J._Larson_-_SPO_Form_120.pdf

This document is a State Employee Procurement Disclosure Statement from the Arizona Department of Administration's State Procurement Office, specifically for Septic Pump Services. The form is completed by Clarence J Larson, who works as a Cemetery Administrator for the Arizona Department of Veterans Services, dated November 21, 2022.

The document is a disclosure and compliance form requiring the employee to acknowledge potential conflicts of interest, maintain confidentiality, and adhere to procurement guidelines for a specific solicitation. While no specific contract details are provided, the form outlines the employee's responsibilities in participating in procurement activities, including evaluation processes, vendor interactions, and maintaining strict security around procurement proceedings. Larson has indicated no existing substantial interests or prior contacts with potential vendors, and has affirmed he will comply with all state procurement regulations and ethical standards throughout the procurement process.