Award documents

PUBLIC PROCUREMENT ETHICS,

AND CONFLICT OF INTEREST AGREEMENT

The procurement of goods and services by a public body from a private enterprise is a sensitive process governed by law. We must be assured that all public parties involved in the selection process do nothing to contribute to the “fact” or “appearance” of any impropriety or personal interest in the outcome of the procurement, and thus maintain public confidence in the objectivity of the evaluation process. To better make you aware of the sensitivity of public procurements, each person having official responsibility with the procurement shall be required to agree and comply with the following statements derived from Article 6, Ethics In Public Contracting, Virginia Public Procurement Act, and other laws and policy.

For purposes of the statements below, an “interested firm” includes any firm that may realize a reasonable foreseeable direct or indirect benefit or detriment as a result of the procurement. At a minimum, this includes any business entity that foreseeably may participate as a supplier, subcontractor, or consultant to such a vendor in connection with the procurement.

A. I certify that I am not an officer or director of any interested firm. Similarly, no member of my immediate family is an officer or director of any interested firm.

B. I certify that neither I nor any member of my immediate family owes any money or other obligation to any employee or officer of any interested firm.

C. I certify that I do not have any funds invested in any interested firm. Similarly, neither I nor any member of my immediate family own or control an interest in any interested firm.

D. I certify that neither I, nor any member of my immediate family, received lodging, entertainment, transportation, money or anything else of nominal value offered by an employee or officer of any interested firm. (This includes tickets to sporting events or shows, meals or lodging, gifts, etc.). During and after the procurement process, I will not accept any of the forgoing from any employee or officer of any interested firm.

NOTE: Exceptions to D. must be approved by the Agency Director. Such approval could include acceptance of a meal which is widely offered to many individuals inside and outside the agency (i.e. provided on-site when a break in the proceedings is not practicable).

E. I certify that I have not received any compensation from any interested firm. No member of my immediate family has received compensation, salary or wages in excess of $5,000 from any interested firm.

NOTE: If at any time during the evaluation/selection process, I find that I, or any member of my immediate family, have a personal interest in any interested firm, then I will promptly notify the selection committee chairperson of this conflict and voluntarily remove myself from this evaluation/selection process and file any necessary official disqualification required by law.

I further agree to abide by all the policies/procedures contained in this document relative to this procurement as well as any other instructions and directions issued by Contracting Officer.

Signature Date

Printed Name Agency

Title

Jayla Dickens

7/7/2026

Virginia Department of Health

Executive Secretary