Attachment-I.-Conflict-of-Interest-Affidavit (Required).pdf
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- Attached to
- TATOW27R Towing Services in Talbot County
- Solicitation number
- BPM054711
- Issued by
- Talbot County, Maryland
About this file
This is a Conflict of Interest Affidavit required for bid submission to the Maryland Department of Transportation State Highway Administration (MDOT SHA) for towing services in Talbot County. The affidavit, effective July 2024, is referenced under COMAR 21.05.08.08 and must be completed and submitted with all bids or proposals. The document applies to all parties involved in the contract, including the offeror, contractors, consultants, subcontractors, and any employees or agents with authority to control or supervise work. Offerors must warrant that no relevant facts or circumstances exist that would create a conflict of interest, or fully disclose any such circumstances in the designated section of the affidavit.
The affidavit requires offerors to declare under penalties of perjury that all information provided is true and correct. Offerors must immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after submission of the affidavit, including a detailed description of actions taken or proposed to mitigate or neutralize the conflict. The document must be signed by an authorized representative and affirmed as an affiant. This affidavit is a mandatory submission requirement for the TATOW27R towing services contract opportunity in Talbot County, which solicits bids for light, medium, and heavy duty towing services with hourly rates for normal operations and overtime/emergency periods.
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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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