BCSD Conflict of Interest Disclosure Statement.pdf
PDF 174 KB Posted
- Solicitation number
- 147812
- Issued by
- Kern County, California
About this file
This is a Conflict of Interest Disclosure Statement form required by the Bakersfield City School District (BCSD) in California for the Classroom AV, Esports, & Educational Technology Equipment procurement (26-11-01). The form mandates that vendors certify they have no current or prior employment, familial, or financial relationships with BCSD staff, Board members, or their immediate family members that could constitute a conflict of interest. Vendors must also commit to immediately disclosing any such relationships in writing to the Director of Purchasing should they arise, and agree to comply with all applicable conflict of interest statutes and regulations.
The form requires completion by an authorized vendor representative with signature and date fields provided for attestation. The document serves as a compliance mechanism to ensure vendor objectivity and integrity throughout the procurement and contract execution process for the District.
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Text version
BAKERSFIELD CITY SCHOOL DISTRICT
Conflict of Interest Disclosure Statement
Pursuant to federal and state procurement standards, vendors must disclose any actual, potential, or perceived conflicts of interest. A conflict of interest may include relationships with District employees, Board members, or any financial interest that may impair objectivity in carrying out a contract.
By signing below, the undersigned certifies that:
1. They have no current or prior employment, familial, or financial relationships with BCSD staff, Board members, or their immediate family members that could be perceived as a conflict of interest;
2. If such a relationship exists or arises, they will disclose it immediately in writing to the Director of Purchasing;
3. They will comply with all applicable conflict of interest statutes and regulations.
Vendor Name:
Authorized Representative:
Title:
Signature:
Date:
| Vendor Name: |
| Authorized Representative_2: |
| Title_2: |
| Date_2: |
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