B08_Certificate_for_Conflict_of_Interests.pdf
PDF 80 KB Posted
- Attached to
- IHS Demographic Data and Analysis Services Federal contract opportunity
- Solicitation number
- 140D0423Q1124
About this file
This document contains a certificate of conflict of interest form and information on a related federal contract opportunity for demographic data and analysis services. The certificate of conflict of interest form is to be completed by contractor employees and certifies that the individual is not aware of any conflicts of interest that would limit their ability to work on contracts in an objective and unbiased manner.
The related federal contract opportunity is a solicitation issued by the Department of the Interior Departmental Offices Interior Business Center seeking demographic data and analysis services. The solicitation number is 140D0423Q1124 and is for IHS Demographic Data and Analysis Services. No further details are provided on response dates, award dates, pricing terms, set asides or other contract requirements.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B08_SOL_Attachment_Pricing_Schedule_update_A0002_0002.xlsx | XLSX spreadsheet | |
| Sol_140D0423Q1124_Amd_0002.pdf | ||
| B26_SQA_Respoonse_to_Bidder_Questions_0002.pdf | ||
| A04_SOW_IHS_DRA___Final_0001.pdf | ||
| Sol_140D0423Q1124_Amd_0001.pdf | ||
| Sol_140D0423Q1124.pdf | ||
| B08_SOL_Addendum_to_52_212-1_23Q1124.pdf | ||
| B08_SOL_SCA_Verification_23Q1124.pdf | ||
| B08_SOL_Attachment_Pricing_Schedule.xlsx | XLSX spreadsheet | |
| B08_Contractor_NDA.pdf |
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Text version
Attachment 6 – 140D0423Q1124 IHS Demographic Data and Analysis
CERTIFICATE FOR CONFLICT OF INTEREST
TO: _____________________________________________
Contracting Officer
THROUGH: _____________________________________________
Company Project Manager
FROM: _____________________________________________
(Name of contractor employee)
I certify that I am not aware of any matter that might limit my ability to work on contracts and related actions in an objective and unbiased manner or which might place me in a position of a conflict, actual, potential, or apparent, between my responsibilities as a support contractor.
In making this certification, I have considered all my stocks, bonds, and other financial interests, and employment arrangements (past, present, or under consideration) and, to the extent known by me, all the financial interests and employment arrangements of my spouse, my minor children, and other members of my immediate household.
If, after the date of this certification, any person, firm, or other organization with which, to my knowledge, I (including my spouse, minor children, and other members of my immediate household) have a financial interest, or with which I have (or had) an employment arrangement, becomes involved in the acquisition I am responsible for, I will notify the Contracting Officer of this apparent conflict of interest. In such case, until advised to the contrary, I will not participate further in any way (by rendering advice and making recommendations) on the applicable contract and/or related action.
(Signature)
Date
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