Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Reil y Connor
Position:
Principal Civil Engineer
Organisation:
Davis Ogilvie & Partners Ltd
Tender:
MajSC95
Role in the activity:
Tender Evaluation – Technical
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐Yes ☒No ☐Potentially
biased towards or against a particular supplier?
(tick
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date:02/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date:
2/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Trystan Banger
Position:
BDC IAF Project Manager
Organisation:
CGW Consultants
Tender:
MajSC95- Alma Rd to McPadden Rd Infrastructure Upgrade
Role in the activity:
TET Chair & Scoring
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐Yes ☒No ☐Potentially
biased towards or against a particular supplier?
(tick
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 04/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date: 7/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Savad T S
Position:
Project Manager-Infrastructure Services
Organisation:
Bul er District Council
Tender:
MajSC95- Alma Road – McPadden Road Infrastructure Upgrade with no road
bridge and MajSC147: Westport WWTP Upgrade.
Role in the activity:
TET
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐Yes ☒No ☐Potentially (tick
biased towards or against a particular supplier?
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 20/03/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date: 23/03/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Vernie Ng
Position:
Drinking Water Coordinator
Organisation:
Buller District Council
Tender:
MajSC95: Alma Road – McPadden Road Infrastructure Upgrade
Role in the activity:
TET member
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐
Yes ☒
No ☐
Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potentially’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐
Yes ☒
No ☐
Potentially (tick
activity or who could be personally affected by the purchasing decision?
‘potentially’ if others could perceive you have a
(
e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐
Yes ☒
No ☐
Potentially (tick
way you evaluate the activity?
‘potentially’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐
Yes ☒
No ☐
Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potentially’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐
Yes ☒
No ☐
Potentially (tick
biased towards or against a particular supplier?
‘potentially’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
All of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I will not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I will not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I will pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered
‘Yes’ or
‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date:02/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Dinesh Budhathoki | Operations Manager Infrastructure Services
Signature:
Date: 07/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The following plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as well as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or all of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
Date:
involved in Procurement, this is to be
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Date:
Line Manager Note: For contractors
involved in Procurement, this is to be
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Austin Brewer
Position:
Water Engineer
Organisation:
Davis Ogilvie & Partners Ltd
Tender:
MajSC147
Role in the activity:
Tender Evaluation – Technical
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐
Yes ☒
No ☐
Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potentially’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐
Yes ☒
No ☐
Potentially (tick
activity or who could be personally affected by the purchasing decision?
‘potentially’ if others could perceive you have a
(
e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐
Yes ☒
No ☐
Potentially (tick
way you evaluate the activity?
‘potentially’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐
Yes ☒
No ☐
Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potentially’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐
Yes ☒
No ☐
Potentially (tick
biased towards or against a particular supplier?
‘potentially’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
All of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I will not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I will not:
• pass information or make comments to them about the tender
• receive any gift, gratuity, hospitality or any inducement from them
• meet them or have any discussion about the tender.
I will pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered
‘Yes’ or
‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 25.03.2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date: 2/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The following plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as well as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or all of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
Date:
involved in Procurement, this is to be
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
Date:
involved in Procurement, this is to be
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Savad T S
Position:
Project Manager-Infrastructure Services
Organisation:
Bul er District Council
Tender:
MajSC95- Alma Road – McPadden Road Infrastructure Upgrade with no road
bridge and MajSC147: Westport WWTP Upgrade.
Role in the activity:
TET
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐Yes ☒No ☐Potentially (tick
biased towards or against a particular supplier?
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 20/03/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date: 23/03/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Trystan Banger
Position:
BDC IAF Project Manager
Organisation:
CGW Consultants
Tender:
MajSC147- Westport Wastewater Treatment Plant Upgrade
Role in the activity:
TET Chair & Scoring
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☐Yes ☒No ☐Potentially
biased towards or against a particular supplier?
(tick
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
where other people might
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 04/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Jess Curtis
Signature:
Date: 7/04/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Conflict of interest and confidentiality agreement
Who and when?
Anyone involved in a procurement activity must complete this agreement before developing tender documents,
joining an evaluation panel, or making a decision.
