No Conflict of Interest (27).pdf
PDF 77 KB Posted
- Attached to
- 2026 Mowing and Litter Bid
- Solicitation number
- PE-64800-NONST-2026-000000060
- Issued by
- Douglas County, Georgia
About this file
This is a No Conflict of Interest Certification form required by the Douglas County Board of Commissioners for bidders on contract opportunities. The form requires bidders to certify that no members of the Douglas County Board of Commissioners, elected or appointed officials, employees of Douglas County or the State of Georgia, relatives of such persons, or members of Congress have any direct or indirect interest in the bidding organization or the proceeds of any resulting contract. The certification must be signed by someone legally authorized to represent the bidder and submitted with all bids. Any false representations made knowingly will result in disqualification from contract award and future work with Douglas County.
The form requires bidders to provide complete company information including the signatory's name, title, telephone number, email address, company name, and business address. Bidders may identify and explain any exceptions to the conflict of interest certification on the form. The certification serves as a compliance document to ensure the integrity of the procurement process and protect the County's interests by preventing conflicts of interest that could compromise fair competition or contract performance.
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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 .