Attachment-I.-Conflict-of-Interest-Affidavit.pdf
PDF 91 KB Posted
- Attached to
- VETERANS’ AND FRATERNAL ORGANIZATIONS INSTANT TICKET LOTTERY MACHINES AND CENTRAL SYSTEM
- Solicitation number
- BPM058027
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form required by the State of Maryland for the Veterans' and Fraternal Organizations Instant Ticket Lottery Machines and Central System procurement, effective July 2024. The affidavit, referenced under COMAR 21.05.08.08, requires all Offerors, Contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise work to warrant that no conflicts of interest exist that would impair their ability to render impartial assistance or advice to the State, compromise their objectivity in performing contract work, or provide unfair competitive advantage. The document mandates disclosure of any relevant facts or circumstances that currently give rise to or could in the future create conflicts of interest, with detailed explanations required on a separate sheet if necessary. Offerors must submit the completed and signed affidavit with their bid or proposal.
The affidavit further requires that if an actual or potential conflict of interest arises after execution, the Offeror must immediately provide written disclosure to the procurement officer detailing all relevant facts and circumstances along with actions taken or proposed to avoid, mitigate, or neutralize the conflict. Should the contract be awarded and performance initiated prior to discovery of conflicts, the Contractor must continue performance until receiving contrary instruction from the procurement officer. The affidavit is executed under penalty of perjury, with signature by an authorized representative and affiant required along with the submission date.
View the file
Other files
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 .