Attachment_C_-Conflict-of-Interest-Affidavit-and-Disclosure-Rev-9.2021.docx
DOCX document 17 KB Posted
- Attached to
- Consultant for Organizational Assessment Services State and local contract opportunity
- Solicitation number
- BPM051024
- Issued by
- Maryland
About this file
This document is a Conflict of Interest Affidavit and Disclosure form referencing COMAR (Code of Maryland Regulations) 21.05.08.08, which is a standard procurement document used by state agencies in Maryland. The form requires potential contractors, consultants, and subcontractors to disclose any existing or potential conflicts of interest that might impair their ability to render impartial assistance or provide an unfair competitive advantage in the bidding or contract performance process.
The affidavit mandates that offerors declare any circumstances that could compromise their objectivity, with a requirement to immediately disclose any actual or potential conflicts of interest that arise after the initial submission. The document provides a structured mechanism for transparency, requiring detailed explanation of any relevant facts or circumstances that might constitute a conflict. By signing the affidavit, the authorized representative affirms under penalty of perjury that the submitted information is true and correct, and agrees to continue contract performance if awarded until specifically instructed otherwise by the Procurement Officer.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_H_-_FIA.COA-25-001_Price_Sheet.xls | XLS spreadsheet | |
| Attachment-E.-Bid-Proposal-Affidavit.pdf | ||
| Attachment_B_-Non-Disclosure-Agreement-Rev-9.2021__4_.docx | DOCX document | |
| Attachment_G_-_External_Data_Sharing__1_.docx | DOCX document | |
| 2._NASPO_Scope_of_Work_for_Organizational_Assessment__5.1.pdf | ||
| AttachmentD__MBE-Forms-1__2_.pdf | ||
| Appendix_1_-_MBE_Goal.docx | DOCX document | |
| FIA.COA-25-001_Sample-Contract.docx | DOCX document |
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Text version
ATTACHMENT C – CONFLICT OF INTEREST AFFIDAVIT AND DISCLOSURE
Solicitation #
Reference COMAR 21.05.08.08
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 Offeror, Contractor, consultant, or subcontractor or sub-consultant 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 Proposal is made.
C. The 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 in detail — attach additional sheets if necessary):
E. The Offeror agrees that if an actual or potential conflict of interest arises after the date of this affidavit, the 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 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) |
SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL
Revised 9/2021
File details come from the government source that posted it. Updated .