Exhibit G

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Attached to
Fulton Street Parking Deck
Solicitation number
BR-50-2202-DB
Issued by
Fulton County, Atlanta City, Georgia

About this file

Exhibit G is a Proposer's Disclosure Statement for Project No. BR-66-1701, a Public Safety Building Renovation & Expansion at Georgia Southern University, administered by the Board of Regents (BOR) of Georgia. This document establishes disclosure requirements that all proposers must complete and submit with their proposals to ensure transparency and mitigate conflicts of interest in the selection and contracting process for this public project.

The disclosure statement requires proposers to provide three specific written responses: documentation of any business transactions conducted with BOR, the using agency, or the project's end-user within the prior two years; description of any gifts, hospitality, or benefits provided to these entities within the prior one-year period; and identification of any actual or potential conflicts of interest as defined by Georgia law and executive orders. Each disclosure statement must be dated and signed by an authorized representative of the proposing firm and submitted as a deliverable with the proposal. The conflict of interest definition encompasses 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.

Text of this file

Exhibit “G” Project No.BR-66-1701, Public Safety Building Renovation & Expansion

Georgia Southern University 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

Other files

File Type Posted
Exhibit C —
Egnyte Upload Instructions —
Exhibit H —
Exhibit F —
Exhibit D —
GSU BR-50-2202-DB RFQ-RFP —
Exhibit E —
Exhibit B —
GSU BR-50-2202-DB Addendum #1 —
GSU BR-50-2202-DB Addendum #2 —
Award Information —
Exhibit A —
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