Disclosure of Potential Conflict of Interest.pdf
PDF 10 KB Posted
- Attached to
- DHEC DAMS SAFETY GENERAL CONSTRUCTION
- Solicitation number
- 5400025935
- Issued by
- Richland County, South Carolina
About this file
This is a Disclosure of Potential Conflict of Interest Certification form required by the South Carolina Department of Health and Environmental Control (SCDHEC) for the DHEC DAMS Safety General Construction contract opportunity. The form requires offerors to certify whether they have identified any potential organizational conflicts of interest related to the proposed contract. Offerors must select one of two options: either confirm that no potential conflict exists, or disclose identified conflicts by describing their nature and proposing mitigation measures. If a potential conflict is identified, offerors must provide contact information for an authorized representative who can discuss the disclosure with SCDHEC contract personnel.
This certification document serves as a mandatory compliance requirement for all bidders and must be completed and signed with the date of submission. The form does not specify pricing terms, set-asides, incumbent information, or funding details, as its sole purpose is to establish a formal record of conflict of interest disclosures for procurement integrity purposes. Offerors may attach additional sheets as needed to fully document any identified conflicts and their proposed resolution strategies.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Solicitation.pdf | ||
| Statement of No Award.pdf | ||
| Cost Sheet.xlsx | XLSX spreadsheet |
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
DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST CERTIFICATIONS
Offeror hereby indicates that it, to the best of its knowledge and belief, has:
______ Determined that no potential organizational conflict of interest exists.
______ Determined a potential organizational conflict of interest as follows:
Attach additional sheets as necessary.
1. Describe the nature of the potential conflict(s).
2. Describe measures proposed to mitigate the potential conflict(s).
Signature Date
If a potential conflict has been identified, please provide name and phone number for a contact person authorized to discuss this disclosure certification with SCDHEC contract personnel.
Name Phone Number
File details come from the government source that posted it. Updated .