D.4- ORGANIZATIONAL CONFLICTS OF INTEREST.pdf

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Attached to
Community Based Outpatient Clinic (CBOC): Kingston, NY of the Albany (NY) VA Medical Center in VISN 2.
Solicitation number
36C24225R0047
Issued by

About this file

This document is an Organizational Conflicts of Interest (OCI) Attachment for a VA Medical Center solicitation, specifically RFP 36C24225R0047 for a Community Based Outpatient Clinic (CBOC) in Kingston, NY. The attachment requires potential contractors to disclose any past, present, or planned interests or conflicts that could impair their objectivity or provide an unfair competitive advantage when performing contract services.

The attachment includes a mandatory Conflict of Interest Certification Statement (Appendix A) where contractors must either declare no conflicts of interest or provide a detailed statement explaining any potential organizational conflicts related to the solicitation. Failure to disclose or misrepresent conflicts could result in contract termination without expense to the government. The document is part of a solicitation for primary care, telehealth, and podiatry services at a VA medical facility, with the contract covering a base year and four optional one-year periods.

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ATTACHMENT D.4 RFP 36C24225R0047

D.4 ORGANIZATIONAL CONFLICTS OF INTEREST

All healthcare contracts require response to the following provision as prescribed in VAAR 809.507-1(b). Please use the form in APPENDIX A to provide response.

852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

(a) It is in the best interest of the Government to avoid situations which might create an organizational conflict of interest or where the offeror’s performance of work under the contract may provide the contractor with an unfair competitive advantage. The term “organizational conflict of interest” means that because of other activities or relationships with other persons, a person is 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 the person has an unfair competitive advantage.

(b) The offeror shall provide a statement with its offer which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

(c) Based on this information and any other information solicited or obtained by the Contracting Officer, the Contracting Officer may determine that an organizational conflict of interest exists which would warrant disqualifying the Contractor for award of the contract unless the organizational conflict of interest can be mitigated to the Contracting Officer's satisfaction by negotiating terms and conditions of the contract to that effect. If the conflict of interest cannot be mitigated and if the Contracting Officer finds that it is in the best interest of the United States to award the contract, the Contracting Officer shall request a waiver in accordance with FAR

9.503 and 48 CFR 809.503.

(d) Nondisclosure or misrepresentation of actual or potential organizational conflicts of interest at the time of the offer or arising as a result of a modification to the contract, may result in the termination of the contract at no expense to the Government.

https://www.acquisition.gov/far/current/html/Subpart%209_5.html#wp1078823 https://www.acquisition.gov/far/current/html/Subpart%209_5.html#wp1078823

ATTACHMENT D.4 RFP 36C24225R0047

D.4 - APPENDIX A

[CONTRACTOR NAME]

[ADDRESS]

SOLICITATION # 36C24225R0047

CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT

[ ] ____[CONTRACTOR NAME]______________________________ represents that the individuals listed in the Key Personnel and Temporary Emergency Substitutions section of the solicitation 36C24225R0047 have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Albany Stratton VA Medical Center/Veterans

Administration under the referenced solicitation.

None of the employees listed in the solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Albany Stratton VA Medical Center/Veterans Administration under the referenced solicitation.

OR

[ ] Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

NAME OF CERTIFYING OFFICIAL TITLE

SIGNATURE DATE

D.4 ORGANIZATIONAL CONFLICTS OF INTEREST

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