10 Volume I - Attachment 4 OCI Statement template.pdf
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- Attached to
- Supply Chain Risk Illumination Professional Tools and Services (SCRIPTS) Blanket Purchase Agreement (BPA) Federal contract opportunity
- Solicitation number
- 47QTCA-24-Q-0003
About this file
This document contains templates for organizational conflict of interest statements to be completed by offerors and subcontractors responding to solicitation number 47QTCA-24-Q-0003. The solicitation is for a Supply Chain Risk Illumination Professional Tools and Services Blanket Purchase Agreement to be awarded by the General Services Administration Federal Acquisition Service Assisted Acquisition Services Region 4 to support the Office of the Under Secretary of Defense for Acquisition & Sustainment. The templates require offerors and subcontractors to disclose any actual or potential conflicts of interest relating to performance of the contract and agree to disclose such conflicts if they arise during performance.
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Volume I - ATTACHMENT 4
ORGANIZATIONAL CONFLICT OF INTEREST (OCI) STATEMENT
Request For Quote 47QCTA24Q0003 PAGE 1
COMPANY: (FILL IN VENDOR NAME)
The offeror and each subcontractor, consultant, and/or teaming partner shall complete and sign an Organizational Conflict of Interest (OCI) Statement. All information pertaining to OCI is outlined in Section 7.5.1 and 11.5.1.4.
The contractor shall represent either that:
1. It is not aware of any facts that create any actual or potential OCI relating to the award of this contract, or
2. It has included information in its proposal, providing all current information bearing on the existence of any actual or potential OCI.
If a contractor with an actual or potential OCI believes the conflict can be avoided, neutralized, or mitigated, the contractor shall submit a copy of the existing mitigation plan from the relevant awarded contract(s) to the Government for review.
Definition: FAR 2.101 “Organizational conflict of interest” means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage.
Request For Quote 47QCTA24Q0003 PAGE 2
SAMPLE 1 – OFFEROR OCI STATEMENT
The following is an example of the OCI statement that each offeror shall complete and sign. All information pertaining to OCI is outlined in Section 7.5.1 and 11.5.1.4.
(Insert Offeror Name) is responding to Request for Quote (RFQ) 47QCTA23Q0002 for services supporting the Office of the Under Secretary of Defense for Acquisition & Sustainment (OUSD(A&S)).
In accordance with solicitation Section 7.5.1 and 11.5.1.4, (Inset Offeror Name) has reviewed the requirements of the RFQ and the Federal Acquisition Regulation (FAR) Subpart 9.5.
(Insert Offeror Name) is not aware of any facts which create any actual or potential OCI relating to the award of this contract. (Insert Offeror Name) agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the BPA.
Insert Offeror Name
Insert Offeror Point of Contact (POC) Name* Date
POC Title
*Person must have the authority to bind the company.
Request For Quote 47QCTA24Q0003 PAGE 3
SAMPLE 2 – SUBCONTRACTOR, CONSULTANT, TEAMING PARTNER OCI STATEMENT
The following is an example of the OCI statement that each subcontractor, consultant, and teaming partner shall complete and sign. All information pertaining to OCI is outlined in Section 7.5.1 and 11.5.1.4.
(Insert Company Name) is participating as a subcontractor to (Insert Offeror Name) in response to Request for Quote (RFQ) 47QCTA23Q0002 for services supporting the Office of the Under Secretary of Defense for Acquisition & Sustainment (OUSD(A&S)). In accordance with solicitation Section 7.5.1 and 11.5.1.4, (Insert Company Name) has reviewed the requirements of the RFQ and the Federal Acquisition Regulation (FAR) Subpart 9.5.
(Insert Company Name) is not aware of any facts which create any actual or potential OCI relating to the award of this contract. (Insert Company Name) agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the BPA.
Subcontractor, Consultant, Teaming Partner
Point of Contact (POC) Name* Date
POC Title
*Person must have the authority to bind the company.
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