ATTACHMENT D - NON-CONFLICT OF INTEREST CERTIFICATION~1.pdf

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Attached to
Policy Development Services
Solicitation number
S-X03101-00011566
Issued by
Clackamas County, Oregon

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This document is an attachment to a contract opportunity issued by the Oregon Child Development Coalition Inc. The attachment is a Non-Conflict of Interest Certification that must be signed by the proposer. The certification states that the proposer has read the definition of conflict of interest, understands it, and affirms that no such conflict exists that would preclude an impartial bid or proposal. The proposer agrees to immediately notify the Oregon Child Development Coalition Inc. and disqualify their bid or proposal if a conflict of interest should arise.

The document does not provide any details about the specific contract opportunity, such as the products or services requested, project overviews, quantities, response dates, award dates, contract term, or renewal options. It also does not mention pricing terms, set asides, incumbents, funding requirements or sources, or any other salient information about the contract.

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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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