Appendix A.4 Organizational Conflicts of Interest Certification Letter Template_C.docx

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ODNI Facilities and Mission Services (FMS) - Trainers
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This document is an Organizational Conflicts of Interest (OCI) Certification Letter template for the Intelligence Advanced Research Projects Activity (IARPA) SoURCE CODE Program, associated with Broad Agency Announcement IARPA-BAA-24-02. The template requires offerors to certify that they and their subcontractors have no potential conflicts of interest related to the program, with space to list proposed subcontractors and their roles. The letter is to be signed by an authorized organizational representative and includes placeholders for contact information, proposal ID, and other specific details to be filled in by the proposing organization.

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Appendix A.4 Organizational Conflicts of Interest Certification Letter

(Month DD, YYYY)

Office of the Director of National Intelligence Intelligence Advanced Research Projects Activity (IARPA) SoURCE CODE Program ATTN: TBD, Contracting Officer Washington, DC 20511

Subject: OCI Certification

Reference: SoURCE CODE, IARPA-BAA-24-02, (Insert assigned proposal ID#, if received)

Dear________________, In accordance with IARPA Broad Agency Announcement IARPA-BAA-24-02, Organizational Conflicts of Interest (OCI), and on behalf of (Offeror name) I certify that neither (Offeror name) nor any of our subcontractor teammates has as a potential conflict of interest, real or perceived, as it pertains to the SoURCE CODE program. Please note the following subcontractors and their proposed roles:

[Please list all proposed contractors by name with a brief description of their proposed involvement.]

If you have any questions, or need any additional information, please contact (Insert name of contact) at (Insert phone number) or (Insert e-mail address).

Sincerely, (Insert organization name) (Shall be signed by an official that has the authority to bind the organization)

(Insert signature)

(Insert name of signatory) (Insert title of signatory)

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