Attachment 2 - Conflict of Interest Affidavit and Disclosure Enclosed Cargo Trailer.pdf
PDF 84 KB Posted
- Attached to
- JPPM Enclosed Cargo Trailer FY26
- Solicitation number
- BPM056127
- Issued by
- Calvert County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form required for the JPPM Enclosed Cargo Trailer FY26 project at Jefferson Patterson Park and Museum in Maryland. The affidavit serves as a mandatory submission document for all bidders responding to this invitation for bid (IFB). Bidders must complete and sign the form to certify that no conflicts of interest exist that would impair their objectivity in performing the contract work or provide them with unfair competitive advantages. The project involves furnishing all labor, overhead, equipment, materials, incidentals, and services necessary to provide a small electric utility vehicle meeting specified criteria. Bids must include the completed IFB form, a Bid/Proposal Affidavit, this Conflict of Interest Affidavit and Disclosure, and acknowledgement of receipt of any amendments. JPPM will consider bids as non-responsive if they lack required paperwork, arrive after the due date, or do not include the completed IFB.
Bidders must provide total cost for the Enclosed Cargo Trailer meeting specification criteria and itemized costs broken down by base cost and additions required for specification compliance. The conflict of interest form requires bidders to disclose any facts or circumstances giving rise to actual or potential conflicts of interest, with detailed explanations and supporting documentation as necessary. Bidders must agree to immediately notify the procurement officer in writing of any conflicts of interest arising after submission of the affidavit, including a description of actions taken or proposed to mitigate or neutralize such conflicts. The affidavit is executed under penalties of perjury. Contractors may submit bids via mail, fax, or email, with all submissions subject to the established bid due date.
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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 .