Attachment-I.-Conflict-of-Interest-Affidavit__Required_.pdf
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- Attached to
- QAEXCA29SB Excavating in Queen Anne's County
- Solicitation number
- BPM056789
- Issued by
- Queen Anne's County, Maryland
About this file
This is a Conflict of Interest Affidavit form required by the State of Maryland for the excavating services contract opportunity in Queen Anne's County. The affidavit, effective July 2024, requires offerors to declare under penalty of perjury that they have no conflicts of interest that would impair their ability to render impartial assistance or advice to the State or compromise their objectivity in performing the contract work. Offerors must disclose any relevant facts or circumstances that give rise or could give rise to conflicts of interest, including situations where they have unfair competitive advantages. The definition of "person" for conflict of interest purposes includes the offeror, contractor, consultants, subcontractors, and any employees or agents with authority to control or supervise any portion of the work.
Offerors are required to submit this affidavit with their bid or proposal and must warrant that except as disclosed in the form, no conflicts of interest exist. If an actual or potential conflict of interest arises after the affidavit date, the offeror must immediately provide written disclosure to the procurement officer detailing all relevant facts and circumstances along with actions taken or proposed to mitigate or neutralize the conflict. The affidavit must be signed and dated by an authorized representative acting as the affiant, attesting to the truthfulness of its contents under penalties of perjury.
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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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