Att 5 Certification Regarding C of I.pdf
PDF 88 KB Posted
- Attached to
- 1. 8C Italy Fuel Card Program
- Solicitation number
- SPE605-24-R-0202
- Issued by
-
Defense Logistics Agency Energy
About this file
This document is a certification regarding conflict of interest for solicitation SPE605-24-R-0202 from the Defense Logistics Agency Energy for a tax-free fuel card program in Italy. Offerors must certify that performance of the work will not create any actual or potential conflicts of interest, or disclose any circumstances that could give rise to a conflict. Offerors complete one of two statements, either certifying no known conflicts or disclosing any potential conflicts by naming the individual or company and describing the nature and proposed remedy.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0002.pdf | ||
| Amendment 0001.pdf | ||
| Att 3 Fuel Card and Implementation Metrix.pdf | ||
| Att 2 Offer Price Data Sheet.pdf | ||
| Att 1 Cover Sheet.pdf | ||
| Att 4 Station Locations.pdf | ||
| Att 6 Clauses Fillable Form.pdf | ||
| RFP 1.8C Italy Fuel Card.pdf |
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Text version
SOLICITATION SPE605-24-R-0202 TAX-
FREE FUEL CARD – ITALY
Certification Regarding Conflict of Interest
ATTACHMENT 5
The Offeror is required to certify performance of the work will not create any conflicts of interest or disclose any actual or potential conflicts of interest by completing and signing one of the following statements:
The Offeror hereby certifies that to the best of its knowledge and belief, performance of the services described in the Scope of Work will not create any conflicts of interest for the Proposer, any affiliates, any proposed Sub-consultants or key personnel of any of these organizations.
DATE:
AUTHORIZED SIGNATURE:
TITLE:
OFFEROR/COMPANY NAME:
OR
The Offeror hereby discloses the following circumstances that could give rise to a conflict of interest for the Offeror, any affiliates, any proposed Sub-consultants or key personnel of any of these organizations.
Name of Individual/Company to which potential conflict of interest might apply:
Nature of potential conflict of interest
Proposed Remedy
DATE:
AUTHORIZED SIGNATURE:
TITLE:
OFFEROR/COMPANY NAME:
Certification Regarding Conflict of Interest
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