Attachment 2 - Conflict of Interest Affidavit and Disclosure (7).pdf
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- Solicitation number
- BPM030123
- Issued by
- Maryland
About this file
The document is a Conflict of Interest Affidavit and Disclosure related to a state and local contract opportunity for Yearly Underground and Above Ground Storage Tank Testing at Jefferson Patterson Park & Museum (JPPM) in Maryland. The contract requires a firm to conduct underground storage tank testing, above ground storage tank inspection, and repair of a sump, as outlined in the attached Project Specifications. The Conflict of Interest Affidavit requires the bidder or offeror to disclose any relevant facts or circumstances that could give rise to a conflict of interest, and to immediately notify the procurement officer of any actual or potential conflict that arises after submitting the affidavit.
The related state and local contract opportunity does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information beyond the scope of work and required attachments, which include a Bid/Proposal Affidavit, a sample contract, and a No Reply Form.
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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)
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