Exhibit G _ Proposer_s Disclosure Statement.doc

DOC document 30 KB Posted

Attached to
[2001-27] CM_Global Learning Center 1st & 4th FL College Lifetime Learning
Solicitation number
PE-50300-RFP-2027-000000320
Issued by
Fulton County, Georgia

About this file

This is a Proposer's Disclosure Statement form issued by the Board of Regents (BOR), a public agency in Georgia, for use in the state and local contract opportunity selection process. The document requires all proposers to submit a completed disclosure statement along with their proposal to ensure transparency and mitigate conflicts of interest. Proposers must respond to three specific disclosure questions: first, describing any business transactions between their firm and BOR, the using agency, or the project end-user that occurred within the prior two years; second, disclosing any gifts, hospitality, or benefits provided by the firm to these entities within the prior one-year period; and third, identifying any actual or potential conflicts of interest based on a definition that encompasses any actions or decisions that could result in private monetary or financial benefit or detriment to the firm, its relatives, or associated businesses, as viewed from the perspective of a reasonable person with knowledge of relevant facts.

The disclosure statement must be dated and signed by an authorized signatory of the proposer and submitted as a deliverable with the proposal submittal. The form serves as a compliance mechanism to fulfill Georgia state laws, rules, and executive orders governing public procurement, with the stated objective of avoiding the appearance of impropriety and conflicts of interest during both the selection process and subsequent contract negotiation and performance phases.

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Other files

File Type Posted
_2001_27_ RFQP_CM GLC CoLL Renovation.pdf PDF
Exhibit C _ CM_GC Fee Proposal.docx DOCX document
Exhibit E _ General Conditions_Breakdown.xlsx XLSX spreadsheet
Exhibit F _ Project Cost Matrix.xlsx XLSX spreadsheet
Exhibit B _ Contractor Affidavit.docx DOCX document
Exhibit A _ Certification Form.docx DOCX document
Exhibit D _ Preconstruction Cost_Expenses Bre.xlsx XLSX spreadsheet

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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

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