Attachment-I.-Conflict-of-Interest-Affidavit (Required).pdf
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- Attached to
- QAELEC29SB Electrician for state highway buildings in Queen Anne's County on the Eastern Shore
- Solicitation number
- BPM054644
- Issued by
- Queen Anne's County, Maryland
About this file
This is a Conflict of Interest Affidavit required by the Maryland Department of Transportation State Highway Administration (MDOT SHA) for the solicitation of electrical repair services at state highway buildings in Queen Anne's County on Maryland's Eastern Shore. The affidavit, effective July 2024, establishes requirements for Offerors, Contractors, consultants, and subcontractors to disclose any conflicts of interest that could impair their objectivity or provide unfair competitive advantage in performing contract work. Offerors must warrant that no relevant facts or circumstances exist that would create a conflict of interest, except as disclosed in the affidavit itself. The document requires immediate written disclosure to the procurement officer if any actual or potential conflict of interest arises after the affidavit is submitted, including a description of actions the Offeror has taken or proposes to take to avoid, mitigate, or neutralize the conflict.
The affidavit must be submitted with the bid or proposal and is executed under the penalties of perjury by an authorized representative of the Offeror. The referenced procurement opportunity involves hourly labor-based pricing for electrical repair work consisting almost entirely of 120 and 240V single phase work on state highway buildings. Contractors must maintain a stocked van, with parts billed at MSRP pricing plus an approved markup percentage; SHA may alternatively purchase materials for contractor installation. All invoices must be submitted within 30 days of work completion with itemized labor hours and costs rather than lump sum amounts, and payment terms are net 15 days via paper check or available ACH transfer, with credit card payment preferred for invoices under $5,000.
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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 .