Conflict-of-Interest-Affidavit__2_.pdf
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- Attached to
- DVMF-CEM-CH27-COLUMBARIUM
- Solicitation number
- BPM058741
- Issued by
- Maryland
About this file
This is a Conflict of Interest Affidavit form issued by the State of Maryland, effective July 2024, required for submission with bids and proposals in response to the DVMF-CEM-CH27-COLUMBARIUM state and local contract opportunity. The affidavit requires offerors, contractors, consultants, subcontractors, and their employees or agents with authority to control or supervise work to warrant that no conflicts of interest exist that would impair their ability to render impartial assistance or advice to the State. The form defines conflict of interest as circumstances arising from other activities or relationships that could prevent impartial performance, impair objectivity in contract work, or provide unfair competitive advantage. Offerors must disclose any relevant facts or circumstances that give rise to or could potentially create a conflict of interest, providing detailed explanations and attaching additional documentation as necessary.
The affidavit further obligates offerors to immediately disclose in writing to the procurement officer any actual or potential conflicts of interest that arise after the affidavit date, including a description of actions taken and proposed to avoid, mitigate, or neutralize such conflicts. The affidavit is executed under penalties of perjury, with signature and date required from the authorized representative and affiant. This document must be submitted with all bids and proposals and references COMAR 21.05.08.08 as the regulatory authority governing conflict of interest requirements.
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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
File details come from the government source that posted it. Updated .