Attachment-I.-Conflict-of-Interest-Affidavit.pdf
PDF 95 KB Posted
- Attached to
- Excavation and Related Services Contract
- Solicitation number
- BPM048410
- Issued by
- Allegany County, Maryland
About this file
This is a Conflict of Interest Affidavit and Disclosure form (Attachment I) referencing COMAR 21.05.08.08, with an effective date of July 2024. The document requires offerors to disclose any actual or potential conflicts of interest that could affect their ability to provide impartial assistance or advice to the State, impair their objectivity in performing contract work, or create an unfair competitive advantage. The affidavit defines key terms including "conflict of interest" and "person" as they relate to contractors, consultants, subcontractors, employees, and agents involved in the proposal.
The document requires offerors to warrant that no relevant conflicts exist except as disclosed in the form, and mandates immediate written disclosure to the procurement officer if any actual or potential conflicts arise after submission. Offerors must describe any actions taken or proposed to avoid, mitigate, or neutralize conflicts. The form must be signed under penalty of perjury by an authorized representative and submitted with the bid/proposal. No specific pricing terms, set-asides, or funding requirements are mentioned in this document.
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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
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