Non-conflict of Interest - Offeror.pdf
PDF 129 KB Posted
- Attached to
- Entertainment & Information Delivery System
- Solicitation number
- RFI CFCA 2027000009 1
- Issued by
- Garfield County, Colorado
About this file
This is a Non-Conflict of Interest certification form for the Colorado Department of Corrections (CDOC) related to an Entertainment & Information Delivery System contract opportunity. The form requires authorized signers to certify compliance with Colorado Revised Statutes sections 18-8-302, 18-8-306, 18-8-301, and 18-8-308, and to affirm adherence to the State of Colorado State Controller Policy on Procurement Conflicts of Interest. Signatories must declare that they have no actual, potential, perceived, or apparent conflicts of interest related to the services or property described in the procurement.
The certification acknowledges that participants may have access to State information and records, which are custodied by the CDOC Procurement Official and cannot be distributed, sold, shared with third parties, or used except as expressly authorized. Signatories must agree that the Procurement Official has the authority to remove them as deemed appropriate and that they may request removal at any time at the discretion of the Procurement Official. Additionally, signatories commit to notifying the Procurement Agent immediately if any situation arises that could alter the representations made or create an appearance of conflict or impropriety. The form requires signatures from authorized representatives and identification of the signatory's company name or doing business as (dba).
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Other files
| File | Type | Posted |
|---|---|---|
| RFI 27-009 Entertainment & Information Delivery System.pdf |
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Text version
EXHIBIT F
COLORADO DEPARTMENT OF CORRECTIONS
NON-CONFLICT OF INTEREST
I have read Colorado Revised Statutes, 18-8-302, 18-8-306, 18-8-301, and 18-8-308, as amended, and no violations of such provisions are present.
I have read the State of Colorado State Controller Policy – Procurement conflicts of Interest Policy (https://www.colorado.gov/pacific/osc/procurement-conflicts-interest-policy) and affirm I have no actual, potential, perceived or apparent conflicts of interest.
I understand the Procurement Official is empowered to remove me in any way he/she deems appropriate. I can request to be removed at any time, which can be granted or denied by the Procurement Official.
I understand that as a participant in this process I may have access to State information and/or records. The CDOC Procurement Official is the custodian of records. Information shall not be distributed, sold or shared with any third party or used in any way except as expressly authorized by
I do not have any personal or beneficial interest in the service or property described in the attached Colorado Revised Statutes.
If I should become aware of any situation, which might arise, that could alter any of the representations above or that might otherwise create the appearance of a conflict or other impropriety, I will notify the Procurement Agent immediately.
I am an employee of a private employer or an independent contractor under contract with the State of Colorado. I understand that I am receiving such information in such capacity.
Print Name of authorized signer and Signature of authorized signer
Print Company Name/dba
File details come from the government source that posted it. Updated .