M20-0083_Procurement_Disclosure_Statement_-_Executed.pdf

This document is a Procurement Nondisclosure Disclosure Statement from the Arizona Department of Administration's State Procurement Office, specifically for the Camp Navajo Skid Units procurement (Funding Memo APP #BPM002958/M20-0083). The document is a standard form requiring an employee to disclose potential conflicts of interest and agree to maintain confidentiality during a procurement process.

The document outlines the employee's responsibilities in a procurement activity, which may involve participating in development of a procurement as defined in Arizona Revised Statutes (ARS) § 41-2503, serving as a technical advisor, evaluator, or recommending/selecting vendors. The statement requires the employee to report any potential conflicts of interest, maintain strict confidentiality about procurement proceedings, avoid communicating with potential offerors outside of formal evaluation processes, and refrain from seeking or providing insider information that could compromise the fairness of the procurement. The document is signed by an employee with the title of Deputy Fire Chief from Camp Navajo FB on September 10, 2020.