Attachment-I.-Conflict-of-Interest-Affidavit (1).pdf
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- Attached to
- Financial Examination Assistance Services
- Solicitation number
- BPM057939
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit for the Maryland Insurance Administration (MIA) Financial Examination Assistance Services contract opportunity. The affidavit, effective July 2024, requires offerors, contractors, consultants, and subcontractors at any tier to disclose potential conflicts of interest that could impair their ability to render impartial assistance to the State or provide an unfair competitive advantage. Offerors must warrant that no relevant facts or circumstances exist that would create a conflict of interest, except as specifically disclosed in the affidavit documentation. The document applies to the MIA's Financial Regulation Division's procurement for financial examination assistance services across four functional areas—Staff Examiner Assistance, Senior Examiner Assistance, Examiner-In-Charge Assistance, and Senior Manager Assistance—with a five-year contract term for up to six awards.
Offerors are required to submit the completed affidavit with their bid or proposal, affirming under penalty of perjury that all disclosed information is true and correct. Any actual or potential conflicts of interest arising after the affidavit's execution must be immediately disclosed in writing to the procurement officer, including a detailed description of actions taken or proposed to mitigate or neutralize the conflict. If a contract has already been awarded and performance commenced, the contractor must continue work until receiving contrary instructions from the procurement officer. The affidavit references COMAR 21.05.08.08 and COMAR 21.01.02.01B(64) as regulatory authority for the conflict of interest definitions and 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
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