Attachment-I.-Conflict-of-Interest-Affidavit__3_ (2).pdf
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- Solicitation number
- BPM058081
- Issued by
- Harford County, Maryland
About this file
This is a Conflict of Interest Affidavit form (effective July 2024) required by the State of Maryland for the Propane Furnaces with Cooling Units Installation project at Backbone Mountain Youth Center in Swanton, Maryland. The affidavit must be submitted with all bids and proposals and serves to certify that the Offeror, including any contractors, subcontractors, consultants, and their respective employees or agents with supervisory authority, has no relevant facts or circumstances that create or could create a conflict of interest in performing the contracted work. The form requires offerors to warrant that they can render impartial assistance and advice to the State and maintain objective performance without compromising the integrity of the procurement process.
The affidavit obligates the Offeror to disclose any conflicts of interest in detail and to immediately notify the procurement officer in writing of any actual or potential conflicts that arise after the affidavit date, including a description of actions taken or proposed to mitigate the conflict. The document is executed under penalties of perjury and must be signed by an authorized representative of the bidding entity. Offerors must complete all required sections, including the disclosure section if applicable, and attach additional documentation as necessary to provide full transparency regarding any potential conflicts related to the installation services at the Backbone Mountain Youth Center.
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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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