Name:
Wayde Dunlop
Position:
Wastewater Coordinator
Organisation:
Bul er District Council
Tender:
MajSC147: Westport WWTP Upgrade
Role in the activity:
Evaluator
Do you have any actual, potential or perceived conflicts of interest?
Do you have any personal interest in the decision?
☐Yes ☒No ☐Potentially (tick
(e.g. you own shares in a supplier or related company)
‘potential y’ if others could perceive you have a
conflict)
Are you a relative or close friend of someone with a personal interest in the
☐Yes ☒No ☐Potentially (tick
activity or who could be personal y affected by the purchasing decision?
‘potential y’ if others could perceive you have a
(e.g. a family member is an employee or shareholder of a supplier)
conflict)
Do you have any personal obligations, loyalties or bias that could influence the
☐Yes ☒No ☐Potentially (tick
way you evaluate the activity?
‘potential y’ if others could perceive you have a
(e.g. a close friendship with an employee of a supplier)
conflict)
Have you recently been offered any special discounts, gifts, trips, hospitality,
☐Yes ☒No ☐Potentially (tick
rewards or favours by suppliers of the goods or services being purchased?
‘potential y’ if others could perceive you have a
(e.g. free travel; free samples for your own use)
conflict)
Are you aware of anything that could give the appearance that you might be
☒Yes ☐No ☐Potentially
biased towards or against a particular supplier?
(tick
‘potential y’ if others could perceive you have a
(e.g. you have expressed strong views about a supplier; you worked for a
conflict)
supplier; you use a supplier’s corporate box at a sports event)
Confidentiality responsibilities
Al of the procurement project’s discussions, meetings and material (written and electronic) are confidential and I agree
to keep this information safe. I wil not give this information to anyone outside the immediate tender team without prior
approval from the Manager, Capital Works.
Restrictions on contact with suppliers
I agree that my contact with potential suppliers is restricted during the period of the tender. I understand that until the
successful supplier has been announced I wil not:
pass information or make comments to them about the tender
receive any gift, gratuity, hospitality or any inducement from them
meet them or have any discussion about the tender.
I wil pass any requests for information and meetings from potential suppliers to the Project Manager.
Declaration of conflict of interest
Actual conflict of interest is where
If you have answered ‘Yes’ or ‘Potentially’ to any of the above questions, please provide
you already have a conflict.
details here. Otherwise sign the declaration below.
Potential conflict of interest is
where the conflict is about to
happen or could happen.
Perceived conflict of interest is
Perceived conflict of interest in that WestReef are a council CCO and as such returns
where other people might
form the entity are a return for my employer.
reasonably think you are not being
objective.
☐
Your declaration
Declaration – I confirm that the above details are correct to the best of my knowledge, and I make this declaration in
good faith.
Signature:
Date: 31 March 2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a conflict of
interest is declared, complete the next part of the form. Note: For contractors involved in Procurement, this is to be
approved by the Manager, Capital Works
Name:
Dinesh Budhathoki – Operations Manager Infrastructure Services
Signature:
Date: 31/03/2026
Review by Line Manager – I confirm that I have received this declaration and noted the contents. Where a
conflict of interest is declared, complete the next part of the form. Note: This is only required for Employment activities
not Procurement activities.
Conflict of Interest Management Plan
Who and when?
The Project Manager must complete this Plan when you declare a conflict of interest. Decide how to manage the
conflict and give details below.
Tender:
How the conflict of interest will be managed
There are five options for
The fol owing plan has been agreed to manage your declared conflict of interest. This
managing or resolving your
takes into account the conflict’s likely effect on your role and responsibilities in the
conflict of interest:
procurement activity, as wel as the risks to the process and the agency’s reputation.
Restrict your involvement in the
process
Recruit an independent third party
to oversee part or al of the
process
Remove yourself from the process
Relinquish your private interest
that causes the conflict
Resign from the agency
Approval – I approve the above Conflict of Interest Management Plan
Signature:
Line Manager Note: For contractors
involved in Procurement, this is to be
Date:
approved by the Manager, Capital
Works
Declaration – I agree to the above Conflict of Interest Management Plan
Signature:
Date:
Person making the declaration
Resolved – the conflict of interest has now been resolved and no further action is required
Signature:
Date:
Line Manager Note: For contractors
involved in Procurement, this is to be
approved by the Manager, Capital
Works
Document Outline
