S02 D.5 Organizational Conflicts of Interest.docx

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G004--Temporary Shelter and Supportive HCHV Services – El Paso, TX
Solicitation number
36C25725Q0281
Issued by

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This is an Organizational Conflicts of Interest (OCI) provision and certification form for solicitation #36C25725Q0003, relating to Temporary Shelter and Supportive Services at the El Paso Texas Veterans Health Care Center. The document requires offerors to disclose any past, present, or planned interests (financial, contractual, organizational) that could create an organizational conflict of interest in providing services under this contract.

The form includes a certification statement where contractors must either confirm no conflicts exist among their key personnel or provide a detailed statement describing any potential conflicts. The services are to be provided at the El Paso Texas Veterans Health Care Center located at 5001 North Piedreas Street, El Paso, TX 79930, under the oversight of the Department of Veterans Affairs Veterans Health Administration. This is primarily a compliance document template that does not specify the detailed requirements of the actual services to be provided.

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852.209-70. ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

RFQ 36C25725Q0003

All healthcare contracts require response to the following provision as prescribed in VAAR 809.507-1(b).

(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 # 36C25725Q0003

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 # 36C25725Q0003 – Temporary Shelter and Supportive Services – El Paso, 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 El Paso Texas Veterans Health Care Center 5001 North Piedreas Street El Paso, TX 79930 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 El Paso Texas Veterans Health Care 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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