ATTACHMENT 6_ OCI.docx
DOCX document 25 KB Posted
- Attached to
- Amendment 01: Regional Innovation Clusters for Strengthening Domestic Industrial and Manufacturing Capacity
- Solicitation number
- 47QACA25K0452
- Issued by
-
GSA Federal Acquisition Service
About this file
This document is a Conflict of Interest (COI) Certification form for the U.S. Small Business Administration's (SBA) Regional Innovation Clusters (RIC) Initiative under Solicitation 47QACA25K0452. The certification requires offerors to disclose any potential conflicts of interest or unfair competitive advantages that might impact their ability to provide impartial services to SBA. Specifically, offerors must declare whether they have any actual or potential conflicts related to data analysis and loan recommendation services, and must disclose any services rendered to federal government or other clients in the preceding 12 months that might be similar to the current solicitation.
The certification form mandates that offerors provide detailed information about prior services, including client names, addresses, contact information, service descriptions, and responsible personnel if any potential conflicts exist. By signing the document, the offeror or their authorized representative attests to the accuracy of their conflict disclosure and commits to transparent communication with the SBA Contracting Officer regarding any potential conflicts that could influence the procurement process for the Regional Innovation Clusters initiative.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation_07.30.docx | DOCX document | |
| Q and A 07_30.xlsx | XLSX spreadsheet | |
| ATTACHMENT 3_ Questionnaire_07.30.docx | DOCX document | |
| ATTACHMENT 7_ Sample PWS_7.30.docx | DOCX document | |
| AMENDMENT 01.pdf | ||
| ATTACHMENT 1_ PROVISION_CLAUSE PACKAGE.docx | DOCX document | |
| ATTACHMENT 5_ QASP.docx | DOCX document | |
| Solicitation.docx | DOCX document | |
| ATTACHMENT 4_ Price Schedule.docx | DOCX document | |
| ATTACHMENT 7_ Sample PWS.docx | DOCX document | |
| ATTACHMENT 3_ Questionnaire.docx | DOCX document | |
| ATTACHMENT 2_Statement of Objectives.docx | DOCX document |
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Text version
Attachment 6
SOLICITATION 47QACA25K0452
NOTICE TO ALL OFFERORS
U.S. SMALL BUSINESS ADMINISTRATION
REGIONAL INNOVATION CLUSTERS (RIC) INITIATITVE
CONFLICT OF INTEREST CERTIFICATION
All persons submitting offers to the U.S. Small Business Administration (SBA) must sign the attached Conflict of Interest Certification. The first paragraph requires the Offeror to certify that: (1) it has no potential or actual conflict of interest that would prevent it from providing impartial services to SBA, or (2) if a conflict exists, the Offeror has informed SBA. The Offeror also must inform SBA of any unfair advantage it may have in receiving a contract award.
The second paragraph requires that an Offeror inform SBA if it has contracted to provide a list of previous SBA services provided to SBA, another government agency or to the private sector, or has had private sector employment (including consulting) within the past 12 months. This information will be used to determine whether providing such services results in the Offeror’s having a conflict of interest. If a conflict, apparent conflict, or potential conflict exists, SBA will determine whether it can award a contract to the Offeror.
Attachment 6
SOLICITATION 73351024R0007
CONFLICT OF INTEREST CERTIFICATION
FOR SBA- REGIONAL INNOVATION CLUSTERS (RIC) INITIATITVE
Offeror’s Name:
Address:
Telephone Number:
I, , (name of certifier), am the Offeror (or the officer or employee responsible for the preparation of the offer in response to this solicitation) and certify that I have inquired and to the best of my knowledge and belief, (a) no actual or potential conflict of interest or unfair competitive advantage exists concerning the data analysis and loan recommendation services to be provided under this procurement, or (b) any actual or potential conflict of interest or unfair competitive advantage that does or may exist concerning this procurement has been communicated in writing to the SBA Contracting Officer or his/her representative.
I further certify that if, within the 12 months preceding the date of this certification, the Offeror has rendered services to the federal government or to any other client (including a foreign government or person) concerning the same or substantially similar matter as this solicitation, the name, address, telephone number of the prior client(s), a description of the services rendered to the prior client(s), and the name of the responsible officer or employee who is knowledgeable about the services rendered to each client have been communicated in writing to the Contracting Officer or his/her representative. I also certify that each agency and contract number under which such services were rendered has been provided to the Contracting Officer or his/her representative.
Signature of Offeror Date (or the officer or employee responsible for this Certification) Typed name, address and telephone number of person signing this certificate:
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