5-Certification Regarding Conflict of Interest.docx

This is a Certification Regarding Conflict of Interest form required for proposers submitting Statements of Qualifications to the Grays Harbor Transportation Authority (GHTA) for the Hoquiam, Washington In-Ground Hoists Replacement project. The form mandates that all Architectural and Engineering firms certify compliance with RCW 42.23 conflict of interest requirements prior to submitting their proposals for design and installation services at the Hoquiam Maintenance and Operations Facility. Proposers must complete and sign one of two certification statements: either certifying that performance of the work will create no conflicts of interest for the firm, its affiliates, proposed subconsultants, or key personnel, or disclosing any actual or potential conflicts of interest including prior involvement in project phases.

The second certification option requires proposers to identify the individual or company to which a potential conflict applies, describe the nature of the conflict, and propose a remedy. This dual-option approach allows firms either to proceed without encumbrances or to transparently disclose circumstances that could present conflicts while demonstrating mitigation strategies. Authorized representatives must sign the certification with their title and company name, with additional documentation permitted as needed to fully address any disclosed conflicts.