Attachment_2_-_Conflict_of_Interest_Affidavit_and_Disclosure.pdf
PDF 84 KB Posted
- Attached to
- REKEYING THE PATTERSON HOUSE AND GROUNDS
- Solicitation number
- BPM049258
- Issued by
- Calvert County, San Mar CDP, Maryland
About this file
This document is a Conflict of Interest Affidavit and Disclosure form associated with a Maryland state and local contract opportunity for rekeying the Patterson House and Grounds at Jefferson Patterson Park and Museum (JPPM). The form defines a "conflict of interest" as a situation where a person's relationships or activities might impair their ability to provide impartial assistance or advice to the State, or where they might have an unfair competitive advantage. The document requires bidders, offerors, contractors, and their employees to disclose any existing or potential conflicts of interest that could affect their performance on the contract.
The affidavit mandates that the bidder or offeror warrant the absence of any conflicts of interest, or if any exist, they must be fully disclosed. If a conflict of interest arises after the submission of this affidavit, the bidder is obligated to immediately notify the procurement officer in writing, detailing the circumstances and proposed actions to mitigate or neutralize the conflict. The form must be signed by an authorized representative, affirming under penalty of perjury that the information provided is true and correct to the best of their knowledge, information, and belief.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_1_-_Bid_Proposal_Affidavit.pdf | ||
| JPPM_Map__Directions_to_Patterson_House.pdf |
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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 .