property described in the related statutes and agree to notify the Procurement Agent immediately of any situation that could alter the representations made 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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Text version
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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