6. Exhibit F - Non-Conflict of Interest.pdf
PDF 116 KB Posted
- Attached to
- White Cardstock Paper - CCi
- Solicitation number
- DQ1 CFAA 2027000093 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for participation in state procurement processes related to White Cardstock Paper procurement. The form mandates that all authorized signers 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. Bidders must confirm they have no actual, potential, perceived, or apparent conflicts of interest and acknowledge understanding that the CDOC Procurement Official has authority to remove participants from the process as deemed appropriate. The certification must be completed and returned with the bid submission.
The form requires signatories to affirm they have no personal or beneficial interest in the services or property described and commit to immediate notification of the Procurement Agent should any situation arise that could alter their conflict of interest status or create an appearance of impropriety. Participants acknowledge they may have access to State information and records as part of the procurement process and agree that such information shall not be distributed, sold, or shared with third parties except as expressly authorized by the CDOC. The document must be signed by an authorized representative and include the signatory's printed name 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.
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 .