1-Form 3 - Texas Ethics Commission Certificate of Interested Parties (1295).pdf
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- Solicitation number
- 164-26-EPW-IFB
- Issued by
- Cameron County, Texas
About this file
This is a Certificate of Interested Parties acknowledgment form issued by the City of Brownsville, Texas Procurement Department for the Traffic Signal Improvements project at the intersection of Paredes Line Road and Coffee Road. The form serves as documentation that vendors understand and will comply with Texas Government Code 2252.908 and 1 Texas Administrative Code Chapter 46 requirements regarding the filing of a Certificate of Interested Parties (Form 1295) with the Texas Ethics Commission. The form applies to contracts that must be approved by the City Commission or executed by a City official before becoming effective. Respondents acknowledge their responsibility to complete and file Form 1295 electronically through the Texas Ethics Commission website, obtain a Certificate Number, and then print, sign, and notarize the form before submitting it to the City of Brownsville Procurement Department after receiving notice of intent to award but prior to contract execution.
The City of Brownsville may not execute the contract until a completed and verified Form 1295 is received from the respondent. All Certificate of Interested Parties documents will be made publicly accessible on the Texas Ethics Commission website in accordance with state law. The form requires respondent signature, notarization, and certification that all requirements have been understood and will be fulfilled. This acknowledgment form is a mandatory component of the procurement process for this project and must be signed by an authorized representative of the bidding organization, including printed name, title, date, company name, phone number, and email address.
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Text version
FY26 – Version 2 Procurement Department October 2025
Form 3 – Texas Ethics Commission Certificate of Interested Parties (Form 1295)
Purpose
This form serves as an acknowledgment of the statutory requirement for certain vendors to file a Certificate of Interested Parties (Form 1295) with the Texas Ethics Commission (TEC) before a contract can be executed with the City of Brownsville.
The requirement applies to any contract that:
• Must be approved by the City Commission or executed by a City official before becoming effective, or
• Otherwise meets the criteria established by the Texas Ethics Commission under Texas Government Code
§2252.908 and 1 Texas Administrative Code Chapter 46.
Respondent Acknowledgment
By signing below, the Respondent certifies and acknowledges the following:
1. The Respondent has reviewed the requirements of Texas Government Code §2252.908 and 1 TAC Chapter 46.
2. When applicable, the Respondent shall complete and file Form 1295 electronically at https://www.ethics.state.tx.us/filinginfo/1295/ to obtain a Certificate Number issued by the TEC.
3. The Respondent shall print, sign, and notarize the TEC Form 1295 and provide a PDF copy to the City of Brownsville Procurement Department after notice of intent to award but prior to contract execution.
4. The Respondent understands that the City may not execute a contract until a completed and verified Form 1295 is received.
5. The Respondent acknowledges that the Certificate of Interested Parties will be made publicly accessible on the TEC’s website in accordance with state law.
https://www.ethics.state.tx.us/filinginfo/1295/
FY26 – Version 2 Procurement Department October 2025
Certification
By signing below, the undersigned Respondent certifies that they have read and understood the requirements of Texas Government Code §2252.908 and 1 TAC Chapter 46 and that a completed Form 1295 will be filed and provided to the City prior to contract execution, if applicable.
The Respondent further understands that the Form 1295 itself must be signed and notarized in accordance with TEC requirements.
Signature: ____________________________________________
Printed Name: _________________________________________
Title: _______________________________________________
Date: ______________________
Company Name: ________________________________________
Phone: ______________________
Email: _______________________________________________
| Printed Name_3: |
| Title_4: |
| Date_3: |
| Company Name_3: |
| Phone_3: |
| Email_4: |
| Signature3_es_:signer:signature: |
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