Exhibit G
31 KB Posted
- Attached to
- Campus Infrastructure, Phase II
- Solicitation number
- J-396-DB
- Issued by
- Clayton County, Georgia
About this file
This is a Proposer's Disclosure Statement (Exhibit G) for Project No. J-396, Campus Infrastructure, Phase II at Clayton State University in Morrow, Georgia, submitted to the Board of Regents (BOR) of the State of Georgia. The document requires all proposers to submit a signed disclosure statement as part of their bid package for the Design-Build Services project. The disclosure statement consists of three mandatory questionnaire responses that proposers must complete and submit with their formal proposal submittal.
Proposers must disclose any business transactions with BOR, the Using Agency, or the project's end-user that occurred within the prior two years; any gifts, hospitality, or benefits provided to these entities within the prior one-year period; and any conflicts of interest or potential conflicts of interest as defined by Georgia law and executive orders. The disclosure statement must be dated and signed by an authorized signatory of the proposing firm. BOR emphasizes its commitment to avoiding any appearance of conflict of interest or impropriety throughout the selection process and subsequent contract negotiation and performance, as required by applicable Georgia statutes, rules, and executive orders.
Text of this file
Exhibit “G” Project No. J-396, Campus Infrastructure, Phase II Clayton State 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 |
|---|---|---|
| CLSU J-396 Utility Masterplan | — | |
| Exhibit B | — | |
| CLSU J-396 DB Addendum No. 1 | — | |
| Exhibit D | — | |
| Exhibit A | — | |
| Award Information | — | |
| CLSU J-396-DB RFQ-RFP | — | |
| Exhibit F | — | |
| Exhibit C | — | |
| Egnyte Upload Instructions | — | |
| Exhibit E | — |
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