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

152 KB Posted

Attached to
CDOC Warehouse Fresh Produce Order
Solicitation number
DQ CAAA 2026000177
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. The form requires the signatory to confirm they have reviewed Colorado Revised Statutes related to conflicts of interest and affirm they have no actual, potential, perceived, or apparent conflicts of interest. The signatory acknowledges that the Procurement Official can remove them from the process at any discretion and that they may have access to confidential state information during the procurement.

The document emphasizes the signatory's obligation to immediately notify the Procurement Agent if any situation arises that could potentially create a conflict of interest or appearance of impropriety. As an employee of a private employer or independent contractor, the individual understands they are receiving information in an official capacity and commits to not distributing, selling, or sharing state information with any third party except as expressly authorized. The form requires a signature and provides space for printing the name of the authorized signer and their company name.

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2. Exhibit B - Required Vendor Information - Goods.pdf PDF
5. Exhibit E - Vendor Disclosure Stmt.pdf PDF
7. Exhibit G - Adminstrative Information.pdf PDF
0. DQ CAAA 2026000177 - CDOC Fresh Produce 11.10.25.pdf PDF
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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 .