Attachment D - Organizational Conflict of Interest (OCI) Statement.docx
DOCX document 28 KB Posted
- Attached to
- Premium Operations Support Services Federal contract opportunity
- Solicitation number
- 16PBGC24R0012
- Issued by
- Pension Benefit Guaranty Corporation
About this file
This document is an Organizational Conflict of Interest (OCI) Statement template that offerors, subcontractors, consultants, and teaming partners must complete and sign when responding to the Task Order Request (TOR)/Request for Quote (RFQ)/Request for Proposal (RFP) 47QFCA20RXXXX for services supporting the Pension Benefit Guaranty Corporation (PBGC)'s premium operations programs. The OCI statement requires the respondent to affirm that they are not aware of any actual or potential conflicts of interest relating to the award of this contract. If a conflict exists, the respondent must disclose it and provide information on any mitigation plans. The related federal contract opportunity is Solicitation Number 16PBGC24R0012 for Premium Operations Support Services, which seeks to provide the PBGC's Financial Operations Department with professional services in support of its premium operations programs, including technical, financial, accounting, and auditing support.
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Text version
ATTACHMENT X
ORGANIZATIONAL CONFLICT OF INTEREST (OCI) STATEMENT
Add the actual Section L reference and the TOR number to the samples.
Add any projects specific to the requirements that may be an OCI, such as legacy contracts.
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 L.5.2.2.
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.
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 L.5.2.2.
(Insert Offeror Name) is responding to Task Order Request (TOR)/Request for Quote (RFQ)/Request for Proposal (RFP) (choose one) 47QFCA20RXXXX (insert PIID number) for services supporting the (Insert Customer’s Office Task Order requirement). In accordance with solicitation Section L.5.2.2, (Inset Offeror Name) has reviewed the requirements of the TOR and the Federal Acquisition Regulation (FAR) Subpart 9.5.
(Insert Offeror Name) is not aware of any facts which create any actual or potential OCI relating to the award of this contract. (Insert Offeror Name) agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the Task Order.
Insert Offeror Name
| __________________________________ | _____________ | |
| 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 L.5.2.2.
(Insert Company Name) is participating as a subcontractor to (Insert Offeror Name) in response to Task Order Request (TOR)/Request for Quote (RFQ)/Request for Proposal (RFP) (choose one) 47QFCA20RXXXX (insert PIID number) for services supporting the (Insert Customer Office’s Task Order requirement). In accordance with solicitation Section L.5.2.2, (Insert Company Name) 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 Task Order.
Subcontractor, Consultant, Teaming Partner
| __________________________________ | _____________ | |
| Point of Contact (POC) Name* | Date |
POC Title
*Person must have the authority to bind the company.
File details come from the government source that posted it. Updated .