Exhibit G
31 KB Posted
- Attached to
- Ferst Drive Corridor Realignment
- Solicitation number
- BR-30-2206-DB
- Issued by
- Fulton County, Georgia
About this file
This is a Proposer's Disclosure Statement (Exhibit G) for the Board of Regents (BOR) of Georgia regarding Design-Build Services for Project No. BR-30-2206, the Ferst Drive Corridor Realignment at Georgia Institute of Technology in Atlanta, Georgia. The disclosure statement is a mandatory component of all proposal submissions and requires proposers to provide detailed information regarding their business relationships, gifts, hospitality, and potential conflicts of interest with BOR, the using agency, and the project end-user. All proposers must acknowledge their understanding that this is a public project administered by a public agency and that BOR is committed to avoiding conflicts of interest and impropriety throughout the selection and contract negotiation processes.
Proposers are required to complete three specific disclosure items: any business transactions occurring within the prior two years with BOR or related entities; any gifts, hospitality, or benefits provided within the prior one-year period; and any actual or potential conflicts of interest as defined by state law and executive orders. The disclosure statement must be dated, signed by an authorized representative of the proposing firm, and submitted as a deliverable with the complete proposal submittal. The statement serves as a foundational compliance document to ensure transparency and maintain the integrity of the procurement process for this Georgia-based infrastructure project.
Text of this file
Exhibit “G” Project No. BR-30-2206, Ferst Drive Corridor Realignment Georgia Institute of Technology 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 |
|---|---|---|
| Award Information | — | |
| Exhibit A | — | |
| Exhibit D | — | |
| Exhibit C | — | |
| Exhibit B | — | |
| Exhibit F | — | |
| GIT BR-30-2206 Addendum No. 1 | — | |
| GIT BR-30-2206-DB RFQ-RFP | — | |
| Egnyte Upload Instructions | — | |
| Exhibit E | — |
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