EXHIBIT H - CONFLICT OF INTEREST 2026.docx
DOCX document 368 KB Posted
- Attached to
- Transit-ADA Compliant Van Procurement
- Solicitation number
- BD-27-1030-0T100-0T100-132631
- Issued by
- Massachusetts
About this file
This is a Conflict of Interest Certification form for the Massachusetts Department of Transportation (MassDOT) Rail and Transit Division's ADA-Compliant Van Procurement solicitation. The form requires the Responsible Individual representing the proposing firm to certify compliance with the terms outlined in RFP Section 5.16 Prohibited Interest and Massachusetts Conflict of Interest Laws. The certification must be signed and returned to Monica E. Auguste, Procurement Officer, and includes fields for the date, responsible individual's name, title, and signature.
The related procurement opportunity involves MassDOT RTD soliciting proposals for the manufacture and delivery of new ADA-compliant vans up to 29 feet in length. The vehicles must comply with 49 CFR Part 38, ADA Accessibility Specifications for Transportation Vehicles, and applicable federal requirements. Resulting contracts will permit MassDOT RTD and other Eligible Entities to issue purchase orders in accordance with the RFP terms.
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Text version
EXHIBIT H - CONFLICT OF INTEREST
CERTIFICATION OF NON-CONFLICT OF INTEREST
Sign and Return To: Monica E. Auguste, Procurement Officer
Contract Name: MassDOT ADA-Compliant Van Procurement
As the Responsible Individual for proposing firm ________________________________________________, I certify compliance with the terms outlined in RFP Section 5.16 Prohibited Interest and Massachusetts Conflict of Interest Laws.
(Date) (Name)
(Title) (Signature) image1.jpg
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