Attachment-I.-Conflict-of-Interest-Affidavit.pdf

PDF 95 KB Posted

Attached to
QAHVAC28SB 1-year HVAC repair contract for SHA Centreville (Eastern Shore)
Solicitation number
BPM059074
Issued by
Queen Anne's County, Maryland

About this file

This is a Conflict of Interest Affidavit document issued by the State of Maryland, effective July 2024, required for the one-year HVAC repair contract for SHA Centreville on the Eastern Shore. The affidavit applies to all offerors, contractors, consultants, and subcontractors at any tier, as well as their employees or agents with authority to control or supervise work on the contract. Offerors must warrant that no relevant facts or circumstances exist that would create a conflict of interest, defined as situations where a person is unable to render impartial assistance to the State or where objectivity in performing contract work is impaired, or where an unfair competitive advantage exists. The document requires disclosure of any circumstances that give rise or could give rise to a conflict of interest, with detailed explanations required and additional sheets attached if necessary.

Offerors must submit the completed affidavit with their bid or proposal and agree to immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after the affidavit date. Such disclosures must include descriptions of actions taken and proposed to mitigate or neutralize the conflict. The affiant must declare under penalties of perjury that the affidavit contents are true and correct, and an authorized representative must sign and date the document. If the contract is awarded and performance has begun, the contractor shall continue performance until directed otherwise by the procurement officer.

View the file

Other files

File Type Posted
Oil Transfer Pump.doc DOC document
Exhaust Fan.doc DOC document
Attachment-L.-Reference-Check.pdf PDF
Unit Heaters Gas Oil Fired.doc DOC document
QAHVAC28SB IFB.pdf PDF
Unit Heaters Electric.doc DOC document
Attachment-A.-Bid-Proposal-Affidavit (required).pdf PDF
Heat pump.doc DOC document
How to Respond to eMMA Solicitations (for new vendors).pdf PDF
Centrifugal Pump.doc DOC document
Cabinet Heaters Electric.doc DOC document
VAV Box with Hot Water Heat.doc DOC document
Rooftop Unit.doc DOC document
Furnace.doc DOC document
Infrared Heaters Gas Oil Fired.doc DOC document
Appexdix 2 - Price form instruction (for new vendors).pdf PDF
Exhibit 2 - Sample Contract revision 2024 Small Procurement (no action needed).pdf PDF
HVAC- Centreville, Stevensville - Systems Information.xlsx XLSX spreadsheet
Cast Iron Boiler.doc DOC document
Unit Heaters Hot Water.doc DOC document
QAHVAC28SB - Price form.xlsx XLSX spreadsheet
Attachment-1.-No-Bid_Proposal-Notice_Vendor-Feedback-Form-1-1 (optional).pdf PDF
Show all 22

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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 .