Exhibit F _ Proposers Disclosure Statement.doc
DOC document 31 KB Posted
- Solicitation number
- PE-47200-RFQ-2026-000000147
- Issued by
- Brantley County, Colquitt City, Georgia
About this file
This is a Proposer's Disclosure Statement for Project J-469-DP, a Design Professional Services engagement for the Cochran Campus Domestic Water System Replacement at Middle Georgia State University in Cochran, Georgia, involving the Board of Regents (BOR) as the Owner and public agency.
All proposers must complete and submit the disclosure statement with their proposal submittal, requiring authorized signatures and a submission date. The statement requires disclosure of any business transactions between the proposer's firm and BOR, the Using Agency, or the end-user occurring within the prior two years; any gifts, hospitality, or benefits provided within the prior one-year period; and any conflicts of interest or potential conflicts of interest as defined by Georgia law and Executive Orders. Conflicts of interest are evaluated from the perspective of a reasonable person with knowledge of relevant facts and encompass any action, decision, or recommendation that could result in private monetary or financial benefit or detriment to a public official, their relatives, or associated businesses.
No pricing terms, set asides, incumbents, funding amounts, or contract renewal options are specified in this disclosure document, as it serves exclusively as a compliance mechanism for conflict identification and transparency in the public procurement process for this design services project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ Certification Form.docx | DOCX document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| _MGSU J_469 DP RFQ_RFP.pdf | ||
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit E _ Contractor Affidavit.docx | DOCX document |
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Text version
Exhibit F J-469 Cochran Campus Domestic Water System Replacement
Middle Georgia State University, Cochran, 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 .