Exhibit F _ Proposers Disclosure Statement.doc
DOC document 31 KB Posted
- Solicitation number
- PE-47200-RFQ-2027-000000150
- Issued by
- Douglas County, Georgia
About this file
This is a Proposer's Disclosure Statement for the Board of Regents (BOR) of Georgia related to the Campuswide HVAC Renewal project at Georgia Southern University's Swainsboro Campus. As a public project managed by a public agency, the disclosure statement is designed to ensure transparency and prevent conflicts of interest during the selection and contract negotiation processes. All proposers submitting bids or proposals for this project must complete and submit the disclosure statement as part of their proposal package, signed by an authorized representative of their firm.
The disclosure statement requires proposers to disclose three specific categories of information: any business transactions between the firm and BOR, the using agency, or the end-user that occurred within the prior two years; any gifts, hospitality, or benefits provided by the firm to these entities within the prior one-year period; and any actual or potential conflicts of interest that could affect the firm's objectivity or create private monetary or financial benefits or detriments. Conflicts of interest are assessed from the perspective of a reasonable person with knowledge of the relevant facts. The completed disclosure statement must be dated and signed by an authorized signatory and included as a deliverable in the proposer's submittal.
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Other files
| File | Type | Posted |
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| Exhibit B _ Certificate of Minority Form.docx | DOCX document | |
| Egnyte Upload Instructions.pdf | ||
| Exhibit G _ 179D Allocation Agreement.doc | DOC document | |
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| _GSOU J_474 HVAC_DP RFQ.pdf | ||
| Exhibit D _ DP Fee Proposal.doc | DOC document | |
| Exhibit C _ Project Team Composition Form.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document |
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Text version
Exhibit F J-474 Campuswide HVAC Renewal, Swainsboro Campus Georgia Southern University, Swainsboro, 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 .