Exhibit G _ Proposers Disclosure Statement.doc
DOC document 31 KB Posted
- Solicitation number
- PE-54300-RFQC-2025-000000054
- Issued by
- Cobb County, Georgia
About this file
This is a Proposer's Disclosure Statement (Exhibit G) required by the Board of Regents (BOR) of Georgia for project submissions. The document requires proposers to provide transparency regarding any potential conflicts of interest or prior business relationships with BOR, the Using Agency, or end-users of the proposed project.
The disclosure statement requires three specific responses: 1) Description of any business transactions between the proposer's firm and BOR/Using Agency/end-user within the past two years, 2) Details of any gifts, hospitality, or benefits provided to BOR/Using Agency/end-user within the past year, and 3) Disclosure of any actual or potential conflicts of interest as defined by the document. The statement must be dated and signed by an authorized signatory of the proposing firm and submitted as part of the proposal package.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 1.docx | DOCX document | |
| Exhibit E _ Contractor Affidavit.docx | DOCX document | |
| Addendum 3.docx | DOCX document | |
| Exhibit F _ Project Cost Matrix.xlsx | XLSX spreadsheet | |
| 777_25_125 KSU Campus Alta Survey_SUE and GIS.docx | DOCX document | |
| Exhibit A _ Certification Form.docx | DOCX document | |
| Exhibit B _ Certificate of Insurance and Mino.docx | DOCX document | |
| Exhibit D _ Consultant Fee Proposal Sample.docx | DOCX document | |
| Addendum 5.docx | DOCX document | |
| Addendum 2.docx | DOCX document | |
| Addendum 4.docx | DOCX document |
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Text version
Exhibit “G” Project No., Project Name Institution Name, City, 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 .