Attachment-I.-Conflict-of-Interest-Affidavit.pdf
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- Solicitation number
- BPM057951
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form issued by the Maryland State Highway Administration (SHA) Office of Procurement and Contract Management (OPCM) for the on-call plumbing repairs and services solicitation at the Hanover Complex. The affidavit, effective July 2024 and referenced under COMAR 21.05.08.08, requires all offerors, contractors, consultants, and subcontractors to disclose any existing or potential conflicts of interest that could impair their ability to render impartial assistance or advice to the State or compromise objectivity in performing contract work. The form defines relevant parties to include employees and agents with authority to control or supervise all or a portion of the work. Offerors must warrant that no relevant facts or circumstances giving rise to conflicts of interest exist, except as specifically disclosed in the affidavit, and must provide detailed explanations of any potential conflicts on attached sheets if necessary.
The affidavit requires offerors to acknowledge their obligation to immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after the affidavit's execution date, including a description of actions taken and proposed to mitigate or neutralize such conflicts. The authorized representative and affiant must execute the affidavit under the penalties of perjury, affirming that all contents are true and correct to the best of their knowledge, information, and belief. The completed affidavit must be submitted with the bid or proposal as a mandatory submission requirement for this procurement opportunity.
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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 .