14-00 35 13 Conflict of Interest Statement 106711.pdf
PDF 121 KB Posted
- Solicitation number
- 26-0149
- Issued by
- Tarrant County, Fort Worth City, Texas
About this file
This is a Conflict of Interest Statement document issued by the City of Fort Worth for the Water Main Replacements - Contract 2026 project (City Project No. 106711). The document outlines the conflict of interest disclosure requirements that all bidders, offerors, and respondents must fulfill when submitting proposals for this procurement. Bidders are required to complete either a Conflict of Interest Questionnaire (CIQ) or certify that one is current and on file with the City Secretary's Office in accordance with Texas state law. Additionally, if any member of the Fort Worth City Council, City Manager, Assistant City Managers, or a City agent exercising discretion in planning, recommending, selecting, or contracting is affiliated with the bidder's company, a Local Government Officer Conflicts Disclosure Statement (CIS) may be required. The document provides links to the required forms and advises bidders to consult legal counsel regarding the applicability of these forms and compliance with Texas Local Government Code Chapter 176.
The document requires bidders to indicate the status of their conflict of interest disclosures by selecting one of three options for both the CIQ and CIS forms: that the form does not apply, that the form is on file with the City Secretary, or that the form is being provided to the City Secretary with the bid submission. Bidders must sign and submit the completed affidavit with their proposal, providing their name, signature, and title. This conflict of interest documentation is a mandatory component of the bidding process and must be properly completed and submitted for the bid to be considered responsive.
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Text version
CITY OF FORT WORTH WATER MAIN REPLACEMENTS,
CONSTRUCTION SPECIFICATION DOCUMENTS CONTRACT 2026
Revised September 19, 2025 City Project No. 106711
00 35 13
CONFLICT OF INTEREST AFFIDAVIT
SECTION 00 35 13
CONFLICT OF INTEREST STATEMENT
Each bidder, offeror, or respondent to a City of Fort Worth procurement is required to complete a Conflict of Interest Questionnaire or certify that one is current and on file with the City Secretary’s Office pursuant to state law.
If a member of the Fort Worth City Council, any one or more of the City Manager or Assistant City Managers, or an agent of the City who exercises discretion in the planning, recommending, selecting or contracting with a bidder, offeror or respondent is affiliated with your company, then a Local Government Officer Conflicts Disclosure Statement (CIS) may be required.
You are urged to consult with counsel regarding the applicability of these forms and Local Government Code Chapter 176 to your company.
The referenced forms may be downloaded from the links provided below.
Form CIQ (Conflict of Interest Questionnaire) (state.tx.us) https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf
□ CIQ Form does not apply
□ CIQ Form is on file with City Secretary
□ CIQ Form is being provided to the City Secretary
□ CIS Form does not apply
□ CIS Form is on File with City Secretary
□ CIS Form is being provided to the City Secretary
BIDDER:
By:
(Please Print)
Signature:
Title:
(Please Print)
END OF SECTION
https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf
| SECTION 00 35 13 |
| BIDDER: |
| END OF SECTION |
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