ATT D3 KEY PERSONNEL- Conflict of Interest.docx

DOCX document 16 KB Posted

Attached to
Q512--Licensed Optometrist(s) & Certified Ophthalmic Assistant/Technician - Louisiana
Solicitation number
36C25621Q1046
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File Type Posted
36C25621Q1046 0002.docx DOCX document
36C25621Q1046 0001.docx DOCX document
ATT D2 CONTRACTOR CERTIFICATION IMM.docx DOCX document
ATT D1 QASP.docx DOCX document
ATT D4 Wage Determination 2015-5177 rev 13 dtd 5-19-2021 Baton Rouge.pdf PDF
36C25621Q1046.docx DOCX document

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ATTACHMENT D3

Contractor____________________ represents that the individuals listed below for Key Personnel and Temporary Emergency Substitutions of this solicitation here in 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 Southeast Louisiana Veterans Health Care System under the solicitation/contract here in.

None of the employees listed below in this 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 Southeast Louisiana Veterans Health Care System under the solicitation/contract here in.

Please identify also, if they are an employee of the prime or subcontractor.

NAME of Key Personnel
Position/TITLE
PRIME OR SUBCONTRACTOR

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