3-Attachment F - Conflict-of-InterestAffidavit.pdf
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- Attached to
- General Painting Services
- Solicitation number
- 26-048
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form required by Maryland (COMAR 21.05.08.08) for state and local contract opportunities. The affidavit applies to offerors, contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise work on the contract. Offerors must warrant that no relevant facts or circumstances exist that would create a conflict of interest, defined as situations where a person is unable to render impartial assistance to the State, where objectivity in performing contract work is impaired, or where an unfair competitive advantage exists. The form requires disclosure of any facts or circumstances that give rise to or could give rise to a conflict of interest, with detailed explanation and supporting documentation as necessary. If an actual or potential conflict arises after the affidavit is signed, the offeror must immediately provide written disclosure to the procurement officer, including a description of actions taken or proposed to mitigate or neutralize the conflict. Contractors awarded contracts must continue performance until notified otherwise by the procurement officer.
The affidavit must be executed under penalties of perjury by an authorized representative and submitted with the bid or proposal. The form includes signature and date lines for the affiant and represents a mandatory compliance requirement for participation in the procurement process. No pricing terms, set-asides, or financial requirements are addressed in this document, as it serves solely as a conflicts disclosure and certification instrument.
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Text version
Attachment H – Conflict of Interest Affidavit Page H-1 effective date: April 17, 2018
Attachment F. 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 .