No Conflict of Interest (25).pdf
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- Attached to
- 3rd Party Transportation Operator
- Solicitation number
- PE-64800-NONST-2025-000000058
- Issued by
- Douglas County, Georgia
About this file
This is a No Conflict of Interest certification form required by Douglas County, Georgia for bidders responding to the 3rd Party Transportation Operator contract opportunity. The certification requires the bidder and their authorized representative to attest that no members of the Douglas County Board of Commissioners, elected or appointed officials of Georgia state government or local governing bodies, relatives of such officials, or members of Congress have any direct or indirect interest in the bidder's organization or in the potential contract proceeds. The form mandates that the certification be signed and submitted with the bid submission and warns that any false representation may result in disqualification from contract award and future work with Douglas County.
The contract opportunity seeks a third-party operator to manage Douglas County's public transportation system, Connect Douglas, encompassing vehicle operations, driver services, vehicle maintenance, dispatching, administrative and customer service functions including reservations and scheduling, marketing assistance, management oversight, and coordination with county staff for service delivery and grants management. The certification form requires the bidder to provide signature, printed name, title, telephone number, email, company name, and address, with space available to explain any exceptions to the conflict of interest statement.
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Text version
NO CONFLICT OF INTEREST
Except as may be identified and explained below, the undersigned hereby certifies that: (a) no member of the Board of Commissioners, elected, appointed, and employee of the Douglas County;
(b) no elected, appointed, and employed official or employee of the State of Georgia and of a governing body, instrumentality, or political subdivision; (c) no relative of any persons described above; (d) no member of and delegate to the Congress of the United States has an interest whatsoever (regardless of how indirect and how remote that interest may be) in bidder’s organization and in the proceeds of a Contract and agreement which might be made between bidder and the Douglas County Board of Commissioners as a result of the, quote, or qualification statement accompanied by this certification.
The undersigned certifies that he/she is legally authorized by the bidder to make the above representation, and that the representation is true to the best of his/her knowledge and belief and without deliberate omission of any inquiry which would to the best of his/her belief tend to change the above representation. The undersigned understands that any representation made knowing it to be false may disqualify the bidder from being awarded the Contract and future work by Douglas County Board of Commissioners.
NOTE: THIS CERTIFICATION MUST BE SIGNED AND SUBMITTED WITH THIS BID.
EXCEPTIONS: (Please explain)
Signature:
Print Name:
Title: Telephone #:
Email:
Name of Company:
Address:
File details come from the government source that posted it. Updated .