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

PDF 152 KB Posted

Attached to
CDOC Warehouse Fresh Produce Order
Solicitation number
DQ CAAA 2026000169
Issued by
Garfield County, Colorado

About this file

This document is a Non-Conflict of Interest form from the Colorado Department of Corrections (CDOC) procurement process. The form requires the signatory to affirm they have reviewed Colorado Revised Statutes related to conflict of interest, specifically sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and confirm no violations are present. The signatory acknowledges understanding that the Procurement Official has the authority to remove them from the process at any time and that they may have access to state information and records.

The form emphasizes the importance of maintaining transparency and avoiding potential conflicts of interest in the procurement process. The signatory commits to immediately notifying the Procurement Agent if any situation arises that could create the appearance of a conflict or impropriety. They also confirm they are an employee of a private employer or an independent contractor under contract with the State of Colorado, receiving information in that professional capacity. The document provides space for the authorized signer to print their name, sign, and include their company name or doing business as (dba) designation.

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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 .