Attachment A OCI Statement Template

ATTACHMENT A

ORGANIZATIONAL CONFLICT OF INTEREST (OCI) STATEMENT

The offeror, each subcontractor, and/or teaming partner shall complete and sign an Organizational Conflict of Interest (OCI) Statement. All information pertaining to OCI is outlined in Request for Proposal (TBD) Section (TBD). The contractor shall represent either that:
It is not aware of any facts that create any actual or potential OCI relating to the award of this contract, or It has included information in its proposal, providing all current information bearing on the existence of any actual or potential OCI. If a contractor with an actual or potential OCI believes the conflict can be avoided, neutralized, or mitigated, the contractor shall submit a copy of the existing mitigation plan from the relevant awarded contract(s) to the Government for review. Definition: FAR 2.101 “Organizational conflict of interest” means that because of other activities or relationships with other persons, a person is unable or potentially 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 a person has an unfair competitive advantage.

SAMPLE 1 – OFFEROR OCI STATEMENT

The following is an example of the OCI statement that each offeror shall complete and sign. All information pertaining to OCI is outlined in Request for Proposal (TBD) Section TBD. (Insert Offeror Name) is responding to RFP TBD for TBD Section TBD, (Inset Offeror Name) has reviewed the requirements of the solicitation and the Federal Acquisition Regulation (FAR) Subpart 9.5. (Insert Offeror Name) is not aware of any facts which create any actual or potential OCI relating to the award of this contract. (Insert Offeror Name) agrees to immediately disclose all information concerning any actual or potential OCI during the performance of the contract.

Insert Offeror Name

Insert Offeror Point of Contact (POC) Name*Date

Insert POC Title

*Person must have the authority to bind the company.

SAMPLE 2 – SUBCONTRACTOR / TEAMING PARTNER OCI STATEMENT

The following is an example of the OCI statement that each subcontractor and teaming partner shall complete and sign. All information pertaining to OCI is outlined in Request for Proposal (RFP) Section TBD. (Insert Company Name) is participating as a subcontractor or teaming partner (choose one) to (Insert Offeror Name) in response to RFP TBD for TBD. In accordance with RFP Section TBD, (Insert Company Name) has reviewed the requirements of the solicitation and the Federal Acquisition Regulation (FAR) Subpart 9.5.