ATTACHMENT D - NON-CONFLICT OF INTEREST CERTIFICATION.pdf

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Attached to
RFP 24-USDA-2 USDA Nutrition Services Fresh Produce Products
Solicitation number
S-X03101-00011073
Issued by
Hood River County, Oregon

About this file

The document provided is an attachment titled "ATTACHMENT D - NON-CONFLICT OF INTEREST CERTIFICATION" related to a Request for Proposal (RFP) issued by the Oregon Child Development Coalition Inc. for the provision of fresh produce products to be used in the production of meals in their Head Start Centers throughout the State of Oregon. The RFP, identified as RFP 24-USDA-2 USDA Nutrition Services Fresh Produce Products, is seeking a year-round distributor for these services. The certification requires the proposer to declare that they have read and understand the conflict of interest statement, and that no such conflict exists which would preclude an impartial bid.

The RFP is for the State of Oregon, and does not provide any additional details on pricing terms, set-asides, incumbents, funding requirements or sources, or contract term and renewal options.

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ATTACHMENT D

NON-CONFLICT OF INTEREST CERTIFICATION

Issuing Agency: Oregon Child Development Coali�on Inc.

hereby cer�fy I have read the statement defining conflict of interest as quoted below; that I understand the statement;

that no conflict of interest exists as therein defined, which precludes an impar�al Bid/Proposal to be submited by myself or the en�ty/company for which the Bid/Proposal is submited, and that if such a conflict should arise, I will immediately no�fy the Oregon Child Development Coali�on Inc and disqualify my Bid/Proposal.

"NO OFFICER, BOARD MEMBER, EMPLOYEE, OR AGENT OF OREGON CHILD DEVELOPMENT COALITION, DIRECTLY OR INDIRECTLY, BENEFITS FROM ANY SIGNIFICANT PERSONAL MATERIAL OR MONTEARY GAIN AS A RESULT OF HIS/HER ASSOCIATION WITH THE PROPOSER OR HAVE A MATERIAL FINANCIAL INTEREST IN

ANY CONTRACT OR SUBCONTRACT BETWEEN THE PROPOSER AND OREGON CHILD DEVELOPMENT

COALITION”

Proposer Name (signature)

Proposer Name (printed)

Proposer Title (printed)

Entity/Company Name (printed)

Date

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