Exhibit G _ Proposer_s Disclosure Statement.doc
DOC document 30 KB Posted
- Solicitation number
- PE-50300-RFP-2027-000000319
- Issued by
- Fulton County, Georgia
About this file
This is a Proposer's Disclosure Statement form required by the Board of Regents (BOR) for a Construction Management/General Contractor (CM/GC) services solicitation at Georgia Institute of Technology for the Chilled Water Distribution Replacement project (Project No. 0269-2023, Bid-Contract No. 2000-27). The solicitation follows a two-step process: Step 1 requires submission of Statements of Qualifications, with qualified respondents advancing to Step 2 for interviews and fee proposals. The project is located on the Georgia Tech campus in Atlanta, Georgia, and involves replacement of chilled water distribution infrastructure between Klaus and the College of Computing facilities. As a public project administered by a public agency, all proposers must submit this disclosure statement to identify any potential conflicts of interest and ensure transparency in the selection process.
The disclosure statement requires proposers to provide three specific disclosures: any business transactions with 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 Georgia law and Executive Orders. The disclosure must be dated, signed by an authorized representative of the proposing firm, and submitted as a deliverable with the proposal. This document is essential to BOR's efforts to avoid conflicts of interest and maintain the appearance of propriety throughout the selection and contract negotiation process.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit B _ Contractor Affidavit.docx | DOCX document | |
| Exhibit C _ CM_GC Fee Proposal.docx | DOCX document | |
| Exhibit D _ Preconstruction Cost_Expenses Bre.xlsx | XLSX spreadsheet | |
| _2000_27_ RFQP_CM Project 0269_2023 Chilled W.pdf | ||
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| Exhibit E _ General Conditions_Breakdown.xlsx | XLSX spreadsheet |
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Text version
Exhibit G 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 .