Attachment 3-OCI Representation Disclosure Statement.pdf
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- Solicitation number
- 89603024Q0062
About this file
This document is an OCI (Organizational Conflict of Interest) Representation/Disclosure Statement, which is a standard attachment for federal contracting opportunities. It requires the contractor to certify whether they have any interests or activities that could create a conflict of interest with respect to providing impartial, technically sound, and objective assistance or give them an unfair competitive advantage. If a potential conflict exists, the contractor must disclose relevant details and propose a mitigation plan.
The related federal contract opportunity is for Risk-Informed Decision Making (RIDM) Technical Support Services for the U.S. Federal Energy Regulatory Commission (FERC). FERC is procuring these services to support its Dam Safety Program. The solicitation number is 89603024Q0062, and the period of performance and other key details are provided in the Request for Quote (RFQ) and Statement of Work (SOW). All quotes must be submitted via email to Lisa.Tillman@ferc.gov by 2:00 PM EST on Thursday, August 1, 2024.
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Text version
A-1
APPENDIX A
COMPLETE EITHER THE REPRESENTATION OR THE DISCLOSURE –
NOT BOTH
OCI Representation Statement
I hereby certify (or as a representative of my organization, I hereby certify) that, to the best of my knowledge and belief, no facts exist relevant to any past, present or currently planned interest or activity (financial, contractual, personal, organizational or otherwise) that relate to the proposed work; and bear on whether I have (or the organization and any of its affiliates has) a possible conflict of interest with respect to (1) being able to render impartial, technically sound, and objective assistance or advice; or (2) being given an unfair1 competitive advantage.
Signature : Date :
Name : Title :
Organization :
OCI Disclosure Statement
I hereby certify (or as a representative of my organization, I hereby certify) that, to the best of my knowledge and belief, all relevant facts -- concerning past, present, or currently planned interests or activities (financial, contractual, organizational or otherwise) that relate to the proposed work and bear on whether I have (or the organization has) a possible conflict of interest with respect to (1) being able to render impartial, technically sound, and objective assistance or advice, or (2) being given an unfair competitive advantage—are fully disclosed on the following page(s) and formatted to show:
For ease of presentation, the OCI information is divided into four parts, indicating whether the possible OCI is: organizational, contractual, financial, or other;
The company, agency, organization in which I (or my organization) have a past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise);
1 An unfair competitive advantage does not include the normal flow of benefits from the performance of the contract.
A-2
A brief description of the relationship;
The period of the relationship;
The extent of the relationship (such as value of financial interest of work;
percent of total holdings, total work, etc.); and A mitigation plan, if necessary.
Signature : Date :
Name : Title :
Organization :
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