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

116 KB Posted

Attached to
Metal Products - CCi
Solicitation number
DQ1 CFAA 2027000072 1
Issued by
Garfield County, Colorado

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This is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for participants in a state procurement process related to Metal Products. The form requires bidders and their authorized representatives to certify compliance with Colorado Revised Statutes sections 18-8-301, 18-8-302, 18-8-306, and 18-8-308, as well as the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Signatories must affirm they have no 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.

The document establishes that participants may have access to State information and records during the procurement process, which must not be distributed, sold, or shared with third parties without authorization. The CDOC Procurement Official serves as the custodian of records. Signatories commit to immediately notifying the Procurement Agent of any situation that could alter their representations or create an appearance of conflict or impropriety. The form must be completed and returned with the bid submission and requires the printed name, signature of an authorized signer, and company name or doing-business-as designation.

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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.

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 .