6. Exhibit F - Non-conflict of Interest - Offeror.pdf
PDF 129 KB Posted
- Attached to
- Restorative Justice Program
- Solicitation number
- RFP CAAA 2027000005 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest attestation form required by the Colorado Department of Corrections for offerors participating in the Restorative Justice Program procurement process. The form 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 Procurement Conflicts of Interest Policy. Signers must confirm they have no actual, potential, perceived, or apparent conflicts of interest related to the service or property described in the solicitation and acknowledge understanding that the CDOC Procurement Official has authority to remove them from the process as deemed appropriate or upon their request.
The form establishes that participants may have access to State information and records, which may not be distributed, sold, shared with third parties, or used except as expressly authorized. Signers must commit to notifying the Procurement Agent immediately if any situation arises that could alter their representations or create the appearance of conflict or impropriety. The attestation applies to employees of private employers or independent contractors under contract with the State of Colorado who are receiving information in that capacity. The form requires the printed name and signature of an authorized signer and the company name or doing-business-as designation.
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Text version
EXHIBIT F
COLORADO DEPARTMENT OF CORRECTIONS
NON-CONFLICT OF INTEREST
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
File details come from the government source that posted it. Updated .