Attachment-I.-Conflict-of-Interest-Affidavit (Required).pdf
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- Solicitation number
- BPM053303
- Issued by
- Somerset County, Maryland
About this file
This is a Conflict of Interest Affidavit document required for the Maryland Talbot County permanent highway patching project (TAASPHA27SB). The affidavit, which became effective in July 2024, is based on COMAR regulations and must be submitted with all bids and proposals. Offerors, contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise work are required to complete this affidavit and warrant that no conflicts of interest exist except as disclosed. The document defines conflict of interest as any circumstance where a person's ability to render impartial assistance or advice to the State is impaired, or where objectivity in performing contract work might be compromised, or where an unfair competitive advantage exists.
All respondents must disclose any relevant facts or circumstances giving rise to actual or potential conflicts of interest in the designated section of the affidavit, providing detailed explanations and attaching additional documentation as necessary. Offerors also agree to immediately notify the procurement officer in writing if an actual or potential conflict of interest arises after the affidavit date, including a description of actions taken or proposed to mitigate or neutralize the conflict. The affiant must sign and date the form under penalty of perjury, certifying that all information contained in the affidavit is true and correct to the best of their knowledge, information, and belief.
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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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