6. Exhibit F - Non-Conflict of Interest.pdf
PDF 116 KB Posted
- Attached to
- White Cardstock Paper - CCi
- Solicitation number
- DQ1 CFAA 2027000093 2
- 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 bidders participating in a state procurement process related to white cardstock paper. The form mandates that bidders 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 affirm the absence of actual, potential, perceived, or apparent conflicts of interest and acknowledge their understanding that the CDOC Procurement Official retains authority to remove them from the process as deemed appropriate. The form requires bidders to recognize that participation may grant access to state information and records, which must not be distributed, sold, shared with third parties, or used beyond expressly authorized purposes.
Signatories must certify that they have no personal or beneficial interest in the services or property described and commit to notifying the Procurement Agent immediately upon awareness of any situation that could alter their representations or create the appearance of conflict or impropriety. The form applies to employees of private employers or independent contractors under contract with the State of Colorado. Completion and return of this certification document is mandatory for bid submission, with signature and company information required on the form.
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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
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