2-00 35 13 Conflict of Interest Statement.pdf

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Attached to
PW 2027 Concrete Restoration Contract 2, City Project No. 106797
Solicitation number
26-0301
Issued by
Tarrant County, Texas

About this file

This is a Conflict of Interest Statement document associated with the City of Texas's PW 2027 Concrete Restoration Contract 2 (City Project No. 106797). The project encompasses approximately 23,000 square yards of 9-inch concrete panel replacement, 1,550 cubic yards of unclassified excavation, 3,000 cubic yards of flexible base (Type A, Grade 2), and 12,000 square yards of geogrid base reinforcement. The statement establishes the framework for disclosure requirements and conflict of interest protocols that bidders and contractors must follow throughout the procurement and execution phases of this concrete restoration project.

The Conflict of Interest Statement outlines the mandatory disclosures and certifications required from all parties involved in the bidding and performance of this contract. Contractors and their representatives must identify any potential conflicts of interest, financial interests, or relationships that could compromise their objectivity or create improper influence in the contract award and performance process. This document serves as a compliance mechanism to ensure transparency, maintain the integrity of the procurement process, and protect the public interest throughout the contract lifecycle.

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00 35 13 - 1

CONFLICT OF INTEREST STATEMENT

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. Each bidder, offeror or respondent has a duty to review the requirements set forth in the forms and may certify, if appropriate, that the respective form does not apply.

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 exercise 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) Form CIS (Local Government Officer Conflicts Disclosure Statement)

� CIQ Form does not apply

� CIQ Form is on file with City Secretary

� CIQ Form is being provided to the City Secretary

� CIQ Form does not apply

� CIS Form is on File with City Secretary

� CIS Form is being provided to the City Secretary

BIDDER:

By: ___________________________________

Signature: ______________________________

Title: __________________________________

END OF SECTION

CITY OF FORT WORTH

STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS

2027 Concrete Restoration Contract 2 City Project No. 106797

Revised June 5, 2026 https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf

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