STANDARDS OF CONDUCTION DECLARATION-103D Standards of Conduct Declaration fillable MASTER.pdf
PDF 51 KB Posted
- Solicitation number
- P26003530
- Issued by
- Honolulu County, Hawaii
About this file
This is a Standards of Conduct Declaration form (Form AG-010) required by the State of Hawaii Judiciary for the RFP J27118 Court Appointed Counsel contract opportunity for the First Circuit Family Court. The declaration must be completed and signed by the contractor as a condition of contract award. The Judiciary seeks qualified organizations or independent providers to manage and provide legal counsel services for indigent parents involved in Hawaii Revised Statutes Chapter 587A proceedings in the Family Court of the First Circuit, including related specialty courts such as Family Drug Court and Na Kama Lei. The initial contract term commences upon execution and ends on June 30, 2027, with options to extend for up to three additional twelve-month periods, subject to fund availability and satisfactory performance.
The Standards of Conduct Declaration requires contractors to certify under penalty of perjury that they are not legislators or employees, nor have controlling interests in businesses where legislators or employees hold controlling interests. Contractors must also declare that they have not been represented or assisted by current or former agency employees within specified timeframes in connection with this contract matter, and that no legislators or employees will be compensated for assistance in obtaining or performing the contract if they were involved in the contract's development or award. The contract is voidable by the State if entered into in violation of Hawaii Revised Statutes Chapter 84 (Code of Ethics), and any fees, compensation, gifts, or profits obtained through Code of Ethics violations are subject to recovery by the State. Contractors with a controlling interest must have contracts exceeding $10,000 awarded through competitive sealed bidding or proposal processes, or the agency must post a notice of intent to award and file notice with the State Ethics Commission.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Form AG-010 Rev 11/15/2005
STANDARDS OF CONDUCT DECLARATION
For the purposes of this declaration:
"Employee" means any nominated, appointed, or elected officer or employee of the State, including members of boards, commissions, and committees, and employees under contract to the State or of a constitutional convention, but excluding legislators, delegates to the constitutional convention, justices and judges.
"Controlling interest" means an interest in a business or other undertaking which is sufficient in fact to control, whether the interest is greater or less than fifty per cent.
On behalf of ___________________________________________________________, CONTRACTOR, the undersigned does declare, under penalty of perjury, as follows:
1. CONTRACTOR is* is not a legislator or an employee or a business in which a legislator or an employee has a controlling interest. (Section 84-15(a), HRS).
2. CONTRACTOR has not been represented or assisted personally in the matter by an individual who has been an employee of the agency awarding this Contract within the preceding two (2) years and who participated while so employed in the matter with which the Contract is directly concerned. (Section 84-15(b), HRS).
3. CONTRACTOR has not been assisted or represented by a legislator or employee for a fee or other compensation to obtain this Contract and will not be assisted or represented by a legislator or employee for a fee or other compensation in the performance of this Contract, if the legislator or employee had been involved in the development or award of the Contract. (Section 84-14(d), HRS).
4. CONTRACTOR has not been represented on matters related to this Contract, for a fee or other consideration by an individual who, within the past twelve (12) months, has been an agency employee, or in the case of the Legislature, a legislator, and participated while an employee or legislator on matters related to this Contract. (Sections 84-18(b) and (c), HRS).
CONTRACTOR understands that the Contract to which this document is attached is voidable on behalf of the State if this Contract was entered into in violation of any provision of chapter 84, Hawaii Revised Statutes, commonly referred to as the Code of Ethics, including the provisions which are the source of the declarations above. Additionally, any fee, compensation, gift, or profit received by any person as a result of a violation of the Code of Ethics may be recovered by the State.
Form AG-010 Rev 11/15/2005
CONTRACTOR
By ____________________________________________ (Signature)
Print Name:_____________________________________
Print Title:______________________________________
Name of Contractor:______________________________
Date:__________________________________________
*Reminder to Agency: If "is" block is checked and the Contract involves goods or services or construction of a value in excess of $10,000, the Contract must be awarded by competitive sealed bidding under section 103D-302, HRS, or a competitive sealed proposal under section 103D-303, HRS. Otherwise, the Agency may not award the Contract unless it posts a notice of its intent to award it and files a copy of the notice with the State Ethics Commission. (Section 84-15(a), HRS).
| Name of Contractor 1: |
| Name of Contractor 2: |
| Standards Print Name: |
| Standards Print Title: |
| Standards Date: |
| Standards Contractor Name: |
| Standards Check Box1: Off |
| Standards Check Box2: Off |
| Contractor Signature By: |
File details come from the government source that posted it. Updated .