Conflict of Interest Disclosure and Compliance Certification
This file is used by the NYC Mayor's Office of Contract Services to disclose and certify any potential conflicts of interest. Vendors must affirm that no City Elected Official or associated person has a financial interest in their organization. Failure to provide accurate information may result in penalties or contract ineligibility.
Edit, Download, and Sign the Conflict of Interest Disclosure and Compliance Certification
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Follow these steps to fill out the Conflict of Interest Disclosure and Compliance Certification. Ensure that all required information is provided accurately. If there is any potential conflict of interest, make sure to disclose it completely.

How to fill out the Conflict of Interest Disclosure and Compliance Certification?
1
Collect all necessary information about your organization.
2
Affirm that no City Elected Official or associated person has an interest in your organization.
3
Provide detailed information if there is any potential conflict of interest.
4
Fill in the required fields with accurate details about your organization.
5
Sign and notarize the certification before submission.
Who needs the Conflict of Interest Disclosure and Compliance Certification?
1
Vendors looking to enter into a contract with NYC need this file for compliance.
2
Organizations seeking funding from NYC need this file to disclose any conflicts of interest.
3
Consultants working with NYC must complete this file to certify their compliance.
4
Non-profit organizations receiving NYC funds are required to submit this file.
5
Any entity engaging in business with NYC must fill out this form to ensure transparency.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Conflict of Interest Disclosure and Compliance Certification along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Conflict of Interest Disclosure and Compliance Certification online.
Edit this PDF on PrintFriendly effortlessly using our intuitive PDF editor. Simply upload the file, and make the necessary changes in the designated fields. Review your edits and download the updated PDF for submission.

Add your legally-binding signature.
Sign the PDF on PrintFriendly using our integrated e-signature feature. Upload the file, add your digital signature in the appropriate section, and complete the process. Download the signed PDF for submission.

Share your form instantly.
Share the PDF on PrintFriendly by using our sharing options. Upload the document, generate a shareable link, and send it to the intended recipients. You can also share via email directly from the platform.
How do I edit the Conflict of Interest Disclosure and Compliance Certification online?
Edit this PDF on PrintFriendly effortlessly using our intuitive PDF editor. Simply upload the file, and make the necessary changes in the designated fields. Review your edits and download the updated PDF for submission.
1
Upload the PDF file to PrintFriendly.
2
Use the PDF editor to fill out required fields.
3
Make necessary changes and additions to the content.
4
Review the edited file to ensure accuracy.
5
Download the updated PDF for submission.

What are the instructions for submitting this form?
Submit this form along with your contract or funding application. Mail the completed and notarized form to NYC Mayor's Office of Contract Services, 253 Broadway - 9th Floor, New York, NY 10007. Alternatively, you might use online submission forms if provided in your contract or funding guidelines. It is crucial to ensure all information is accurate and complete before submission.
What are the important dates for this form in 2024 and 2025?
Submission deadlines for this form typically align with contract or funding application dates. Check specific deadlines provided in your contract or application guidelines.

What is the purpose of this form?
The purpose of the Conflict of Interest Disclosure and Compliance Certification form is to ensure transparency and compliance in the contracting process with the NYC Mayor's Office of Contract Services. By filling out this form, vendors, consultants, non-profits, and other entities disclose any potential conflicts of interest involving City Elected Officials or their associates. This certification is crucial to maintaining integrity and trust in the procurement process, safeguarding public interest, and ensuring fair competition. The form helps to identify and address any potential conflicts before they affect the contracting or funding process, promoting ethical standards and accountability.

Tell me about this form and its components and fields line-by-line.

- 1. Vendor Information: Includes the name, address, and EIN of the vendor, and the signature of an authorized official.
- 2. Conflict of Interest Disclosure: Affirmation and detailed disclosure of any potential conflicts of interest involving City Elected Officials or their associates.
- 3. Corporate Status: Information about the vendor's incorporation under NYS Not-for-Profit Corp. Law and compliance with applicable legal requirements.
What happens if I fail to submit this form?
Failing to submit this form may result in penalties, including ineligibility for contract awards and potential criminal charges.
- Non-Responsibility: The vendor may be deemed non-responsible for the purpose of contract award.
- Criminal Charges: Making a materially false statement may subject the person to criminal charges.
How do I know when to use this form?

