Attachment-I.-Conflict-of-Interest-Affidavit.pdf
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- Solicitation number
- BPM054398
- Issued by
- Baltimore City, Maryland
About this file
This is a Conflict of Interest Affidavit form for the Maryland Department of Juvenile Services' solicitation for a Dental Assistant position at Baltimore City Juvenile Justice Center (BCJJC) and Cheltenham Youth Detention Center (CYDC). The affidavit, effective July 2024 and referenced under COMAR 21.05.08.08, must be submitted with all bids and proposals. The contract opportunity covers a 9-month period from January 1, 2026 through September 30, 2026, and applies to all offerors, contractors, consultants, subcontractors, and their employees or agents who will have authority to control or supervise any portion of the work.
The affidavit requires offerors to warrant that no relevant facts or circumstances exist that would create a conflict of interest, defined as situations where a person is unable to render impartial assistance due to other activities or relationships, or where objectivity in performing contract work is or could be impaired, or where an unfair competitive advantage exists. Offerors must disclose any potential conflicts in the designated section, and agree to immediately notify the procurement officer in writing of any actual or potential conflicts that arise after the affidavit is executed, including a detailed description of actions taken or proposed to mitigate or neutralize such conflicts. The affidavit must be executed under penalty of perjury by an authorized representative.
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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 .