Non-Conflict_of_Interest_Statement.pdf
PDF 68 KB Posted
- Attached to
- COMPREHENSIVE FEE STUDIES
- Solicitation number
- RFP2026-3
- Issued by
- Broward County, Florida
About this file
This is a Non-Conflict of Interest Statement submitted by a vendor in response to RFP 2024-6-FIN for Banking Services with the City of Cooper City, Florida. The affiant certifies that the submitting entity has made a single proposal submission for this solicitation and has not entered into any collusive agreements or discussions regarding terms, conditions, pricing, or other offer parameters with competing bidders. The statement confirms that neither the entity nor its affiliates are currently suspended or prohibited from government contracting, and that no ownership, management, or staff members maintain vested interests in any City division, department, or office, nor are they applying for or have been selected for elected positions within City of Cooper City government.
The affiant further certifies that the entity has conducted a diligent inquiry and provided truthful and accurate information at the time of submission. The statement includes a commitment that should any conflict of interest be identified during the provision of services, the entity will immediately notify the City in writing. This certification must be signed by an authorized signatory with authority to commit the firm and represents a standard compliance requirement for government contract solicitations to ensure competitive integrity and the absence of conflicts that could compromise the selection process or contract performance.
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Text version
NON-CONFLICT OF INTEREST STATEMENT
1. A. I am the of with a
[Insert Title] [Insert Company Name] a local office in and principal office in .
2. The entity hereby submits a proposal/offer in response to RFP 2024-6-FIN, BANKING SERVICES.
3. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge.
4. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby.
5. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation.
6. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity.
7. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project.
8. I hereby also certify that no member of the entity’s ownership or management or staff has a vested interest in any City Division/Department/Office.
9. I certify that no member of the entity’s ownership or management is presently applying, actively seeking, or has been selected for an elected position within City of Cooper City government.
10. In the event that a conflict of interest is identified in the provision of services, I, the undersigned, will immediately notify the City in writing.
By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in this attachment is true and correct at the time of submission.
Signature of Affiant
Printed Name & Title of Affiant
File details come from the government source that posted it. Updated .