Attachment-I.-Conflict-of-Interest-Affidavit (Required).pdf
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- Attached to
- QAELEC29R Electrician for SHA Centreville Shop
- Solicitation number
- BPM055152
- Issued by
- Queen Anne's County, Maryland
About this file
This is a Conflict of Interest Affidavit required for the Electrician for SHA Centreville Shop contract opportunity with the Maryland Department of Transportation State Highway Administration (MDOT SHA) in Queen Anne's County. The affidavit serves as a compliance document for bidders responding to the request for quotation for electrician services at three locations in Queen Anne's County on Maryland's Eastern Shore, with the primary facility located at the Centreville Shop in Centreville, Maryland. The contract term extends up to three years or until the contract is exhausted, with no specified renewal options mentioned in the opportunity description.
The pricing structure requires bidders to submit hourly rates that must be consistent across all pricing documents submitted. MDOT SHA compensates only for time spent on-site performing work, with no allowance for travel time, minimum show-up fees, or advance deposits. Payment is rendered after work completion and upon receipt of an itemized invoice detailing hours worked and corresponding hourly rates. For invoices under $5,000, payment may be made by credit card without additional processing fees, or through default check payment by mail within approximately 15 days, with ACH transfer available at no cost to the contractor. No subcontracting is permitted under this contract, and facility tours are optional and do not impact bid evaluation.
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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
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