Exhibit F - Non-conflict of Interest - Offeror.pdf
PDF 111 KB Posted
- Attached to
- Psychiatric Nursing Program
- Solicitation number
- RFP CAAA 2027000032 3
- Issued by
- Grand County, Colorado
About this file
This is a Non-Conflict of Interest certification form required by the Colorado Department of Corrections for bidders submitting proposals. The form requires authorized signers to certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as well as the State of Colorado State Controller's Procurement Conflicts of Interest Policy. Bidders must affirm the absence of actual, potential, perceived, or apparent conflicts of interest and acknowledge that the Procurement Official has authority to remove them from the procurement process. Signers must also confirm they understand restrictions on the use and distribution of State information and records accessed during participation in the bidding process.
The form requires bidders to represent that they have no personal or beneficial interest in the services or property described and obligates them to immediately notify the Procurement Agent if any situation arises that could alter their representations or create an appearance of conflict or impropriety. Signers must certify their status as either an employee of a private employer or an independent contractor under contract with the State of Colorado and acknowledge receipt of information in that capacity. The document must be completed and returned with the bid submission and requires the printed name, signature, and company name or dba of an authorized signer.
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Text version
EXHIBIT F
COLORADO DEPARTMENT OF CORRECTIONS
NON-CONFLICT OF INTEREST
(You must complete and return this document with Bid)
I have read Colorado Revised Statutes, 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and no violations of such provisions are present.
I have read the State of Colorado State Controller Policy – Procurement conflicts of Interest Policy (https://www.colorado.gov/pacific/osc/procurement-conflicts-interest-policy) and affirm I have no actual, potential, perceived or apparent conflicts of interest.
I understand the Procurement Official is empowered to remove me in any way he/she deems appropriate. I can request to be removed at any time, which can be granted or denied by the Procurement Official.
I understand that as a participant in this process I may have access to State information and/or records. The CDOC Procurement Official is the custodian of records. Information shall not be distributed, sold or shared with any third party or used in any way except as expressly authorized.
I do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes.
If I should become aware of any situation, which might arise, that could alter any of the representations above or that might otherwise create the appearance of a conflict or other impropriety, I will notify the Procurement Agent immediately.
I am an employee of a private employer or an independent contractor under contract with the State of Colorado. I understand that I am receiving such information in such capacity.
Print Name of authorized signer and Signature of authorized signer
Print Company Name/dba
File details come from the government source that posted it. Updated .