Exhibit F _ Proposer_s Disclosure Statement.doc
DOC document 31 KB Posted
- Solicitation number
- PE-50300-RFP-2025-000000172
- Issued by
- Fulton County, Georgia
About this file
This is a Proposer's Disclosure Statement (Exhibit F) for the GT Zelnak Basketball Headquarters Renovation & Expansion project (Bid-Contract No. 2011-2025 / Project No. 0251-2025) issued by the Board of Regents (BOR) of the University System of Georgia on behalf of Georgia Institute of Technology (GTFI) in Atlanta, Georgia. The document requires proposers to disclose any potential conflicts of interest or business relationships with BOR, the Using Agency, or the end-user of the project.
The disclosure statement mandates that proposers detail three specific areas: any business transactions between their firm and BOR within the past two years, any gifts or hospitality provided to BOR within the past year, and any actual or potential conflicts of interest as defined by state regulations. The document must be signed by an authorized signatory and submitted as part of the proposal package. No specific pricing terms, set-asides, or funding information is included in this document.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum__1 for release 01_06_2025.pdf | ||
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| 0251_2025 RFQP_DP_Final.pdf | ||
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit H _ Sample Form of AIA Contract.pdf | ||
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| Exhibit B _ Certificate of Insurance _ Minori.docx | DOCX document | |
| Exhibit C _ Team Composition.docx | DOCX document | |
| Exhibit G _ Project Schedule.pdf |
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Text version
Exhibit F Proposer’s Disclosure Statement
GT Zelnak Basketball Headquarters Renovation & Expansion Bid-Contract No. 2011-2025 / Project No. 0251-2025 The Board of Regents of the University System of Georgia by and behalf of Georgia Institute of Technology (GTFI), Atlanta, Georgia 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 .