Attachment-I.-Conflict-of-Interest-Affidavit.pdf
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- Solicitation number
- BPM054787
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form issued by the Maryland Insurance Administration (MIA) in July 2024, required for submission with bid and proposal responses to a Request for Proposals for specialty financial examination and auditing consulting services. The affidavit establishes that offerors, contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise contract work must warrant the absence of conflicts of interest that would impair their ability to render impartial assistance or advice to the State or provide unfair competitive advantage. The form defines conflict of interest according to COMAR 21.05.08.08 and requires offerors to disclose any relevant facts or circumstances that give rise or could give rise to such conflicts, with detailed explanations provided on additional sheets if necessary.
Offerors executing this affidavit must declare under penalty of perjury that the contents are true and correct to the best of their knowledge, information, and belief. The form further requires that if an actual or potential conflict of interest arises after the affidavit's execution date, the offeror or contractor shall immediately provide written disclosure to the procurement officer, including a description of actions taken and proposed to avoid, mitigate, or neutralize the conflict. If a contract has already been awarded and performance has commenced, the contractor shall continue performance until receiving contrary direction from the procurement officer.
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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 .