Attachment 2 - Conflict of Interest Affidavit and Disclosure (1).pdf
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- Attached to
- GARDENER’S COTTAGE LEAK REPAIR
- Solicitation number
- BPM054189
- Issued by
- Calvert County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form required for the Gardener's Cottage Leak Repair project at Jefferson Patterson Park and Museum (JPPM) in Saint Leonard, Maryland. The affidavit obligates bidders and offerors to disclose any conflicts of interest that could impair their ability to render impartial assistance to the State or provide objective contract performance. The form defines "conflict of interest" to include situations where a person's other activities or relationships create an unfair competitive advantage or compromise their objectivity. Bidders must warrant that no relevant facts or circumstances giving rise to conflicts exist, except as disclosed in the designated section of the form. The conflict of interest definition applies broadly to bidders, offerors, contractors, consultants, subcontractors, and their employees or agents who have authority to control or supervise any portion of the work.
Bidders and offerors are required to immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after executing the affidavit, including detailed descriptions of actions taken or proposed to mitigate or neutralize such conflicts. If a contract has been awarded and performance has commenced, the contractor must continue work until notified otherwise by the procurement officer. The affiant must declare under penalties of perjury that all information provided is true and correct to the best of their knowledge, information, and belief. This affidavit is one of several required submission documents for the project, along with a bid affidavit, licenses or certifications, certificates of insurance, and acknowledgement of any amendments to the Invitation for Bid (IFB).
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Text version
CONFLICT OF INTEREST AFFIDAVIT AND DISCLOSURE
A. "Conflict of interest" means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the State, or the person's objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage.
B. "Person" has the meaning stated in COMAR 21.01.02.01B(64) and includes a bidder, offeror, contractor, consultant, or subcontractor or subconsultant at any tier, and also includes an employee or agent of any of them if the employee or agent has or will have the authority to control or supervise all or a portion of the work for which a bid or offer is made.
C. The bidder or offeror warrants that, except as disclosed in §D, below, there are no relevant facts or circumstances now giving rise or which could, in the future, give rise to a conflict of interest.
D. The following facts or circumstances give rise or could in the future give rise to a conflict of interest (explain detail—attach additional sheets if necessary):
E. The bidder or offeror agrees that if an actual or potential conflict of interest arises after the date of this affidavit, the bidder or offeror shall immediately make a full disclosure in writing to the procurement officer of all relevant facts and circumstances. This disclosure shall include a description of actions which the bidder or offeror has taken and proposes to take to avoid, mitigate, or neutralize the actual or potential conflict of interest. If the contract has been awarded and performance of the contract has begun, the contractor shall continue performance until notified by the procurement officer of any contrary action to be taken.
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE
CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE,
INFORMATION, AND BELIEF.
Date:____________________
By:______________________________________ (Authorized Representative and Affiant)
File details come from the government source that posted it. Updated .