Attachment 2 - Conflict of Interest Affidavit and Disclosure [ALL SOLICITATIONS] 2025.08.pdf
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- Attached to
- JEFFERSON PATTERSON PARK & MUSEUM DRY DAM REPAIR
- Solicitation number
- BPM054333
- Issued by
- Calvert County, San Mar CDP, Maryland
About this file
This Conflict of Interest Affidavit and Disclosure form is required for all solicitations issued by Jefferson Patterson Park & Museum (JPPM) in Maryland. The document establishes the legal framework for bidders, offerors, contractors, consultants, and subcontractors to warrant that no conflicts of interest exist that would impair their ability to render impartial assistance or advice to the State or compromise their objectivity in performing contract work. Bidders must disclose any relevant facts or circumstances that give rise or could give rise to conflicts of interest, including situations where they may have unfair competitive advantages due to other activities or relationships. The affidavit requires completion and submission as part of the bidding process for the Jefferson Patterson Park & Museum Dry Dam Repair project, with proposals due by 3:00 pm on December 19, 2025. Bidders must submit all required documentation including the completed Conflict of Interest Affidavit along with a Bid/Proposal Affidavit, reference sheets, certificates of insurance, and acknowledgement of any amendments to be considered responsive.
Any actual or potential conflict of interest that arises after submission of the affidavit must be immediately disclosed in writing to the procurement officer with a detailed description of actions taken and proposed to mitigate or neutralize the conflict. The affidavit is executed under penalties of perjury, requiring an authorized representative to sign and date the form certifying that all contents are true and correct to the best of their knowledge, information, and belief. Bidders must submit their proposals to Dimitrios Papadakis (Maintenance Director), Eric Frere (Assistant Director), or Derek Mathieson (Maintenance Chief) at JPPM via mail, fax, or email, with any proposals received after the deadline automatically rejected as non-responsive.
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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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