Exhibit F _ Proposer_s Disclosure Statement.doc
DOC document 31 KB Posted
- Attached to
- GSOU J-460-DP School of Optometry
- Solicitation number
- PE-47200-RFQ-2026-000000127
- Issued by
- Brooks County, Georgia
About this file
This is a Proposer's Disclosure Statement for Design Professional Services related to Project No. J-460-DP, School of Optometry at Georgia Southern University in Statesboro, Georgia, issued by the Board of Regents (BOR) of Georgia. The disclosure statement is a required component of the proposal submittal and serves to ensure transparency and prevent conflicts of interest throughout the selection and contracting process. All proposers must complete and submit this document as part of their formal proposal package, with responses to three specific disclosure questions addressing business transactions, gifts or benefits, and potential conflicts of interest.
The disclosure statement requires proposers to provide detailed responses regarding any business transactions with BOR, the Using Agency, or the ultimate end-user that occurred within the prior two years; any gifts, hospitality, or benefits provided within the prior one-year period; and identification of any actual or potential conflicts of interest as defined by Georgia law and Executive Orders. The definition of conflict of interest provided encompasses actions or decisions by public officials that could result in private monetary or financial benefit or detriment to the official, their relatives, or associated businesses, assessed from the perspective of a reasonable person with knowledge of relevant facts. The completed disclosure statement must be dated, signed by an authorized representative of the proposing firm, and submitted with the proposal as a required deliverable.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| _J_460 GSOU_DP RFQ_RFP.pdf | ||
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document |
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Text version
Exhibit F J-460, School of Optometry Georgia Southern University, Statesboro, Georgia
PROPOSER’S DISCLOSURE STATEMENT
All proposers should be aware that the project you are submitting a proposal on is a public project, and the Owner (BOR) is a public agency. Pursuant to the laws, rules and Executive Orders of the State of Georgia, BOR shall make every effort to avoid even the appearance of a conflict of interest or any impropriety in both the selection process for this project and the negotiation and performance of any resulting contract. As part of any submittal you intend to make for this project, you must include a Disclosure Statement with your submittal which answers the following specific questions:
1. Describe any business transactions occurring within the prior two years between your firm and BOR, the Using Agency, or the ultimate end-user of the proposed project.
Insert Response Here
2. Describe any gift, hospitality, or benefit of any sort that your firm has provided to BOR, the Using Agency, or the end-user of the proposed project within the prior one-year period.
Insert Response Here
3. A conflict of interest or potential conflict of interest is defined as any action, decision, or recommendation by a person acting in a capacity as a public official, the effect of which is or could be to the private monetary or financial benefit or detriment of the person, the person’s relative, or any business with which the person or a relative of the person is associated. The potential conflict of interest is viewed from the perspective of a reasonable person who has knowledge of the relevant facts. Based upon this definition, describe any conflict of interest or potential conflict of interest that your firm has with BOR, the Using Agency, or the end-user of this project.
Insert Response Here This Disclosure Statement should be dated and signed by an authorized signator for the Proposer and submitted with the Proposer’s Submittal as a deliverable.
Name of Firm
Authorized Signature
Date
File details come from the government source that posted it. Updated .