Attachment 2 - Conflict of Interest Affidavit and Disclosure (4).pdf
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- Solicitation number
- BPM044490
- Issued by
- Maryland
About this file
This document is a Conflict of Interest Affidavit and Disclosure related to a state and local contract opportunity in Maryland. The contract opportunity is for the installation of four frost-free hydrants at the Jefferson Patterson Park & Museum (JPPM). Contractors must provide all labor, overhead, equipment, materials, and services necessary to complete the installation, with JPPM providing paper products and supplies. Contractors are required to submit a filled-in and signed IFB, Bid/Proposal Affidavit, Conflict of Interest and Disclosure, licenses or certifications, company's certificates of insurance, and acknowledgment of receipt of any amendments. Bids must be received by the bid due date.
The document outlines the requirements for disclosing any conflicts of interest, including a description of actions the contractor would take to avoid, mitigate, or neutralize any actual or potential conflicts. Contractors must affirm under penalty of perjury that the contents of the affidavit are true and correct to the best of their knowledge, information, and belief.
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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 .