S02 D.7 Organizational Conflict of Interest.docx
DOCX document 28 KB Posted
- Solicitation number
- 36C25725Q0468
About this file
This document is an Organizational Conflict of Interest (OCI) Certification Statement for Request for Quote (RFQ) 36C25725Q0468 for Perfusionist Services at the South Texas Veterans Health Care System (STVHCS). The certification requires the contractor to declare whether they have any present, past, or planned conflicts of interest related to the solicitation. Contractors must either affirm they have no conflicts of interest or provide a detailed statement describing any potential organizational, financial, contractual, or other conflicts. The document mandates that offerors disclose conflict of interest information not only for their own organization but also for any consultants or subcontractors identified in their proposal who will provide services under the solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25725Q0468 0004.docx | DOCX document | |
| S02 D.3 Fillable Schedule of Services 10.7.2025 02.xlsx | XLSX spreadsheet | |
| S02 D.3 Fillable Schedule of Services 10.7.2025.xlsx | XLSX spreadsheet | |
| 36C25725Q0468 0003.docx | DOCX document | |
| 36C25725Q0468 0002.docx | DOCX document | |
| 36C25725Q0468 0001.docx | DOCX document | |
| 36C25725Q0468_1.docx | DOCX document | |
| S02 D.1 Quality Assurance Surveillance Plan.docx | DOCX document | |
| S02 D.3 Fillable Schedule of Services.xlsx | XLSX spreadsheet | |
| S02 D.2.2 WMC Fingerprinting Request Form.pdf | ||
| S02 D.2.3 Declaration for Federal Employment.pdf | ||
| S02 D.2.4 WMC Self Certification Form.pdf | ||
| S02 D.6 Contractor Certification - Immigration and Nationality Act.docx | DOCX document | |
| S02 D.2.1 WMC Contractor Request.pdf | ||
| S02 D.5 Contractor Rules of Behavior.docx | DOCX document | |
| S02 D.4 Experience Worksheet - Technical Capabilities.docx | DOCX document |
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Text version
RFQ 36C25725Q0468 – Perfusionist Services
Organizational Conflict of Interest
[CONTRACTOR NAME]
[ADDRESS]
SOLICITATION # 36C25725Q0468
CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT
[ ] ____[CONTRACTOR NAME]________________ represents that no individuals involved with the solicitation [36C257Q0468] in have no 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 South Texas Veterans Health Care System (STVHCS) 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 South Texas Veterans Health Care System (STVHCS) 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
File details come from the government source that posted it. Updated .