Attachment D OCI Statement.docx
DOCX document 29 KB Posted
- Attached to
- Sesame Street for Military Families (SSFMF)
- Solicitation number
- 47QFCA22R0035
About this file
This document contains organizational conflict of interest statements and sample statements to be completed by offerors and subcontractors responding to solicitation number 47QFCA22R0035. The solicitation is a sole source award to Sesame Workshop for the Sesame Street for Military Families program, providing continued services such as use of Sesame Street characters, expanding web and mobile content, an annual promotional campaign, technical support and maintenance of mobile apps and websites, and implementation of an outcome study. The General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center is the contracting agency. Offerors and subcontractors must disclose any actual or potential conflicts of interest in their response.
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Other files
| File | Type | Posted |
|---|---|---|
| SF-30 - SS4MF RFP 47QFCA22R0035 Amendment 01 9.1.22.pdf | ||
| RFP 47QFCA22R0035 - SS4MF_Amd 1 2022.08.31.docx | DOCX document | |
| Attachment H Deliverable Acceptance-Rejection.docx | DOCX document | |
| Attachment K Project Staffing Plan (PSP).xlsx | XLSX spreadsheet | |
| Attachment E Corporate Non-Disclosure Agreement (NDA).docx | DOCX document | |
| SSFMF Cover Letter RFP 47QFCA22R0035.pdf | ||
| Attachment A COR Designation Letter .pdf | ||
| Attachment B Monthly Status Report.docx | DOCX document | |
| RFP 47QFCA22R0035 - SS4MF (23Aug22).pdf | ||
| Attachment M Travel Authorization Request.xlsx | XLSX spreadsheet | |
| Attachment F QASP.docx | DOCX document | |
| Attachment J - Consent to Purchase template.xlsx | XLSX spreadsheet | |
| Attachment C Trip Report Template.docx | DOCX document | |
| Attachment G Problem Notification Report.docx | DOCX document | |
| Attachment L Key Personnel Qualification Matrix.docx | DOCX document | |
| SF33 - SS4MF RFP 47QFCA22R0035.pdf |
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Text version
ATTACHMENT D
ORGANIZATIONAL CONFLICT OF INTEREST (OCI) STATEMENT
The offeror and each subcontractor, consultant, and/or teaming partner shall complete and sign an Organizational Conflict of Interest (OCI) Statement. All information pertaining to OCI is outlined in Section H.5.1 The contractor shall represent either that:
1. It is not aware of any facts that create any actual or potential OCI relating to the award of this contract, or
2. It has included information in its proposal, providing all current information bearing on the existence of any actual or potential OCI.
If a contractor with an actual or potential OCI believes the conflict can be avoided, neutralized, or mitigated, the contractor shall submit a copy of the existing mitigation plan from the relevant awarded contract(s) to the Government for review.
Definition: FAR 2.101 “Organizational 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 Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage.
Version 04/13/20
SAMPLE 1 – OFFEROR OCI STATEMENT
The following is an example of the OCI statement that each offeror shall complete and sign. All information pertaining to OCI is outlined in Section H.5.1 of the Request for Proposal (RFP).
Sesame Workshop is responding to RFP for Sesame Street for Military Families services supporting the Military Community and Family Policy (MC&FP). In accordance with solicitation Section H.5.1, Sesame Workshop has reviewed the requirements of the RFP and the Federal Acquisition Regulation (FAR) Subpart 9.5.
Sesame Workshop is not aware of any facts which create any actual or potential OCI relating to the award of this contract. Sesame Workshop agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the contract.
Sesame Workshop
| __________________________________ | _____________ | |
| Insert Offeror Point of Contact (POC) Name* | Date |
POC Title
*Person must have the authority to bind the company.
SAMPLE 2 – SUBCONTRACTOR, CONSULTANT, TEAMING PARTNER OCI STATEMENT
The following is an example of the OCI statement that each subcontractor, consultant, and teaming partner shall complete and sign. All information pertaining to OCI is outlined in Section H.5.
(Insert Company Name) is participating as a subcontractor to Sesame Workshop in response to Request for Proposal (RFP) 47QFCA22R0035 for services supporting the Sesame Street for Military Families requirement. In accordance with solicitation Section H.5, Sesame Workshop has reviewed the requirements of the TOR and the Federal Acquisition Regulation (FAR) Subpart 9.5.
(Insert Company Name) is not aware of any facts which create any actual or potential OCI relating to the award of this contract. (Insert Company Name) agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the Contract.
Subcontractor, Consultant, Teaming Partner
| __________________________________ | _____________ | |
| Point of Contact (POC) Name* | Date |
POC Title
*Person must have the authority to bind the company.
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