Exhibit F _ Proposers Disclosure Statement.doc

DOC document 31 KB Posted

Attached to
ALSU, J-462-DP - Criminal Justice Learning Lab and Public Safety Reno.
Solicitation number
PE-47200-RFQ-2026-000000118
Issued by
Douglas County, Georgia

About this file

This is a Proposer's Disclosure Statement for Project J-462, a renovation project for the Criminal Justice Learning Lab and Public Safety at Albany State University in Albany, Georgia, involving the Board of Regents (BOR) as the owner and public agency. The document requires all proposers to complete and submit a disclosure statement addressing three specific areas of potential conflicts of interest or impropriety as part of their proposal submittal. The disclosure statement must be dated and signed by an authorized signatory of the proposing firm and included as a deliverable with the proposal submission.

The disclosure statement obligates proposers to describe any business transactions with BOR, the using agency, or the project's end-user occurring within the prior two years; any gifts, hospitality, or benefits provided to these entities within the prior one-year period; and any actual or potential conflicts of interest as defined under Georgia law and executive orders. The state defines a conflict of interest as any action, decision, or recommendation by a public official that could result in private monetary or financial benefit or detriment to the official, their relatives, or associated businesses, evaluated from the perspective of a reasonable person with knowledge of relevant facts. Proposers must certify their responses to these three questions to demonstrate compliance with Georgia's conflict of interest and impropriety avoidance requirements for public projects.

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Other files

File Type Posted
Exhibit D _ DP Fee Proposal.doc DOC document
Exhibit G _ 179D Allocation Agreement.doc DOC document
Egnyte Upload Instructions.pdf PDF
Exhibit E _ Contractor Affidavit.docx DOCX document
J_462 ALSU CJLL _ PS Reno DP RFQ.pdf PDF
Exhibit B _ Certificate of Minority Form.docx DOCX document
Exhibit C _ Project Team Composition Form.docx DOCX document
J_462 CJLL PS DP RFQ _ ADDENDUM 1.pdf PDF
Exhibit A _ Certification Form.docx DOCX document

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Text version

Exhibit F J-462 Renovation for the Criminal Justice Learning Lab and Public Safety Albany State University, Albany, 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 .