Attachment D Exhibit 4 - OCI


Exhibit 4
Organizational Conflict of Interest (OCI) Certification and Disclosure

This form shall be completed by an authorized officer of the Contractor and, where applicable, by an authorized officer of each subcontractor, affiliate, or other entity performing services under the base IDIQ contract or a Task Order.

1. Purpose and Applicability

This Organizational Conflict of Interest (OCI) Certification and Disclosure applies to the Contractor and, as applicable, its principals, parent entities, subsidiaries, affiliates, joint-venture members, Contractor Team Arrangement members, teaming partners, subcontractors, consultants, and personnel proposed to perform under the above-referenced IDIQ contract or Task Order. The Contractor shall complete this certification before issuance of the Notice to Proceed under the base IDIQ contract for Contractor or subcontractor personnel who will perform services in connection with the contract; before commencement of performance under each Task Order; before additional personnel begin work; and whenever a material change may create an actual, potential, or apparent organizational conflict of interest.

2. Reasonable Inquiry Certification

The Contractor certifies that it has conducted a reasonable inquiry of the covered entities and persons identified above to identify actual, potential, or apparent organizational conflicts of interest associated with performance of the above-referenced contract or Task Order. The Contractor further certifies that the information provided in this certification and any attached disclosure is true, complete, and current to the best of the Contractor’s knowledge after reasonable inquiry.

3. OCI Determination

Select one:
☐ No OCI identified. The Contractor has identified no actual, potential, or apparent organizational conflict of interest that would impair objectivity; provide unequal access to nonpublic, source-selection, proprietary, or procurement-sensitive information; create biased ground rules; result in prohibited representation; or otherwise affect the integrity of the VA lease procurement or Broker Services contract. ☐ OCI disclosed. The Contractor has identified one or more actual, potential, or apparent organizational conflicts of interest. The Contractor has completed Section 4 and attached additional pages, if necessary.

4. Required OCI Disclosure:

For each actual, potential, or apparent OCI, provide the following information. Attach additional pages if necessary.

A. Affected entity or individual: