Appendix 1 Tender Evaluation Panel Member - Conflict of Interest Statement Contract Title: Date of Evaluation: Panel Member: Responses were received from the following Suppliers: Declaration to be completed by the Panel Member I confirm that I have/do not have* an interest in any of the companies including any commercial, management or personal interest. I also confirm that I have/do not have* a personal relationship or friendship with Directors, Management or Employees of the above companies. *Delete as appropriate Details of any interest or relationship should be detailed in the section below: Declared Interests Signed: Date:
Appendix 1 Tender Evaluation Panel Member - Conflict of Interest Statement Contract Title: Date of Evaluation: Panel Member: Responses were received from the following Suppliers: Declaration to be completed by the Panel Member I confirm that I have/do not have* an interest in any of the companies including any commercial, management or personal interest. I also confirm that I have/do not have* a personal relationship or friendship with Directors, Management or Employees of the above companies. *Delete as appropriate Details of any interest or relationship should be detailed in the section below: Declared Interests Signed: Date: