6. Exhibit F - Non-Conflict of Interest.pdf
PDF 116 KB Posted
- Attached to
- Mattress Cores - CCi
- Solicitation number
- DQ1 CFAA 2027000046 3
- 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 the Mattress Cores procurement opportunity. The form requires bidders to certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as well as the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Signatories must confirm the absence of actual, potential, perceived, or apparent conflicts of interest and acknowledge understanding that the Procurement Official has authority to remove them from the process at any time, with removal requests subject to approval or denial by the Procurement Official.
The form establishes that bidders understand they may have access to State information and records during the procurement process, which must not be distributed, sold, or shared with third parties except as expressly authorized by the CDOC Procurement Official. Signatories must also commit to immediate notification of any circumstances that could alter previous representations or create the appearance of conflict or impropriety. The document requires completion and return by an authorized representative of either a private employer or an independent contractor under contract with the State of Colorado, with spaces for the signer's printed name, signature, and 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.
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
File details come from the government source that posted it. Updated .