ATTM 006.docx

This is an Organizational Conflict of Interest Disclosure form required by the State of South Carolina for offerors responding to state solicitations. The form establishes the state's policy to avoid situations where an offeror's judgment may be biased due to past, present, or planned interests that could relate to the work being performed or provide unfair competitive advantage. Offerors are required to disclose all relevant facts concerning any financial, contractual, organizational, or other interests bearing on possible conflicts of interest, including interests held by affiliates, proposed consultants, and subcontractors at any tier. The form provides three options for response: submission of a disclosure statement describing potential conflicts, submission of a representation certifying no conflicts exist, or provision of facts demonstrating how conflicts may be avoided or mitigated. The state reserves the right to request additional information, impose conditions to avoid conflicts, disqualify offerors, or proceed with award if it determines such action is in the state's best interest.

Failure to provide required disclosures or representations results in automatic disqualification from award consideration. Nondisclosure or misrepresentation of relevant interests may result in disqualification, contract termination for default, exclusion from future related contracts, or other remedial actions permitted by law. The state will not issue an award until the disclosure or representation has been evaluated. No specific pricing terms, funding amounts, or contract duration information is addressed in this form, as it serves solely as a compliance and conflict-of-interest certification document required as part of the broader solicitation process.