D.2 Organizational Conflict of Interest 36C24426R0047.pdf
PDF 165 KB Posted
- Solicitation number
- 36C24426R0047
About this file
This document is an Organizational Conflict of Interest (OCI) Certification Statement template for solicitation 36C24426R0047 issued to the Lebanon Veterans Affairs Medical Center (VAMC).
The form requires the contractor to certify either that no individuals involved with the solicitation have present, planned, or past financial, contractual, or organizational interests or conflicts relating to the services to be provided, or to attach a detailed statement describing all relevant facts concerning any actual or potential conflicts of interest. If conflicts exist, the contractor must disclose information for all employees, consultants, and subcontractors identified in the proposal that will provide services under the solicitation, and may provide information demonstrating how organizational and management systems would mitigate or avoid the conflicts. The certification must be signed by an authorized official with the certifying official's name, title, signature, and date. This is a standard federal contracting compliance document with no specific products, services, pricing terms, or response deadlines identified.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C24426R0047 0001.docx | DOCX document | |
| 36C24426R0047 0001.pdf | ||
| 36C24426R0047 LEB UROLOGY.pdf | ||
| D.1 QASP CDR 36C24426R0047.pdf | ||
| 36C24426R0047.docx | DOCX document | |
| D.3 FORM I9 36C24426R0047.pdf | ||
| D.4 Contractor Rules of Behavior 36C24426R0047.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Organizational Conflict of Interest
CONTRACTOR NAME:
SOLICITATION # 36C24426R0047
CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT
[ ] ____________________ represents that no individuals involved with solicitation 36C24426R0047 have present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Lebanon VAMC under the referenced solicitation.
None of the employees listed in the solicitation have a past interest (financial, contractual, organizational, or otherwise) or actual or organizational conflicts of interest relating to the services to be provided to the Lebanon VAMC under the referenced solicitation.
OR
[ ] Statement attached describing, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation. The offeror shall also provide statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation. The offeror may also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.
NAME OF CERTIFYING OFFICIAL
TITLE
SIGNATURE DATE
D.2 ORGANIZATIONAL CONFLICT OF INTEREST
File details come from the government source that posted it. Updated .