Attachment G - Conflict of Interest Disclosure .pdf
PDF 80 KB Posted
- Solicitation number
- DQ1 KABA 2026000415 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Conflict of Interest Disclosure form related to a Delegated Purchasing DQ (DQ Number: 2026000415) issued by the State of Colorado Department of Labor and Employment (CDLE) through the PCS consortium. The form requires bidders to disclose any actual or perceived organizational or other conflicts of interest with the State of Colorado, CDLE, or CDLE employees regarding the DQ, the bidder's submission, bidder's staff, or proposed subcontractors. Bidders must complete company information fields including parent company legal name, tax ID number, DUNS number, DBA if applicable, address, and contact details. The form includes substantial space for bidders to describe any identified conflicts of interest and requires submission only if applicable to the bidder's circumstances.
The form mandates that bidders indicate whether their company is registered with the Colorado Secretary of State and provide a Certificate of Good Standing if applicable. PCS reserves the right to make a non-responsive determination or cancel a successful bidder's award if any conflict or perceived conflict is disclosed either through this form or discovered from any other source. This disclosure requirement ensures transparency regarding potential conflicts that could affect the bidder's ability to perform work for the State of Colorado or CDLE.
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Attachment G - Conflict of Interest Disclosure
Spanish Translation and Interpretation, DQ KABA 2026000415
Attachment G - Conflict of Interest Disclosure
(Submit if applicable)
● DQ Title:
● DQ Number:
● Parent Company* Tax ID Number (FEIN):
● Parent Company DUNS Number:
● Parent Company Legal Name (per W-9):
● Parent Company DBA, if applicable:
● ParentCompany Address:
● Contact Name:
● Contact Email:
● Contact Phone:
● Contact Fax:
Bidders must state whether there are, or potentially could be, actual or perceived organizational or other conflicts of interest with the State of Colorado, CDLE, or CDLE employees with regard to: this DQ, Bidder’s submission to this DQ, Bidder’s staff, or Bidder’s proposed subcontractors. Attach additional pages if necessary.
PCS reserves the right to make a non-responsive determination on a Bidder’s quotation or cancel the award of a successful Bidder’s quotation if there is a conflict and/or a perceived conflict disclosed from any other source.
Is your company registered with the Colorado Secretary of State (circle one):
Yes No
If “Yes” Provide a copy of the respective Certificate of Good Standing.
File details come from the government source that posted it. Updated .