Attachment-I.-Conflict-of-Interest-Affidavit (Required).pdf
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- Solicitation number
- BPM054360
- Issued by
- Queen Anne's County, Maryland
About this file
This is a Conflict of Interest Affidavit required for submission with bids and proposals to the Maryland Department of Transportation State Highway Administration (MDOT SHA) for monthly pest control services at three buildings located in Queen Anne's County on Maryland's Eastern Shore. The contract opportunity is restricted to self-certified small businesses only, with no subcontracting permitted. Bidders must hold a Maryland Agriculture Pesticide Applicator Commercial License, and all technicians working on SHA property must have completed required training, be registered with the Maryland Department of Agriculture, and possess current identification cards. The scope of work includes monthly preventative maintenance and inspection services at all three SHA locations combined, plus flat-fee treatment for infestation calls, typically for stinging insects during summer months and rodents during winter months.
Pricing must be all-inclusive with no additional charges for mileage, show-up fees, labor hours, or miscellaneous fees. SHA prefers payment by credit card after services are rendered at no additional charge to the agency; otherwise, invoices will be paid by check or ACH transfer within fifteen days. A separate line item allows for fair and reasonable pricing of materials consumed, such as traps or chemicals, at manufacturers' suggested retail pricing. Service access is limited to normal business hours of 7:00 a.m. to 2:00 p.m., Monday through Friday. The Conflict of Interest Affidavit requires offerors to disclose any circumstances that could impair objectivity or create unfair competitive advantage, with immediate written notification to the procurement officer required if conflicts arise after affidavit submission.
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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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