2-Attachment Conflict-of-InterestAffidavit.pdf
PDF 16 KB Posted
- Solicitation number
- 26-011
- Issued by
- Wake County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form (Attachment H) required for state procurement in Maryland, referencing COMAR 21.05.08.08 and effective April 17, 2018. The document serves as a mandatory submission requirement that must be included with any bid or proposal submitted to the State of Maryland. The form requires offerors to declare under penalty of perjury whether any conflicts of interest exist that could impair their ability to provide impartial assistance or advice to the state, or that might give them an unfair competitive advantage.
The affidavit defines conflict of interest as situations where other activities or relationships prevent impartial performance or create competitive advantages, and applies to offerors, contractors, consultants, subcontractors, and their employees or agents with supervisory authority. The form requires disclosure of any existing or potential future conflicts in Section D, with additional sheets if necessary, and mandates immediate written disclosure to the procurement officer if conflicts arise after submission. The document must be signed by an authorized representative under oath and submitted with the bid or proposal package.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment H – Conflict of Interest Affidavit Page H-1 effective date: April 17, 2018
Attachment H. Conflict of Interest Affidavit and Disclosure
Reference COMAR 21.05.08.08
A. “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 State, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage.
B. “Person” has the meaning stated in COMAR 21.01.02.01B (64) and includes a Offeror, Contractor, consultant, or subcontractor or sub-consultant at any tier, and also includes an employee or agent of any of them if the employee or agent has or will have the authority to control or supervise all or a portion of the work for which a Proposal is made.
C. The Offeror warrants that, except as disclosed in §D, below, there are no relevant facts or circumstances now giving rise or which could, in the future, give rise to a conflict of interest.
D. The following facts or circumstances give rise or could in the future give rise to a conflict of interest (explain in detail — attach additional sheets if necessary):
E. The Offeror agrees that if an actual or potential conflict of interest arises after the date of this affidavit, the Offeror shall immediately make a full disclosure in writing to the procurement officer of all relevant facts and circumstances. This disclosure shall include a description of actions which the Offeror has taken and proposes to take to avoid, mitigate, or neutralize the actual or potential conflict of interest. If the contract has been awarded and performance of the contract has begun, the Contractor shall continue performance until notified by the procurement officer of any contrary action to be taken.
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE
CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE, INFORMATION, AND BELIEF.
Date: ____________________ By: ______________________________________
(Authorized Representative and Affiant)
SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL
Attachment H. Conflict of Interest Affidavit and Disclosure
File details come from the government source that posted it. Updated .