eMMA #3- Attachment H-Conflict-of-Interest Affidavit.pdf

PDF 70 KB Posted

Attached to
ROOF REHABILITATION- BUILDING C @ SANDYPOINT STATE PARK, CENTRAL STORAGE & DISTRIBUTION CENTER
Solicitation number
BPM043980
Issued by
Anne Arundel County, Annapolis City, Maryland

About this file

This document is an Attachment H - Conflict of Interest Affidavit related to a contract opportunity for ROOF REHABILITATION- BUILDING C @ SANDYPOINT STATE PARK, CENTRAL STORAGE & DISTRIBUTION CENTER in the state of Maryland, involving the jurisdictions of Anne Arundel County and Annapolis City. The project consists of providing all labor, equipment, materials, supplies, insurance, etc., necessary to apply a restoration coating over the existing metal roof on Building C in the Sandy Point State Park Central Storage and Distribution Center. The project location is 1100 E College Parkway, Annapolis, Maryland 21409, and the building was constructed approximately in 1997.

The Conflict of Interest Affidavit requires the offeror to disclose any relevant facts or circumstances that could give rise to a conflict of interest, either currently or in the future. The offeror must immediately disclose any actual or potential conflicts of interest that may arise, and describe actions taken to avoid, mitigate, or neutralize the conflict.

View the file

Other files

Show all 11

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

Attachment H. Conflict of Interest Affidavit and Disclosure

Reference COMAR 21.05.08.08

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

B. “Person” has the meaning stated in COMAR 21.01.02.01B (64) and includes a Offeror, Contractor, consultant, or subcontractor or sub-consultant at any tier, and also includes an employee or agent of any of them if the employee or agent has or will have the authority to control or supervise all or a portion of the work for which a Proposal is made.

C. The Offeror warrants that, except as disclosed in §D, below, there are no relevant facts or circumstances now giving rise or which could, in the future, give rise to a conflict of interest.

D. The following facts or circumstances give rise or could in the future give rise to a conflict of interest

(explain in detail — attach additional sheets if necessary):

E. The Offeror agrees that if an actual or potential conflict of interest arises after the date of this affidavit, the Offeror shall immediately make a full disclosure in writing to the procurement officer of all relevant facts and circumstances. This disclosure shall include a description of actions which the Offeror has taken and proposes to take to avoid, mitigate, or neutralize the actual or potential conflict of interest. If the contract has been awarded and performance of the contract has begun, the Contractor shall continue performance until notified by the procurement officer of any contrary action to be taken.

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE

CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY

KNOWLEDGE, INFORMATION, AND BELIEF.

Date: ____________________ By: ______________________________________

(Authorized Representative and Affiant)

SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL

Attachment H – Conflict of Interest Affidavit Page H-1 effective date: April 17, 2018

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