Attachment-I.-Conflict-of-Interest-Affidavit.pdf
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- Attached to
- R00B7600029 - Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-04)
- Solicitation number
- BPM058318
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form issued by the State of Maryland in July 2024, applicable to the Division of Rehabilitation Services (DORS) Vehicle Equipment Adaptation Prescription Agreement (VEAPA) procurement. The affidavit requires all offerors, contractors, consultants, and subcontractors at any tier—including their employees and agents with authority to control or supervise contract work—to certify that no conflicts of interest exist that would impair their ability to provide impartial assistance or advice to the State or compromise their objectivity in performing contracted services. Offerors must disclose any relevant facts or circumstances that give rise to or could potentially create conflicts of interest, with detailed explanations attached if necessary. The form establishes that offerors warrant the absence of conflicts of interest except as specifically disclosed in the affidavit documentation.
The affidavit further obligates offerors to immediately notify the procurement officer in writing of any actual or potential conflicts of interest that arise after the affidavit's execution date, including a comprehensive description of actions taken and proposed to mitigate, avoid, or neutralize such conflicts. If the contract has been awarded and performance has commenced, the contractor must continue performance until the procurement officer directs otherwise. The affidavit must be executed under penalty of perjury by an authorized representative and submitted with the bid or proposal. This requirement is referenced in COMAR 21.05.08.08 and falls under the regulatory framework governing Maryland state procurements.
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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
File details come from the government source that posted it. Updated .