Exhibit F _ Proposers Disclosure Statement.doc
DOC document 32 KB Posted
- Attached to
- GSU, BR-50-2509-DP, Art and Humanities Building Expansion and Kopleff Recital Hall Entrance
- Solicitation number
- PE-47200-RFQ-2025-000000098
- Issued by
- Fulton County, Georgia
About this file
The document is a Proposers Disclosure Statement for the "Art and Humanities Building Expansion and Kopleff Recital Hall Entrance" project at Georgia State University in Atlanta, Georgia, involving the Board of Regents (BOR) as the public agency owner. The disclosure statement requires proposers to provide transparent information about their business interactions, potential conflicts of interest, and any gifts or benefits provided to the BOR, using agency, or end-user within specified timeframes.
The disclosure statement mandates that proposers comprehensively disclose: 1) business transactions with BOR or related agencies in the prior two years, 2) any gifts or hospitality provided within the past year, and 3) any potential conflicts of interest as defined by the state's ethical guidelines. Proposers must sign and date the document, which serves as a critical component of maintaining transparency and ethical standards in the public procurement process for this specific construction and expansion project.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| _GSU BR_50_2509 DP GSU Arts _ Humanities_RFQ.pdf | ||
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Egnyte Upload Instructions.pdf |
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Text version
Exhibit “F” BR-50-2509, “Art and Humanities Building Expansion and
Kopleff Recital Hall Entrance” Georgia State University, Atlanta, 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 .