D.3 ORGANIZATIONAL CONFLICT CERTIFICATE.pdf
PDF 108 KB Posted
- Attached to
- Q301 Stat Referral Laboratory Testing
- Solicitation number
- 36C26324Q0870
About this file
This document is an organizational conflict of interest (OCI) certification statement required as part of Request for Quote (RFQ) 36C26324Q0870 for STAT Referral Laboratory Testing and Consultation Services to support the Minneapolis MN VA Health Care System. The RFQ is seeking one Indefinite Delivery Contract (IDC) for these services, with a period of performance from September 1, 2024, to August 31, 2029. The contractor must certify whether it or its key personnel and subcontractors have any past, present, or planned financial, contractual, organizational, or other interests that could create an organizational conflict of interest. If so, the contractor must provide a detailed statement describing the conflict. The RFQ has a solicitation closing date of July 31, 2024, and requires offers to be submitted via email to the Contracting Officer.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26324Q0870_2.docx | DOCX document | |
| D.5 Quality Assurance Surveillance Plan.pdf | ||
| D.1 Schedule of Service - Estimated Test Quantity.xlsx | XLSX spreadsheet | |
| D.2 IMMIGRATION CERTIFICATION.pdf | ||
| 36C26324Q0870_1.docx | DOCX document | |
| D.4 WAGE DETERMINATION 2015-4945 HENNEPIN COUNTY, MN.pdf | ||
| 36C26324Q0870.pdf |
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Text version
ATTACHMENT D.4 OF RFQ 36C26324Q0870
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)
ATTACHMENT D.4 OF RFQ 36C26324Q0870
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
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