D.2 Organizational Conflicts of Interest.pdf

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Attached to
HCHV Contracted Emergency Residential Services - VANIHCS
Solicitation number
36C25025Q0480
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This document is an Organizational Conflicts of Interest (OCI) certification attachment for VA healthcare contract solicitation 36C25025Q0480. The attachment includes VAAR clause 852.209-70, which requires offerors to disclose any past, present, or planned interests that could potentially create a conflict of interest when providing services to the VA Northeast Ohio Healthcare System. Contractors must comprehensively report financial, contractual, organizational, or other interests that might impair their objectivity or provide an unfair competitive advantage, and must do so for themselves, consultants, and subcontractors identified in their proposal. Failure to disclose such conflicts could result in contract termination at no cost to the government.

The document provides a standardized Appendix A certification form where contractors can either affirm no conflicts exist or attach a detailed statement explaining any potential conflicts. For this specific solicitation related to Interventional Radiology Physician Services, contractors must specifically address conflicts involving the key personnel listed in the solicitation. The form requires a signature from an authorized company representative certifying the accuracy of the conflict of interest disclosure.

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Attachment D.2

852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

All healthcare contracts require response to the following provision as prescribed in VAAR 809.507-1(b).

Please use the form in APPENDIX A to provide response.

852.209-70.ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

(a) It is in the best interest of the Government to avoid situations which might create an organizational conflict of interest or where the Offeror’s performance of work under the contract may provide the

Contractor with an unfair competitive advantage. The term “organizational conflict of interest” means that because of other activities or relationships with other persons, a person is unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or the person has an unfair competitive advantage.

(b) The Offeror shall provide a statement with its offer which describes, 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.

(c) Based on this information and any other information solicited or obtained by the Contracting Officer, the Contracting Officer may determine that an organizational conflict of interest exists which would warrant disqualifying the Contractor for award of the contract unless the organizational conflict of interest can be mitigated to the Contracting Officer’s satisfaction by negotiating terms and conditions of the contract to that effect. If the conflict of interest cannot be mitigated and if the Contracting Officer finds that it is in the best interest of the United States to award the contract, the Contracting Officer shall request a waiver in accordance with FAR 9.503.

(d) Nondisclosure or misrepresentation of actual or potential organizational conflicts of interest at the time of the offer or arising as a result of a modification to the contract, may result in the termination of the contract at no expense to the Government.

https://www.acquisition.gov/content/part-9-contractor-qualifications#i1114968

Attachment D.2

APPENDIX A

[CONTRACTOR NAME]

[ADDRESS]

SOLICITATION # 36C25025Q0480

CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT

[ ] ____________________________[CONTRACTOR NAME] represents that the individuals listed in the Key Personnel and Temporary Emergency Substitutions section of the solicitation 36C25023Q0457 Interventional Radiology Physician Services have no 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 VA Northeast Ohio Healthcare System (VANEOHS) 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 VANEOHS 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

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