D.3 ORGANIZATION CONFLICT OF INTEREST.pdf

PDF 57 KB Posted

Attached to
Q509--Onsite Dialysis Service Federal contract opportunity
Solicitation number
36C26323Q0304
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

This document includes a solicitation for onsite dialysis services and an organizational conflict of interest certification statement template. The solicitation seeks a firm fixed-price contract for dialysis services to support the Central Iowa VA Hospital and Community Living Center. Services include hemodialysis and peritoneal dialysis. The period of performance is one base year starting July 14, 2023, with four one-year option periods. Offerors must be registered in the System for Award Management and submit required documentation by May 31, 2023. The evaluation will use lowest price technically acceptable criteria. The organizational conflict of interest certification statement is a template for offerors to disclose any potential conflicts relating to key personnel identified in proposals.

View the file

Other files for this federal contract opportunity

Other files attached to Q509--Onsite Dialysis Service, newest first.
File Type Posted
36C26323Q0304 0002.pdf PDF
1 QUALITY ASSURANCE SUREVEILLANCE PLAN.pdf PDF
36C26323Q0304 0002_1.docx DOCX document
36C26323Q0304 0001.pdf PDF
Questions and Answers 36C26323Q0304 Des Moines Onsite Dialysis.docx DOCX document
36C26323Q0304 0001_1.docx DOCX document
D.4 WAGE DETERMINATION POLK COUNTY IOWA 2015-4979 REV19.pdf PDF
D.2 IMMIGRATION CERTIFICATION.pdf PDF
D.6 Code of Conduct VA Central Iowa MCP 39.pdf PDF
36C26323Q0304.pdf PDF
D.5 DIRECTIVE 1761 SUPPLY CHAIN MANAGEMENT OPERATIONS.pdf PDF
D.1 QUALITY ASSURANCE SUREVEILLANCE PLAN.pdf PDF
36C26323Q0304_1.docx DOCX document
Show all 13

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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.

ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

(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.

(End of provision)

APPENDIX A

[CONTRACTOR NAME]

[ADDRESS]

SOLICITATION #

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 [____Solicitation # and Service Type___] in 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 ___[NAME OF VAMC] _________ Veterans Administration 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___NAME OF VAMC _________ Veterans Administration 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

File details come from the government source that posted it. Updated .