B08_SOL_Attachment_6_No_Conflict_of_Interest_Certificate.pdf
PDF 125 KB Posted
- Attached to
- NPS Electrical Services IDIQ-JOC
- Solicitation number
- 140D0426R0073
About this file
This is a Certificate for Conflict of Interest template, which is a required federal contracting form for support contractor employees.
The certificate requires the signing employee to certify that they are unaware of any matters that would limit their ability to work objectively on assigned contracts or create actual, potential, or apparent conflicts of interest. The certification covers a comprehensive review of the employee's financial interests, including stocks, bonds, and other investments, as well as current, past, and prospective employment arrangements. The review extends to the financial interests and employment arrangements of the employee's spouse, minor children, and other immediate household members. Should any conflict of interest arise after certification—including situations where the employee, their family members, or household members develop a financial interest in or employment relationship with any organization involved in the acquisition—the employee must immediately notify the Contracting Officer. Upon notification of such a conflict, the employee agrees to cease all participation in the affected contract or related action, including the provision of advice and recommendations, pending direction from the Contracting Officer. The certificate requires the employee's signature and date and is submitted to the Contracting Officer through the Company Project Manager.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B08_SOL_Attachment_8__Q_A_Template.xlsx | XLSX spreadsheet | |
| B08_SOL__Attachment_1_IDIQ-JOC__Statement_of_Work_(SOW).docx | DOCX document | |
| B08_SOL_Attachment_4__Designated_Park_Groups.xlsx | XLSX spreadsheet | |
| B08_SOL_Attachment_5_Coefficient__Spreadsheet.xlsx | XLSX spreadsheet | |
| Sol_140D0426R0073.pdf | ||
| B08_SOL_Attachment_7_Non-Disclosure_Agreement.pdf | ||
| B08_SOL_Attachment_2_Group_2_Sample_Project_1__SOW.docx | DOCX document | |
| B08_SOL_Attachment_3__Group_1_Sample_Project_2_SOW.pdf |
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Text version
Attachment 6
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
File details come from the government source that posted it. Updated .