Appendix-7-OCIO-OCIDANP.docx

REQUEST FOR PROPOSALS RFP-2025-1029

Pasco to Moses Lake to Spokane Appendix 7 Organizational Conflicts of Interest Certification, Disclosure, and Avoidance/Neutralization Plans Appendix 7: Organizational Conflicts of Interest Certification, Disclosure, and Avoidance/Neutralization Plans ____________________________________

Request for Proposals

RFP-2025-1029

Pasco to Moses Lake to Spokane Washington State Intercity Bus Service Pasco to Moses Lake to Spokane

Offered by

Washington State Department of Transportation

WASHINGTON STATE DEPARTMENT OF TRANSPORTATION

ADMINISTRATIVE SERVICES CONTRACTS OFFICES

ORGANIZATION CONFLICTS OF INTEREST CERTIFICATION, DISCLOSURE AND AVOIDANCE/NEUTRALIZATION PLAN

Name of Vendor:

Organizational Conflicts of Interest Certification My signature below certifies that, prior to submitting the Proposal, the Vendor has conducted an internal review of the Vendor team members to identify any potential, real, or perceived Organizational Conflicts of Interest (“OCOI”) relative to the anticipated procurement as generally described in WSDOT’s Organizational Conflicts of Interest Manual M 3043.01.

I further certify that “Organizational Conflicts of Interest Disclosure and Avoidance/Neutralization Plan” forms are attached for any real or potential organizational conflict of interest, as listed below, for all Vendor team members. Vendor team members include Vendor’s chief executives, directors, personnel filling key Project positions and Vendor’s proposed Subcontractors/Consultants at any tier.

List name of person(s) or firm(s) potentially conflicted (if any).

Signed Date Printed Name and Title Organizational Conflicts of Interest Disclosure and Avoidance/Neutralization Plan This disclosure statement outlines potential organizational conflicts of interest, either real or apparent, which as a result of activities or relationships with other persons or entities, such person or entity:

SECTION I of this disclosure statement describes the potential Organizational Conflicts of Interest. SECTION II of this disclosure statement describes the management plan for avoiding or neutralizing the potential Organizational Conflicts of Interest as described in SECTION I of this disclosure statement.

I acknowledge that the Washington State Department of Transportation (WSDOT) may require revisions to the OCOI Plan described in SECTION II of this disclosure statement prior to concurrence, and that WSDOT has the right, in its sole discretion, to limit or prohibit my involvement in the Project as a result of the potential conflicts of interest described in SECTION I of this disclosure statement.

SECTION Ia - Name of Person(s) or Firm(s) Potentially Conflicted

SECTION Ib - Description of Potential Organizational Conflict of Interest

SECTION II - Plan for Avoiding, Mitigating or Neutralizing OCOI

Signed Date Printed Name and Title

WSDOT Concurrence (for WSDOT use only) Signed Date Printed Name and Title image2.jpeg image1.jpg