9. Exhibit - Non-conflict of Interest - Respondent.pdf

152 KB Posted

Attached to
CDOC Warehouse Fresh Produce Order
Solicitation number
DQ CAAA 2026000158
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), designed to ensure procurement participants have no conflicts of interest when engaging with state contracts or information. The form requires the signatory to confirm they have read specific Colorado Revised Statutes related to conflicts of interest and the State of Colorado's Procurement Conflicts of Interest Policy, affirming they have no actual, potential, perceived, or apparent conflicts.

The document outlines the signatory's responsibilities, including understanding that the Procurement Official can remove them from the process at any time, recognizing they may have access to sensitive state information, and committing to immediately notify the Procurement Agent if any potential conflict arises. The signatory also acknowledges they are an employee or independent contractor receiving information in that capacity, and they have no personal or beneficial interest in the services or properties described in the attached statutes.

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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 .