ATTACHMENT D - NON-CONFLICT OF INTEREST CERTIFICATION~1.pdf
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- Attached to
- 401(k) Audit
- Solicitation number
- S-X03101-00013622
- Issued by
- Clackamas County, Oregon
About this file
This document is a Non-Conflict of Interest Certification form issued by the Oregon Child Development Coalition Inc. The form requires a proposer to certify that no conflict of interest exists that would compromise the impartiality of their bid or proposal. The proposer must affirm that no officer, board member, employee, or agent of the Oregon Child Development Coalition will directly or indirectly benefit from any significant personal material or monetary gain as a result of their association with the proposer.
The certification form includes blank lines for the proposer to provide their signature, printed name, title, company name, and the date of signing. The key requirement is a commitment to immediately notify the Oregon Child Development Coalition if any potential conflict of interest arises during the bidding or contract process, and to disqualify their bid/proposal if such a conflict emerges. This document serves as a standard ethical safeguard to ensure transparency and prevent improper influence in the procurement process.
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Text version
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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