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

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Attached to
Fresh Produce - Request for Quote
Solicitation number
DQ1 CAAA 2027000075 1
Issued by
Grand County, Colorado

About this file

This is a Non-Conflict of Interest attestation form required by the Colorado Department of Corrections for bid submission. The document requires authorized signers to certify compliance with Colorado Revised Statutes sections 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. Bidders must declare that they have no actual, potential, perceived, or apparent conflicts of interest related to the procurement opportunity. The form establishes that the Procurement Official has authority to remove participants as deemed appropriate and that participants may request removal at any time, subject to approval or denial by the Procurement Official. Bidders acknowledge their understanding that they may have access to State information and records as participants in the procurement process, and that such information is custodied by the CDOC Procurement Official and shall not be distributed, sold, or shared with third parties except as expressly authorized.

The attestation requires bidders to confirm they have no personal or beneficial interest in the services or property described in the solicitation and obligates them to immediately notify the Procurement Agent if any situation arises that could alter the representations made or create the appearance of conflict or impropriety. The form specifies that signers are employees of private employers or independent contractors under contract with the State of Colorado and are receiving information in that capacity. Bidders must complete and return this document with their bid submission, including the printed name, signature of an authorized signer, and company name or doing business as name.

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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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