Attachment C.-Conflict-of-Interest-Affidavit.pdf
PDF 95 KB Posted
- Attached to
- OMTWTR29SB - Geology Statewide Water Contract
- Solicitation number
- BPM054231
- Issued by
- Anne Arundel County, Maryland
About this file
This is a Conflict of Interest Affidavit document for the OMTWTR29SB Geology Statewide Water Contract solicitation issued by the Maryland Department of Transportation State Highway Administration (MDOT-SHA). The affidavit requires all offerors, contractors, consultants, and subcontractors to declare whether any conflicts of interest exist that would impair their ability to render impartial assistance or advice to the State or compromise their objectivity in performing contract work. Offerors must warrant that no relevant facts or circumstances exist that give rise to conflicts of interest, except as specifically disclosed in writing with detailed explanations. The affidavit is effective as of July 2024 and must be submitted with all bid and proposal submissions.
The affidavit further requires that offerors immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after the affidavit date, along with a description of actions taken or proposed to mitigate or neutralize such conflicts. The document is executed under penalty of perjury by an authorized representative and affiant, ensuring the truthfulness and accuracy of the disclosed information. This requirement aligns with Maryland regulatory standards under COMAR 21.05.08.08 and is mandatory for participation in the solicitation process.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment-A.-Bid-Proposal-Affidavit.pdf | ||
| Appendix 2 - Price Form Instructions Rev. 1.pdf | ||
| Attachment E.-Reference-Checks.pdf | ||
| OMTWTR29SB _ Bid Form.xls | XLS spreadsheet | |
| Attachment B - Price Form Instructions.pdf | ||
| OMTWTR29SB _ Bid Form Rev. 1.xls | XLS spreadsheet | |
| OMTWTR29SB___Bid_Form Rev. 2.xls | XLS spreadsheet | |
| Appendix 2 - Price Form Instructions Rev. 2.pdf | ||
| OMTWTR29SB Addendum No. 2.pdf | ||
| OMTWTR29SB Addendum No.1.pdf | ||
| OMTWTR29SB IFB.pdf |
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Text version
Attachment I. Conflict of Interest Affidavit effective date: July 2024
Attachment I. Conflict of Interest Affidavit and Disclosure
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
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