6. Exhibit F - Non-Conflict of Interest.pdf
PDF 169 KB Posted
- Attached to
- Fresh Produce - Request for Quote
- Solicitation number
- DQ1 CAAA 2027000065 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 Fresh Produce Request for Quote procurement opportunity. The form must be completed and returned with all bids submitted to the state. Bidders are required to certify that they have reviewed Colorado Revised Statutes 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and confirm no violations of these provisions exist. Additionally, bidders must affirm compliance with the State of Colorado State Controller Procurement Conflicts of Interest Policy and attest that they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement process or the services being solicited.
The form establishes that bidders understand the Procurement Official has authority to remove participants from the process as deemed appropriate and that participants may request removal at any time at the Procurement Official's discretion. Bidders acknowledge that access to State information and records may be provided during the procurement process, and such information is restricted from distribution, sale, or sharing with third parties without express authorization. Bidders must certify they have no personal or beneficial interest in the services or property described in the solicitation and commit to immediately notifying the Procurement Agent if any situation arises that could alter these representations or create the appearance of conflict or impropriety. The declaration requires the signature and printed name of an authorized company representative and the company name or dba.
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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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