2-00 35 13 Conflict of Interest Statement 106066.pdf
PDF 120 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 water main construction projects under Contract 2025, Project No. 106066. The document establishes compliance requirements for all bidders, offerors, and respondents participating in City of Fort Worth procurements related to Small Diameter Water Main Extensions, Standard Construction Specification Documents, Replacements, and Relocations. 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 state law. The document requires disclosure if any member of the Fort Worth City Council, City Manager, Assistant City Managers, or City agents exercising discretion in planning, recommending, selecting, or contracting with bidders are affiliated with the bidding company, which may necessitate filing a Local Government Officer Conflicts Disclosure Statement (CIS).
The document provides three options for each form: declaring the form does not apply, confirming the form is on file with the City Secretary, or indicating the form is being provided to the City Secretary. Bidders must execute the affidavit by providing their company name, signature, title, and complete address. The referenced CIQ and CIS forms are available through the Texas Ethics Commission website. Compliance with Texas Local Government Code Chapter 176 is mandatory, and bidders are advised to consult legal counsel regarding the applicability of these conflict of interest disclosure requirements to their specific circumstances.
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Text version
CITY OF FORT WORTH SMALL DIAMETER WATER MAIN EXTENSIONS,
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS REPLACEMENTS & RELOCATIONS CONTRACT 2025 Revised February 24, 2020 City Project No. 106066
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.
https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf 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:
Company (Please Print)
Signature:
Address
Title:
City/State/Zip (Please Print)
END OF SECTION
http://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf
| SECTION 00 35 13 |
| BIDDER: |
| END OF SECTION |
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