06_Attachment A - OCI Statement.docx
DOCX document 29 KB Posted
- Solicitation number
- 16PBGC24Q0033
- Issued by
-
Pension Benefit Guaranty Corporation
About this file
The provided document is an Organizational Conflict of Interest (OCI) Statement template that each offeror and subcontractor must complete and sign as part of Request for Quote (RFQ) 16PBGC24Q0033 issued by the Pension Benefit Guaranty Corporation (PBGC).
The RFQ is for contractor-provided securities pricing and market data services that must be capable of integration with PBGC's Eagle Investment System, an investment portfolio and accounting solution. The offeror and any subcontractors, consultants, or teaming partners must review the RFQ requirements and FAR Subpart 9.5 on OCIs, and certify that they are not aware of any actual or potential OCIs related to the award of this contract. They also agree to immediately disclose any OCIs that arise during contract performance.
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Other files
| File | Type | Posted |
|---|---|---|
| 06_16PBGC24Q0033 Amend 0003 09.17.2024.pdf | ||
| 06_16PBGC24Q0033 Amend 0002 09.09.2024.pdf | ||
| 06_16PBGC24Q0033 Amend 0002 Government Response to Questions.pdf | ||
| 06_16PBGC24Q0033 Amend 0001 08.22.2024.pdf | ||
| 06_Attachment C - Price Worksheet.xlsx | XLSX spreadsheet | |
| 06_Attachment B - Question and Answer Template.xlsx | XLSX spreadsheet | |
| 16PBGC24Q00033.pdf | ||
| 06_Attachment B - Question and Answer Template.xlsx | XLSX spreadsheet | |
| 06_Attachment C - Price Worksheet.xlsx | XLSX spreadsheet | |
| 06_Attachment A - OCI Statement.docx | DOCX document |
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Text version
ATTACHMENT A
ORGANIZATIONAL CONFLICT OF INTEREST (OCI) STATEMENT
SAMPLE 1 – 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 11.4.2.2.
(Insert Offeror Name) is responding to Request for Quote (RFQ) 16PBGC24Q0033. In accordance with solicitation Section 11.4, (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 contract.
Insert Offeror Name
| __________________________________ | _____________ | |
| Insert Offeror Point of Contact (POC) Name* | Date |
POC Title
*Person must have the authority to bind the company.
SAMPLE 2 - 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 11.4.2.2.
(Insert Company Name) is participating as a subcontractor to (Insert Offeror Name) in response to Request for Quote (RFQ) 16PBGC24Q0033. In accordance with solicitation Section 11.4.2.2, (Insert Company Name) has reviewed the requirements of the contract 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 contract.
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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