ATTACHMENT ORGANIZATIONAL CONFLICTS OF INTEREST.pdf

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Attached to
Q505--On-Site Gastroenterology Physician Service and Nurse Practitioner
Solicitation number
36C26324Q0206
Issued by

About this file

This solicitation seeks on-site gastroenterology physician and nurse practitioner services. The Department of Veterans Affairs, Central Iowa VA Health Care System requires gastroenterology clinic services four days per week by a nurse practitioner, hepatology clinic services two days per month by a board certified physician, and on-call consultation services. The contractor must also provide esophagogastroduodenoscopy, colonoscopy, and sigmoidoscopy procedures on-site. The period of performance is from April 1, 2024 to March 31, 2025. Quotes are due by March 4, 2024. Evaluation will be based on comparative factors.

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852.209-70 Organizational Conflicts of interest.

ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

(a) It is in the best interest of the Government to avoid situations which might create an organizational conflict of interest or where the Offeror’s performance of work under the contract may provide the Contractor with an unfair competitive advantage. The term “organizational conflict of interest” means that because of other activities or relationships with other persons, a person is unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or the person has an unfair competitive advantage.

(b) The Offeror shall provide a statement with its offer which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The Offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The Offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

(c) Based on this information and any other information solicited or obtained by the Contracting

Officer, the Contracting Officer may determine that an organizational conflict of interest exists which would warrant disqualifying the Contractor for award of the contract unless the organizational conflict of interest can be mitigated to the Contracting Officer’s satisfaction by negotiating terms and conditions of the contract to that effect. If the conflict of interest cannot be mitigated and if the Contracting Officer finds that it is in the best interest of the United States to award the contract, the Contracting Officer shall request a waiver in accordance with FAR 9.503.

(d) Nondisclosure or misrepresentation of actual or potential organizational conflicts of interest at the time of the offer or arising as a result of a modification to the contract, may result in the termination of the contract at no expense to the Government.

(End of provision) https://www.acquisition.gov/far/part-9#FAR_9_503

APPENDIX A ORGANIZATIONAL CONFLICTS OF INTEREST CERTIFICATION

Business Name: ________________________________________

Address: ________________________________________________

Solicitation: 36C26324Q0206 On-Site Gastroenterology Physician Service

CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT

(Business Name) ____________________________________ represents that the individuals listed in the Key Personnel and Temporary Emergency Substitutions section of the solicitation, Solicitation # 36C26324Q0206 for On-Site Gastroenterology Physician Service have no present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs, Central Iowa VA Health Care System, under the referenced solicitation.

None of the employees listed in the solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Department of Veterans Affairs, Central Iowa VA Health Care System under the referenced solicitation.

or

Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

Signature

Printed Name: ___________________________________

Title: ________________________________________

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