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

PDF 152 KB Posted

Attached to
Fresh Eggs - Request for Quote
Solicitation number
DQ1 CAAA 2026000353 1
Issued by
Garfield County, Colorado

About this file

This is a Non-Conflict of Interest certification form required by the State of Colorado Department of Corrections (CDOC) for respondents participating in a Fresh Eggs Request for Quote procurement process. The document requires authorized signers to certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as well as the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Respondents must affirm that they have no actual, potential, perceived, or apparent conflicts of interest and acknowledge understanding that the CDOC Procurement Official may remove them from the process as deemed appropriate or upon their request.

The form establishes that respondents acknowledge their access to State information and records as participants in the procurement process, with the CDOC Procurement Official serving as the custodian of such records. Respondents certify they have no personal or beneficial interest in the services or property described and commit to immediately notifying the Procurement Agent of any situation that could alter their representations or create an appearance of conflict or impropriety. The certification requires that respondents identify themselves as employees of private employers or independent contractors under contract with the State of Colorado and agree that they are receiving information solely in that capacity.

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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 .