Attachment 2 - Conflict of Interest Affidavit and Disclosure (25).pdf
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- Solicitation number
- BPM058034
- Issued by
- Calvert County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form for the Jefferson Patterson Park and Museum (JPPM) in Maryland, requiring contractors to certify compliance with conflict of interest regulations prior to contract award. The document serves as a mandatory disclosure requirement for bidders on the septic tank pump-out project, which involves services at nine separate facilities across the JPPM campus located along Mackall Road. The scope of work requires the selected contractor to pump out septic tanks ranging from 1,000 to 10,000 gallons across multiple buildings including the Beverly House, King's Reach, Breckenridge Center, Visitor's Center, Pavilion, MAC Lab, Gardener's Cottage, and Patterson Estate. The contractor must complete all work within 60 calendar days of receiving authorization to proceed and must maintain all applicable national, state, and local licenses or certifications, with a designated Master License or Certification holder responsible for all services performed.
The affidavit requires bidders to disclose any potential conflicts of interest, financial interests, or relationships that could compromise their objectivity or create improper influence in the contracting process. All contractors and subcontractors must be licensed in Maryland or appropriately certified for the nature of work being performed. The disclosure form ensures compliance with state procurement regulations and protects the integrity of the competitive bidding process, requiring full transparency regarding any circumstances that could affect the contractor's ability to perform the work impartially and in accordance with applicable laws, regulations, and codes.
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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)
Date:
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