Exhibit G _ Proposer_s Disclosure Statement.doc

DOC document 31 KB Posted

Attached to
UNG BR-68-2601-DB Poultry Instructional Center
Solicitation number
PE-47200-RFQ-2026-000000121
Issued by
Lanier County, Georgia

About this file

This is a Proposer's Disclosure Statement for Project No. BR-68-2601, the Poultry Instructional Center at the University of North Georgia, submitted to the Board of Regents (BOR) of Georgia. The document requires all proposers to complete a mandatory disclosure form addressing potential conflicts of interest and prior business relationships. Proposers must describe any business transactions with BOR, the Using Agency, or the end-user that occurred within the prior two years, as well as any gifts, hospitality, or benefits provided to these entities within the prior one-year period. The disclosure statement must be dated and signed by an authorized representative of the proposer's firm and submitted as part of the proposal deliverables.

The disclosure statement is designed to ensure compliance with Georgia state laws, rules, and Executive Orders by identifying and preventing conflicts of interest or any appearance of impropriety in both the selection process and subsequent contract negotiation and performance. Proposers must disclose any potential conflicts of interest defined as actions, decisions, or recommendations that could result in private monetary or financial benefit or detriment to the person, their relatives, or any associated business entity, evaluated from the perspective of a reasonable person with knowledge of relevant facts. This requirement applies to all firms bidding on the design-build services for the Poultry Instructional Center project at the University of North Georgia in Dahlonega, Georgia.

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Other files

File Type Posted
_UNG BR_68_2601_DB RFQ_RFP.pdf PDF
Exhibit C _ DB Fee Proposal.docx DOCX document
Exhibit F _ Project Cost Matrix.xlsx XLSX spreadsheet
Exhibit D _ Precon Cost and Expenses.xlsx XLSX spreadsheet
Exhibit B _ Contractor Affidavit.docx DOCX document
Exhibit A _ Certification Form.docx DOCX document
Exhibit E _ General Conditions Breakdown.xlsx XLSX spreadsheet
Egnyte Upload Instructions.pdf PDF

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Text version

Exhibit “G” Project No. BR-68-2601 Poultry Instructional Center University of North 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 .