8. Exhibit H - Non-conflict of Interest - Respondent.pdf
PDF 152 KB Posted
- Solicitation number
- IFB1 CAAA 2026000190 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest declaration form required by the State of Colorado Department of Corrections for respondents participating in the Infectious Medical Waste Removal procurement process. The form requires authorized signers to affirm compliance with Colorado Revised Statutes sections 18-8-301, 18-8-302, 18-8-306, and 18-8-308, as well as the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Respondents must certify they have no actual, potential, perceived, or apparent conflicts of interest related to the service or property described in the solicitation.
The form establishes that respondents understand the CDOC Procurement Official has authority to remove them from the process as deemed appropriate and that respondents may request removal at any discretion of the Procurement Official. Respondents acknowledge they may have access to State information and records during the procurement process and agree not to distribute, sell, or share such information with third parties except as expressly authorized. The form requires respondents to immediately notify the Procurement Agent if any situation arises that could alter their representations or create the appearance of conflict or impropriety. The declaration must be signed and executed by an authorized representative of the respondent company or individual contractor.
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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
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 .