LETTER HEAD 

EUOSHA/2021/OP/F/SE/0142 

# Annex XII: Declaration of confidentiality and no conflict of interest 

# Reference: - EUOSHA/2021/OP/F/SE/0142 – Communication and event services - Contract number EUOSHA/2021/0142/ Lot [c omplete lot number] 

I the undersigned ……………………… representative of ["contractor's" name in full] in the aforementioned contract hereby confirm that: 

- I have read and shall comply with the confidentiality and security clauses laid down in Article II.8 of the Framework contract; 

- on the date of submission of the tender, the organisation that I represent and the staff proposed for this tender are not subject to a conflict of interest in the context of this specific contract; a conflict of interest could arise in particular as a result of economic interests, political or national affinities, family or emotional ties, or any other relevant connection or shared interest; 

- I will inform the authorising department, without delay, of any situation constituting a conflict of interest or which could give rise to a conflict of interest; 

- that the organisation that I represent and the staff proposed have not made, and undertake not to make, any offer, of any type whatsoever, from which an advantage could be derived in connection with this contract; 

- the organisation that I represent and the staff proposed have not sought and will not seek, have not attempted and will not attempt to obtain, and have not accepted and will not accept, any advantage, financial or in kind, from any party whatsoever, where such advantage constitutes an illegal practice or involves corruption, either directly or indirectly, inasmuch as it is an incentive or reward relating to the performance of the contract; 

- I am aware that the EU-OSHA reserves the right to check this information, and I realise the possible consequences that may arise from any false declaration in providing the information required by the authorising department in order to participate in the specific contract. 

Full name and signature: ………. 

Date: 

