Attachment-I.-Conflict-of-Interest-Affidavit.pdf
PDF 95 KB Posted
- Attached to
- POLY DENSIFIED CORE
- Solicitation number
- BPM055379
- Issued by
- Somerset County, Maryland
About this file
This is a Conflict of Interest Affidavit form required for the Maryland Correctional Enterprises (DPSCS/MCE) procurement of Poly Densified Core to be delivered to the Textile Plant at Eastern Correctional Institution in Westover, Maryland. The affidavit, effective July 2024, must be submitted with all bids and proposals in response to this solicitation. Offerors, contractors, consultants, and subcontractors at any tier, as well as their employees and agents with authority to control or supervise work, are required to complete this document. The form requires declaration that no relevant facts or circumstances exist that would create a conflict of interest, defined as conditions preventing impartial assistance to the State or impairing objectivity in performing contract work, or providing an unfair competitive advantage.
The affidavit requires offerors to disclose in detail any facts or circumstances that give rise to or could in the future give rise to conflicts of interest. Offerors warrant that except as disclosed, no conflicts exist and agree to immediately notify the procurement officer in writing of any actual or potential conflicts that arise after the affidavit date. Such disclosure must include a description of actions taken and proposed to mitigate or neutralize the conflict. The affidavit is executed under the penalties of perjury and must be signed by an authorized representative and affiant, with submission required as part of the bid or proposal package.
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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
File details come from the government source that posted it. Updated .