Exhibit G

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Attached to
“15th Street Parking Deck”
Solicitation number
PPV-40-2201-DB
Issued by
Richmond County, Atlanta City, Georgia

About this file

This is a Proposer's Disclosure Statement (Exhibit G) for Project No. PPV-40-2201, the 15th Street Parking Deck at Augusta University in Georgia, submitted under the Board of Regents (BOR) of the University System of Georgia. The document establishes disclosure requirements for all proposers submitting proposals for the Design-Build Services contract. Proposers must complete and submit the disclosure statement with their proposal, signed by an authorized representative of the firm, confirming awareness that the project is publicly funded and subject to Georgia state laws and executive orders governing conflict of interest and impropriety in both the selection and contract performance phases.

The disclosure statement requires proposers to provide responses to three specific questions: 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 to these entities within the prior one-year period; and any actual or potential conflicts of interest as defined by the reasonable person standard from the perspective of knowledge of relevant facts. The statement must be dated and signed by an authorized signatory and submitted as a deliverable with the proposer's submittal to ensure compliance with Georgia's transparency and ethics requirements for public contracting.

Text of this file

Exhibit “G” Project No.PPV-40-2201, 15th Street Parking Deck Augusta 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 A —
AU PPV-40-2201-DB Addn. No. 2 —
Award Information —
Exhibit D —
Exhibit C —
Egnyte Upload Instructions —
Exhibit E —
Exhibit B —
Exhibit F —
AU PPV-40-2201-DB Addn. No. 1 —
AU PPV-40-2201- DB RFQ-RFP —
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