- 1. Contracting with NYC: Submit this form when entering into a contract with NYC to certify compliance and transparency.
- 2. Seeking Funding: Use this form when applying for funding from NYC to disclose any potential conflicts of interest.
Frequently Asked Questions
How do I upload the PDF to PrintFriendly?
Click on the upload button and select the PDF file from your device to start editing.
Can I edit the existing text in the PDF?
Yes, you can edit the existing text using PrintFriendly's PDF editor tool.
How do I add my digital signature to the PDF?
Use the e-signature feature to place your digital signature in the designated section of the PDF.
Can I share the edited PDF with others?
Yes, you can generate a shareable link or send the edited PDF via email directly from PrintFriendly.
Do I need to download any software to edit the PDF?
No, you can edit the PDF directly on PrintFriendly without downloading any software.
How do I save my edits made on PrintFriendly?
After completing your edits, you can download the updated PDF file to your device.
Is there a limit to the number of files I can edit?
There is no limit to the number of files you can edit using PrintFriendly's PDF editor.
Can I edit my PDF on a mobile device?
Yes, PrintFriendly's PDF editor is compatible with mobile devices for easy editing on the go.
How do I ensure my information is accurate?
Double-check all entries and use PrintFriendly's preview feature to review the entire document before saving.
What if I make a mistake while editing?
You can always use the undo feature or re-upload the original file to start over with your edits.
Related Documents - Conflict of Interest Certification

Andhra Pradesh State Road Transport Corporation Student Bus Pass Application
The Andhra Pradesh State Road Transport Corporation (APSRTC) Student Bus Pass Application form is for students up to SSC who need to apply for a bus pass for the academic year 2024-2025. This form includes personal details, school details, route details, and requires a bonafide certificate. Completing this form allows students to travel on APSRTC buses between their residence and school at a concessional fare.

NYC Section 8 Request to Move Form
The NYC Section 8 Request to Move Form is for participants in good standing to move with continued assistance. Participants must meet specific criteria and obtain necessary approvals. The form includes options for non-emergency and emergency moves.

Cheyenne Transit ADA Paratransit Eligibility Application
This file includes the application and instructions for Cheyenne Transit's ADA Paratransit service. It details the eligibility criteria and provides guidelines on how to complete the form. The document must be filled out in full and submitted to determine eligibility for Paratransit service.

Council-Manager Government Roles and Responsibilities Guide
This file provides detailed information about the roles and responsibilities of key officials in a council-manager government structure, including the mayor, city manager, and elected officials. It also explains how residents can participate in the government decision-making process.

Passenger and School Bus Driver Application
This file provides detailed instructions and forms required for obtaining a Commercial Driver License (CDL) with a passenger or passenger/school bus endorsement in New Jersey. It includes fingerprinting information, medical examiner certificate requirements, and a declaration form. Applicants must complete the form, print, and sign it before visiting an Agency or the New Jersey Motor Vehicle Commission.

Facility Clearance (FCL) Orientation Handbook - March 2021
This handbook provides a comprehensive orientation to the Facility Clearance (FCL) process. It outlines responsibilities, deadlines, and guidance. It includes detailed process information and required forms.

Service Member's Individual Transition Plan Checklist
This file is a checklist intended for service members to document and certify the achievement of career readiness standards as they transition out of the military. It includes sections for personal and family needs assessment, evaluation of military service benefits and acquired skills, career readiness standards, and contact information for supporting agencies. The checklist must be completed and verified by the service member, transition counselor, and unit commander prior to separation.

Bangladesh Judicial Service Commission Form Instructions
This document provides detailed instructions for filling out and submitting the Bangladesh Judicial Service Commission form, including essential deadlines and required fields.

NORKA, RØD S - Government of Kerala Undertaking File
This document is issued by the Government of Kerala and pertains to various government-related undertakings. It provides important instructions and details necessary for various procedures. Users should follow the guidelines carefully to ensure compliance.

GOVERNMENT OF PUNJAB DEPARTMENT OF PERSONNEL MANUAL 2019
This document is a manual by the Government of Punjab's Department of Personnel, outlining various personnel policies and instructions issued in the year 2019. It includes amendments, performance indicators, appointment procedures, and relevant rules for civil services and recruitment. The manual serves as a comprehensive guide for personnel management and related administrative processes.

Oklahoma DOT Roadway Design CADD Standards Manual
The Oklahoma DOT Roadway Design CADD Standards Manual effective April 1, 2015 details the best practices for all related engineering work. Following these standards ensures readability, uniformity, and proficiency in design plans. This manual is essential for designers working with or for the Oklahoma Department of Transportation.

Affordable Connectivity Program Application Form FCC Form 5645
FCC Form 5645 is an application form for the Affordable Connectivity Program (ACP) that provides monthly internet service discounts and a one-time device benefit for qualifying low-income consumers. The form includes sections for personal information, identity verification, and household details. Instructions for submission and required documentation are also provided.