Attachment D OCI Statement.docx
DOCX document 29 KB Posted
- Solicitation number
- 47QFCA23R0050
About this file
This document contains templates for organizational conflict of interest statements required in response to Request for Proposal 47QFCA23R0050 from the General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center. The solicitation requests proposals for services supporting the Sesame Street for Military Families requirement. Offerors and any subcontractors, consultants or teaming partners must complete and sign either a statement that they are not aware of any actual or potential organizational conflicts of interest related to the award, or a statement disclosing any known conflicts along with any existing mitigation plans. The templates provide examples of the required statements and notes that all information on organizational conflicts of interest is outlined in Section H.3.1 of the solicitation.
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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.3.1 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.3.1 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.3.1, 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.3.1.
(Insert Company Name) is participating as a subcontractor to Sesame Workshop in response to Request for Proposal (RFP) 47QFCA23R0050 for services supporting the Sesame Street for Military Families requirement. In accordance with solicitation Section H.3.1, 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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