8-Attachment 7 Conflict of Interest.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP-ED2502
- Issued by
- Milwaukee County, Cornell City, Wisconsin
About this file
This document is a Conflict of Interest Stipulation form from Milwaukee County, designed to be completed by vendors submitting proposals in response to an unspecified Request for Proposal (RFP). The form requires vendors to disclose whether any Milwaukee County employee, agent, representative, or their immediate family members have an ownership, officer, employee, agent, or representative role in the proposing business. Vendors must answer "YES" or "NO" to this conflict of interest inquiry, and if "YES" is selected, they must provide details including the individual's name, county position, and business relationship.
The form is part of a procurement process for the Acquisition and Development of properties located at 4902 and 4910-4912 South Packard in Cudahy, Wisconsin. The document itself does not provide details about the specific project, pricing, or contract terms, but serves as a standard ethics disclosure mechanism to ensure transparency and prevent potential conflicts of interest in the municipal procurement process. The form requires a printed name, authorized signature, title, and date from the corporate representative completing the disclosure.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-Attachment 4 Exceptions.docx | DOCX document | |
| 1-ATTACHMENT A-C.pdf | ||
| 10-RFP-ED2502 Final.pdf | ||
| 2-Attachment 1 Proprietary Info Disclosure Form.docx | DOCX document | |
| 7-Attachment 6 Vendor Information Sheet.docx | DOCX document | |
| 4-Attachment 3 Sworn Statement of Proposer.docx | DOCX document | |
| 6-Attachment 5-Insurance and Indemnity.docx | DOCX document | |
| 9-Attachment 8 Certification re Debarment Suspension.docx | DOCX document | |
| 3-Attachment 2 EEOC Compliance.docx | DOCX document |
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Text version
ATTACHMENT 7
CONFLICT OF INTEREST STIPULATION
For purposes of determining a possible conflict of interest, all vendors submitting a proposal in response to this RFP must disclose if any Milwaukee County employee, agent or representative or an immediate family member of any Milwaukee County employee, agent or representative is also an owner, officer, employee, agent or representative of the business submitting the proposal.
Please answer below either YES or NO to the question of whether any Milwaukee County employee, agent or representative or immediate family member is also an owner, officer, employee, agent or representative of your business:
YES _______________
NO _______________
If the answer to the question above is YES, then identify the name of the individual, the individual’s position with Milwaukee County, and the individual’s relationship to your business:
Name _______________________________________________________________________
County Position________________________________________________________________
Business Relationship ___________________________________________________________
The appropriate corporate representative must sign and date this Conflict of Interest Stipulation below:
Printed Name __________________________________________________________________
Authorized Signature ___________________________________________________________
Title __________________________________________________________________________
Date __________________________________________________________________________
File details come from the government source that posted it. Updated .