S02 D.4 Organizational Conflicts of Interest.docx
DOCX document 29 KB Posted
- Solicitation number
- 36C25723Q0757
About this file
This document contains an organizational conflict of interest certification statement template for solicitation number 36C25723Q0757. The solicitation is for readjustment counseling services to be provided at the Corpus Christi Vet Center in Corpus Christi, Texas. Offerors are required to disclose any past, present or planned interests or actual or potential organizational conflicts relating to the services solicited. They must also provide statements for any consultants or subcontractors included in their proposal. Offerors may provide information on how their systems would avoid or mitigate potential conflicts. The certification statement or an attached description of conflicts of interest must be completed and signed by an authorized official of the offeror in response to the solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25723Q0757 0001.docx | DOCX document | |
| S02 D.1 Quality Assurance Surveillance Plan (QASP).pdf | ||
| 36C25723Q0757_1.docx | DOCX document | |
| S02 D.3 Contractor Certification - Immigration and Nationality Act.docx | DOCX document | |
| S02 D.2 Contractor Rules of Behavior.docx | DOCX document |
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Text version
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.
(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.
APPENDIX A
[CONTRACTOR NAME]
[ADDRESS]
SOLICITATION # 36C25723Q0757
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 # 36C25723Q0757 – Readjustment Counseling Services Victoria, TX have not 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 Corpus Christi Vet Center, 4646 Corona Drive, Suite 250 Corpus, Christi, TX 78411 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 Corpus Christi Vet Center 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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