Attachment N Conflict Interest.doc
DOC document 27 KB Posted
- Solicitation number
- BD-15-1062-LOT-00001-00000002489
- Issued by
- Norfolk County, Boston City, Massachusetts
About this file
This document is a Certification of Compliance Concerning Conflicts of Interest related to a contract opportunity from the Massachusetts State Lottery Commission (MSLC) to purchase acrylic dispensers and displays for use at MSLC retail sales agent locations. The contract, referred to as RFR LOT Number 1505, is seeking the delivery of these acrylic dispensers and displays with a focus on cost, construction, quality, material, appearance, and timeline for delivery. The Bidder/Contractor is required to certify that no conflicts of interest exist that would interfere with fair competition or the performance of the contract.
The document outlines the specific certifications the Bidder/Contractor must make, including that no personal interests or relationships exist that could conflict with the contract, and that the Bidder/Contractor will not grant any personal interests to Commonwealth officials involved in the contract review or approval process. Breach of these certifications may be considered a material breach of the contract, allowing the MSLC to exercise contractual remedies.
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Text version
CERTIFICATION OF COMPLIANCE CONCERNING
CONFLICTS OF INTEREST
Acrylic Dispensers and Displays ASK "RFR Number/Document Number" \* MERGEFORMAT COMMBUYS Bid Number: BD-15-1062-LOT-00001-00000002489 - RFR LOT Number 1505
To contract with the Massachusetts State Lottery Commission (the “Lottery”) pursuant to the awarding of RFR LOT Number (#) 1502 (“Contract”), __________________ (the “Bidder/Contractor) makes the following certifications and agrees to the following terms, under the penalties of perjury:
1. Conflict of Interest Certifications. With regard to all obligations to be performed under the terms of this Contract, the Bidder/Contractor certifies that:
a. No relationship exists between the Bidder/Contractor and the Lottery that interferes with fair competition or is a conflict of interest;
b. No relationship exists between the Bidder/Contractor and another person or organization that constitutes a conflict of interest with respect to a state contract;
c. The Bidder/Contractor will not grant or permit any of its affiliates to grant to an official or employee of the Commonwealth who exercises any function or responsibility in the review or approval of the undertaking or carrying out of this Contract, prior to the Bidder’s/Contractor’s completion of its obligations under this Contract, any personal interest, either directly or indirectly, in this Contract or proposed Contract;
d. The Bidder/Contractor has no present interest and shall not acquire any interest, either directly or indirectly, which will conflict in any manner or degree with the performance of its obligations under this Contract and that no person having any such known interests shall be employed by the Bidder/Contractor during the performance of this Contract.
2. Breach of Terms. Breach of these certifications and terms may be regarded as a material breach of this Contract, such that the Lottery may exercise any and all contractual rights and remedies, including without limitation, indemnification under Section 11 of the Commonwealth’s Terms and Conditions, withholding of payments, contract suspension, or termination.
Bidder/Contractor:
Bidder/Contractor Authorized Signature: ___________________________________
Printed Name and Title of Authorized Signatory: _____________________________
Date: _________________________
MSLC CERTIFICATION OF COMPLIANCE CONCERNING CONFLICTS OF INTEREST
Attachment N
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