Attachment I - Conflict of Interest Affidavit.pdf
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- Solicitation number
- BPM057760
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form required by the State of Maryland for the On-Call Roofing Inspection, Maintenance, and Repairs contract at the SHA Hanover Complex. The affidavit, effective July 2024 and referenced under COMAR 21.05.08.08, must be completed and submitted by all Offerors, Contractors, consultants, subcontractors, and sub-consultants at any tier, as well as employees or agents with authority to control or supervise work on the contract. The form requires signatories to warrant that no relevant facts or circumstances exist that would create a conflict of interest, defined as situations where a person's impartiality, objectivity, or fairness in performing contract work is or could be impaired, or where an unfair competitive advantage exists due to other activities or relationships.
Offerors must disclose any actual or potential conflicts of interest in Section D of the affidavit, providing detailed explanations and attaching additional documentation if necessary. The affidavit further requires that if an actual or potential conflict of interest arises after the affidavit's date, the Offeror must immediately provide written disclosure to the procurement officer, including a description of actions taken and proposed to avoid, mitigate, or neutralize the conflict. The form must be executed under the penalties of perjury by an authorized representative and must be submitted with the bid or proposal to comply with Maryland procurement requirements.
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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
File details come from the government source that posted it. Updated .