1-Conflict of Interest Questionnaire.pdf

The document is a Conflict of Interest Questionnaire (CIQ) from the City of San Angelo, Texas Purchasing Division. The form is designed for vendors doing business with the local governmental entity and is based on changes made to the law by H.B. 23, 84th Legislature, Regular Session. The questionnaire requires vendors to disclose any potential conflicts of interest, including business relationships with local government officers or their family members that may involve financial transactions, gifts, or other interactions that could be perceived as influencing official decisions.

The form outlines specific reporting requirements under Local Government Code Sections 176.006(a) and 176.003(a), which mandate disclosure of any employment or business relationships that could result in taxable income exceeding $2,500 within a 12-month period, or gifts with an aggregate value specified by the code. Vendors must complete the form if they have a business relationship with the local governmental entity, begin discussions or negotiations for a contract, submit an application or bid, or become aware of a potential conflict of interest. The questionnaire must be filed with the records administrator not later than the seventh business day after the date the vendor becomes aware of the reportable information.