8. Attachment B - Non-conflict of Interest - Respondent.pdf

172 KB Posted

Attached to
Bakery Oven - CTCF
Solicitation number
DQ 2025000213
Issued by
Garfield County, Colorado

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This document is a Non-Conflict of Interest form from the Colorado Department of Corrections (CDOC) for a procurement process related to a bakery oven at the Colorado Territorial Correctional Facility (CTCF). The form requires the signatory to affirm they have no conflicts of interest in relation to the procurement opportunity, have read relevant Colorado Revised Statutes, and understand the rules governing their participation in the procurement process.

The form outlines specific obligations for participants, including maintaining confidentiality of state information, not distributing or selling records, and immediately disclosing any potential conflicts of interest that may arise. The signatory acknowledges they are an employee or independent contractor and will receive information in that capacity, with the understanding that the CDOC Procurement Official has the authority to remove them from the process if deemed necessary. The document provides space for the authorized signer to print their name, sign, and indicate their company name, serving as a formal declaration of their commitment to ethical procurement practices.

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Attachment B – Non-Conflict of Interest

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 the Colorado Department of Corrections.

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 .