Exhibit F _ Proposers Disclosure Statement.doc

DOC document 31 KB Posted

Attached to
UGA_BR-10-2702 DP Oglethorpe House Renovation
Solicitation number
PE-47200-RFQ-2027-000000162
Issued by
Clayton County, Georgia

About this file

This is a Proposer's Disclosure Statement for Project No. BR-10-2702, the Oglethorpe House Renovation at the University of Georgia in Athens, Georgia, issued by the Board of Regents (BOR). The document is a mandatory disclosure form that all proposers must complete and submit with their proposal. The purpose of the disclosure is to ensure transparency and avoid conflicts of interest in the selection process and contract performance for this public project. Proposers are required to respond to three specific disclosure questions that must be dated and signed by an authorized representative of the firm before submission.

The three disclosure requirements mandate that proposers describe any business transactions with BOR, the Using Agency, or the end-user that occurred within the prior two years; any gifts, hospitality, or benefits provided to these entities within the prior one year; and any actual or potential conflicts of interest as defined by Georgia law and executive orders. The document provides a specific definition of conflict of interest based on the reasonable person standard, requiring disclosure of actions or decisions that could result in private monetary or financial benefit or detriment to the proposer, its relatives, or associated businesses. No pricing terms, set-asides, funding sources, or contract terms are specified in this disclosure form.

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Other files

File Type Posted
Exhibit A _ Certification Form.docx DOCX document
Exhibit C _ Project Team Composition Form.docx DOCX document
Exhibit G _ 179D Allocation Agreement.doc DOC document
_UGA_BR_10_2702_DP RFQ_RFP.pdf PDF
Exhibit E _ Contractor Affidavit.docx DOCX document
Exhibit D _ DP Fee Proposal.doc DOC document
Egnyte Upload Instructions.pdf PDF
Exhibit B _ Certificate of Minority Form.docx DOCX document

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Exhibit F

Project No. BR-10-2702 Oglethorpe House Renovation University of Georgia, Athens, 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 .