2-04 Conflict of Interest Questionnaire Form - Required, if applicable.pdf

This file is a Conflict of Interest Questionnaire Form (Form 5.3) related to Bid #34-01-27 for Hot Crack Sealant, issued by the City of Temple, Texas Streets Department. The questionnaire is required to be completed and submitted by bidders as part of the procurement process, with specific guidance provided in Section 4.2 of the bid documents regarding when completion and submission are necessary. The form serves as a standard compliance document to ensure bidders disclose any potential conflicts of interest that may affect their ability to perform the contract impartially and in accordance with applicable regulations.

The underlying contract opportunity seeks to establish an annual agreement for the purchase and delivery of hot crack sealant for the City of Temple Streets Department, with an estimated annual value of $45,000. The City intends to award the bid in its entirety to the lowest responsive and responsible bidder, meaning that completion of the Conflict of Interest Questionnaire is a mandatory requirement for bid consideration and evaluation in this procurement process.