Conflict-of-Interest-Affidavit__2_.pdf
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- Attached to
- DVMF-CEM-CH26-EXPANSION
- Solicitation number
- BPM057397
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form effective July 2024, required for submission with bids or proposals to the State of Maryland for the DVMF-CEM-CH26-EXPANSION Land Clearing project. The affidavit requires all offerors, contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise contract work to disclose any conflicts of interest that could impair their objectivity or render impartial assistance to the State. The form defines conflict of interest as situations where an entity's other activities or relationships could prevent impartial performance, impair objectivity, or provide unfair competitive advantage. Offerors must warrant that no relevant facts or circumstances exist that would create conflicts of interest, except as specifically disclosed in the designated section of the affidavit.
The affidavit further requires offerors to provide immediate written disclosure to the procurement officer if any actual or potential conflict of interest arises after the affidavit date, including detailed descriptions of actions taken or proposed to avoid, mitigate, or neutralize the conflict. Contractors must continue performance until directed otherwise by the procurement officer. The affidavit must be executed under penalty of perjury by an authorized representative and submitted with the bid or proposal. This document is referenced in COMAR 21.05.08.08 and represents a standard compliance requirement for Maryland state and local contracting.
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Text version
Attachment I. Conflict of Interest Affidavit effective date: July 2024
Conflict of Interest Affidavit and Disclosure
Reference COMAR 21.05.08.08
A. “Conflict of interest” means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the State, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage.
B. “Person” has the meaning stated in COMAR 21.01.02.01B(64) and includes a Offeror, Contractor, consultant, or subcontractor or sub-consultant at any tier, and also includes an employee or agent of any of them if the employee or agent has or will have the authority to control or supervise all or a portion of the work for which a Proposal is made.
C. The Offeror warrants that, except as disclosed in §D, below, there are no relevant facts or circumstances now giving rise or which could, in the future, give rise to a conflict of interest.
D. The following facts or circumstances give rise or could in the future give rise to a conflict of interest (explain in detail — attach additional sheets if necessary):
E. The Offeror agrees that if an actual or potential conflict of interest arises after the date of this affidavit, the Offeror shall immediately make a full disclosure in writing to the procurement officer of all relevant facts and circumstances. This disclosure shall include a description of actions which the Offeror has taken and proposes to take to avoid, mitigate, or neutralize the actual or potential conflict of interest. If the contract has been awarded and performance of the contract has begun, the Contractor shall continue performance until notified by the procurement officer of any contrary action to be taken.
I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE
CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE, INFORMATION, AND BELIEF.
Date: ____________________ By: ______________________________________
(Authorized Representative and Affiant)
SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL
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