10-Form 1295 Acknowledgment for Exemptions Form.pdf
PDF 213 KB Posted
- Solicitation number
- RFP 26-042AR
- Issued by
- Fort Bend County, Texas
About this file
This is a Form 1295 Acknowledgment of Exemptions form issued by Fort Bend Independent School District (FBISD) in Texas, required under House Bill 1295 and Texas Government Code Section 2252.908. The form relates to a contract opportunity for digital radios, airtime services, equipment, and related items for the District's two-way radio system supporting its school bus fleet. The form itself does not specify product quantities, response dates, due dates, site visits, bidder meetings, award dates, or contract terms, as it functions primarily as a compliance document rather than a procurement specification document.
The form requires vendors to certify their status and disclose interested parties as a condition of contract execution with FBISD. Vendors may claim exemption from the disclosure requirement if they fall into specific categories, including sponsored research contracts of higher education institutions, interagency contracts, certain health and human services contracts with undetermined value, contracts with publicly traded business entities or their wholly owned subsidiaries, or contracts with electric or gas utilities. Vendors must check the applicable exemption box, sign the certification, and submit the completed form through the Bonfire procurement system. The document emphasizes that failure to comply with the disclosure requirements may result in contract delays or termination.
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Text version
Form 1295
Acknowledgment of Exemptions Form Fort Bend Independent School District (FBISD) is required to comply with House Bill 1295, which amended the Texas Government Code by adding Section 2252.908, Disclosure of Interested Parties.
Under this law, FBISD may not execute any Board- or Superintendent-approved contract with a business entity unless that entity submits a completed Disclosure of Interested Parties (Form 1295) to FBISD.
However, this requirement does not apply to the following types of contracts:
Acknowledgment of Exemptions (Check Applicable Box)
� a sponsored research contract of an institution of higher education;
� an interagency contract of a state agency or an institution of higher education;
� a contract related to health and human services if:
o the value of the contract cannot be determined at the time the contract is executed; and o any qualified vendor is eligible for the contract;
� a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity;
� a contract with an electric utility, as that term is defined by Section 31.002, Utilities Code; or
� a contract with a gas utility, as that term is defined by Section 121.001, Utilities Code.
Vendor Certification
I certify that the information provided above is true and correct.
I understand that failure to comply with Texas Gov’t Code §2252.908 may result in contract delays or termination.
Company Name: __________________________
Printed Name: _________________________________
Authorized Signature: __________________________
Date: ________________________________________
Instructions for Vendor
If exempt, check the applicable box, sign, and upload it under the HB 1295 Form in the Required Forms section in Bonfire.
https://www.ethics.state.tx.us/statutes/Gov-Code-2252.908.php
| Company Name: |
| Printed Name: |
| Date: |
| Signature1_es_:signer:signature: |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box2: Off |
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