Declaration of interest and confidentiality

Please read the confidentiality agreement and declaration of interests agreement below thoroughly before completing the form.

Confidentiality

Please read the confidentiality agreement below and complete the form at the end of the page to confirm your acceptance of this confidentiality agreement.

1) I acknowledge that information may be disclosed to me in relation to my work with HQIP which is confidential (“Confidential Information”). This material may be commercially sensitive, or provided to HQIP on an academic-in-confidence basis (for example research that has not yet been published).  Confidential Information may include, but is not limited to:

(a) Pre-publication documents and results

(b) Content and outcome of procurement and tendering activity

(c) Bid material in relation to point b

(d) Content and outcome of the tender clarification meeting

(e) Information relating to the existence, content or outcome of confidential discussions.

In relation to 1b and c:

Please note: in relation to any tender evaluation or moderation meetings, you should carefully consider any future engagement with possible tenderers for contract work. Competitive advantage must not be given to any potential supplier under public sector procurement regulations, and suppliers who canvass you may face disqualification from the procurement process.

Within this confidentiality statement you are:

Confirming that you will not share or disseminate information about the process, content and outcome of the tender moderation meeting outside of pre-approved HQIP processes.

Accept full responsibility for ensuring that where relevant, login to HQIP’s eProcurement platform (Source2Contract) and the bid submissions it contains, will remain confidential at all times and will not be distributed.

2)  Subject to paragraph 3 below, I undertake to HQIP that I shall:

(a) Keep all Confidential Information strictly confidential and, except as expressly permitted under this agreement shall not disclose, use, copy in whole or in part or modify or adapt any Confidential Information in any way without HQIP’s prior written consent which may be given or withheld in its absolute discretion and / or

(b) Not use any Confidential Information for any purpose other than participating in the HQIP business and / or

(c) Return all Confidential Information to HQIP on written demand and / or

(d) In the event that HQIP authorizes any disclosure of Confidential Information by me to a third party I shall procure that such third party complies with this agreement as if he were a party to it.

3) The undertakings set out in paragraphs 2 above (the “Undertakings”) shall not apply to information which:

(a) Is in the public domain otherwise than through a breach of any of the Undertakings or a breach of any other confidentiality obligation owed by any person to HQIP;

(b) Was lawfully within my possession before it was disclosed to me by HQIP and neither I nor my alternative source of the information owed any confidentiality obligation to HQIP in respect of it;

(c) Is required to be disclosed by any court of competent jurisdiction or any government agency lawfully requesting the same provided that I use my best endeavours to notify HQIP in advance of such disclosure; or

(d) Is approved for release by prior written authorization of HQIP.

4) I acknowledge that:

(a) Breach by me of any of the Undertakings could cause HQIP harm that is irreparable and that cannot be compensated by damages, and that in the event of any actual or threatened breach by me of any Undertaking HQIP shall be entitled to apply for and obtain (regardless of any rights HQIP may have to claim damages) an injunction or other equitable relief against me;

(b) This agreement constitutes the entire agreement between myself and HQIP relating to the Confidential Information;

(c) Any amendments to or waiver of any of the terms of this agreement must be set out in writing and signed by me and on behalf of HQIP;

(d) This agreement is governed by English law and subject to the exclusive jurisdiction of the English courts.

Please complete and submit this form to accept this confidentiality agreement.

Declaration of interests

All interests that might unduly influence an individual’s judgement and objectivity in the conduct of or award of HQIP business should be declared. If in doubt, please declare all interests.

Particular consideration should be given to interests involving payment or financial inducement or any reputational interest that might affect the business under consideration or award of any contract linked to HQIP business.

The ‘Declaration of Interests and Dealing with Conflicts of Interest Policy‘ document should be read in conjunction with this form (please also see below for a summary table of HQIP definitions of declaration of interest). This form provides details regarding the type of interest that should be declared.

The time period for relevant interests is 12 months before involvement in HQIP business.

HQIP definitions of declaration of interest

Financial: Anything of monetary value, including payments for services, business interests, equity interests, including stocks, stock options or other ownership interests and intellectual property rights, including patents and copyrights and royalties arising from such interests.

Personal financial interest: Where there is or appears to be opportunity for personal financial gain or financial gain to a direct family member.

Non personal financial interest: Where there is payment or other benefit to a department or organisation in which the individual is employed but does not receive personally. For example submitting a bid.

Personal non financial interest: Where there is opinion on the matter, work programme or service under consideration.

Once you have read the above agreements, please fill out the following form.

Form


    Data Protection Act