Atch_10_ORGANIZATIONAL_CONFLICT_OF_INTEREST_(1).doc

FDA-SOL-18-1192468 – FDA Adverse Event Reporting System (FAERS) II RFP Attachment No.9: Organizational Conflict of Interest (COI) Statement

ORGANIZATIONAL CONFLICT OF INTEREST

a. The contractor and all of its present and future affiliates and subsidiaries agree to:

1. Not compete, nor assist anyone in competing, for the procurement of any solutions, supplies or services for the projects described in the Statement of Work or for which the contractor assists in the requirements development, has oversight over, or has access to in the performance of this contract action. This specifically encompasses projects identified in the Statement of Work associated with this action and any other actions the contractor may receive in performance of this contract action.

2. Not furnish either as a prime contractor or subcontractor the items described in paragraph a.1

b. The above prohibitions shall also apply to the contractor’s employees, subcontractors, consultants or any other person who participates in the performance of the contract action. The contractor shall require such persons to sign the below statement agreeing to the above restrictions. The original of the below statement shall be provided to the Contracting Officer, prior to the person beginning work under the contract.

c. Noncompliance with the above restrictions and conditions shall be cause for : termination of the contract action for default; and/or, disqualification of any proposal for subject actions.

ORGANIZATIONAL CONFLICT OF INTEREST STATEMENT

FDA CONTRACT NUMBER: TBD

I, (type the name of the employee), an employee of _______________________, agree to:

1. Not compete, nor assist anyone in competing, for the procurement of any solutions, supplies or services for the projects described in the Statement of Work or for which the contractor assists in the requirements development, has oversight over, or has access to in the performance of this contract action. This specifically encompasses projects identified in the Statement of Work associated with this action and any other actions the contractor may receive in performance of this contract action.

2. Not furnish either as a prime contractor or subcontractor the services described in paragraph 1.

Signature

Date