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,9ga • '; STATE OF HAWAII
<br />CONTRACTOR'S
<br />STANDARDS OF CONDUCT DECLARATION
<br />For the purposes of this declaration:
<br />"Agency" means and includes the State, the legislature and its committees, all executive
<br />departments, boards, commissions, committees, bureaus, offices; and all independent
<br />commissions and other establishments of the state government but excluding the courts.
<br />"Controlling interest" means an interest in a business or other undertaking which is sufficient in
<br />fact to control, whether the interest is greater or less than fifty per cent (50%).
<br />"Employee" means any nominated, appointed, or elected officer or employee of the State,
<br />including members of boards, commissions, and committees, and employees under contract to
<br />the State or of the constitutional convention, but excluding legislators, delegates to the
<br />constitutional convention, justices, and judges. (Section 84-3, HRS).
<br />On behalf of County of Hawaii, Department of Research and Development , CONTRACTOR, the
<br />undersigned does declare as follows:
<br />1. CONTRACTOR ❑ is* © is not a legislator or an employee or a business in which a legislator
<br />or an employee has a controlling interest. (Section 84-15(a), HRS).
<br />2. CONTRACTOR has not been represented or assisted personally in the matter by an individual
<br />who has been an employee of the agency awarding this Contract within the preceding two years
<br />and who participated while so employed in the matter with which the Contract is directly
<br />concerned. (Section 84-15(b), HRS).
<br />3. CONTRACTOR has not been assisted or represented by a legislator or employee for a fee or other
<br />compensation to obtain this Contract and will not be assisted or represented by a legislator or
<br />employee for a fee or other compensation in the performance of this Contract, if the legislator or
<br />employee had been involved in the development or award of the Contract. (Section 84-14 (d),
<br />HRS).
<br />4. CONTRACTOR has not been represented on matters related to this Contract, for a fee or other
<br />consideration by an individual who, within the past twelve (12) months, has been an agency
<br />employee, or in the case of the Legislature, a legislator, and participated while an employee or
<br />legislator on matters related to this Contract. (Sections 84-18(b) and (c), HRS).
<br />CONTRACTOR understands that the Contract to which this document is attached is voidable on behalf
<br />of the STATE if this Contract was entered into in violation of any provision of chapter 84, Hawaii
<br />Revised Statutes, commonly referred to as the Code of Ethics, including the provisions which are the
<br />source of the declarations above. Additionally, any fee, compensation, gift, or profit received by any
<br />person as a result of a violation of the Code of Ethics may be recovered by the STATE.
<br /># Reminder to A¢encv: If the "is" block is
<br />checked and if the Contract involves goods or
<br />services of a value in excess of $10,000, the
<br />Contract must be awarded by competitive
<br />sealed bidding under section 103D-302, HRS,
<br />or a competitive sealed proposal under section
<br />103D-303, HRS. Otherwise, the Agency may
<br />not award the Contract unless it posts a notice
<br />of its intent to award it and files a copy of the
<br />notice with the State Ethics Commission.
<br />(Section 84-15(a), HRS).
<br />AG-010 Rev 11/15/2005
<br />CONTRACTOR
<br />By
<br />(Signature)
<br />Print Name
<br />Print Title
<br />Name of Contractor County of Hawaii
<br />Date
<br />
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