8. Exhibit H - Non-conflict of Interest - Respondent.pdf
PDF 255 KB Posted
- Solicitation number
- DQ1 CAAA 2026000179 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 (CDOC) for respondents participating in the procurement process for 1% Milk for all CDOC Facilities Statewide. The form requires the authorized signer to acknowledge their review of applicable Colorado Revised Statutes (18-8-302, 18-8-306, 18-8-301, and 18-8-308) and the State of Colorado State Controller Policy on Procurement Conflicts of Interest. The respondent must affirm the absence of any actual, potential, perceived, or apparent conflicts of interest and understand that the CDOC Procurement Official has authority to remove them from the process at any time. The form establishes that the signer is an employee of a private employer or an independent contractor under contract with the State of Colorado and acknowledges receipt of confidential State information.
The document requires the respondent to commit to protecting all State information and records provided during the procurement process, with explicit restrictions against distribution, sale, or unauthorized sharing with third parties. Signatories must agree to notify the Procurement Agent immediately upon becoming aware of any situation that could alter their representations or create an appearance of conflict or impropriety. The form includes signature and company name fields for the authorized signer to execute the certification, making it a mandatory compliance document for all participants in this procurement opportunity.
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Text version
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 Point of Contact.
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 .