Attachment 2 - Conflict of Interest Affidavit and Disclosure FM27-09.pdf
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- Attached to
- HVAC Replacement in the Visitor's Center
- Solicitation number
- BPM058498
- Issued by
- Calvert County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form required by Jefferson Patterson Park & Museum (JPPM) in Maryland for the HVAC Replacement in the Visitor's Center project. The form establishes that bidders and offerors must declare any conflicts of interest that would impair their ability to provide impartial assistance or advice to the State, or that would provide them with unfair competitive advantage. A mandatory prebid meeting is scheduled for August 31, 2026, at 10:00 am, and any bids received from offerors who do not attend this meeting will not be accepted. The project involves replacing one of three heat pump systems in the Visitor's Center old section (Building 14) at 10115 Mackall Road, with detailed specifications outlined in the attached Project Specifications and Invitation for Bid Form.
Bidders and offerors must warrant that no relevant facts or circumstances giving rise to a conflict of interest exist, except as disclosed in the affidavit. The form requires complete disclosure of any actual or potential conflicts, including detailed explanations and descriptions of actions taken or proposed to mitigate such conflicts. If a conflict of interest arises after submission of the affidavit, bidders and offerors must immediately notify the procurement officer in writing. Preference is given to Certified Small Business and Veteran-Owned Business Enterprises. The affidavit must be executed under penalties of perjury by an authorized representative of the bidding firm.
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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)
Date:
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