2-07 - Conflict of Interest Questionnaire.pdf

PDF 418 KB Posted

Attached to
Fabrication of Four Complete Sets of Auger Bearing Hangers and Shafts for SEWRP
Solicitation number
ITB 26-19467-MA
Issued by
Henderson County, Texas

About this file

This is a Conflict of Interest Questionnaire document issued by the City of Lubbock, Texas Purchasing and Contract Management Department regarding a fabrication contract for four complete sets of auger bearing hangers and shafts for the South East Water Reclamation Plant (SEWRP). The document outlines Texas Local Government Code Chapter 176 requirements, which mandate that any vendor or person considering business with the City of Lubbock must disclose affiliations or business relationships that might create conflicts of interest. The questionnaire must be filed with the City Secretary's Office no later than the seventh business day after the vendor becomes aware of facts requiring disclosure. The document includes a list of municipal officials subject to conflict of interest disclosure requirements, including the Mayor (Tray Payne), six Council Members representing Districts 1 through 6, and the City Manager.

Vendors are only required to complete the Conflict of Interest Questionnaire Form (CIQ) if they have a business relationship that might cause a conflict of interest with the City of Lubbock. The questionnaire form is available through the Texas Ethics Commission website. Failure to comply with Section 176.006 of the Local Government Code constitutes a Class C misdemeanor offense. All conflict of interest forms should be submitted to the City Secretary's Office, P.O. Box 2000, Lubbock, Texas 79401.

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City of Lubbock, TX

Purchasing and Contract Management

Conflict of Interest Questionnaire

CONFLICT OF INTEREST QUESTIONNAIRE (CIQ)

It is not necessary to fill out the CIQ Form unless you have a business relationship that might cause a conflict of interest with the City of Lubbock

Effective January 1, 2006, Chapter 176 of the Texas Local Government Code requires that any vendor or person considering doing business with a local government entity disclose in the Questionnaire, Form

CIQ, the vendor or person’s affiliation or business relationship that might cause a conflict of interest with a local government entity. By law, the questionnaire must be filed with the records administrator of the

City of Lubbock not later than the 7th business day after the date the person becomes aware of the facts that require the statement to be filed. The questionnaire can be found at:

https://www.ethics.state.tx.us/forms/conflict/

For the City of Lubbock, these forms should be filed with the City Secretary’s Office, P.O. Box 2000, Lubbock, Texas, 79401

See Section 176.006, Local Government Code:

http://www.statutes.legis.state.tx.us/SOTWDocs/LG/htm/LG.176.htm.

A person commits an offense if the person violates Section 176.006, Local Government Code.

An offense under this section is a Class C misdemeanor.

https://www.ethics.state.tx.us/forms/conflict/ http://www.statutes.legis.state.tx.us/SOTWDocs/LG/htm/LG.176.htm https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm

CITY OF LUBBOCK, TX

LIST OF MUNICIPAL OFFICIALS

FOR CONFLICT OF INTEREST DISCLOSURE

(Required by Local Government Code Section 176)

POSITION

Mayor

Council Member, District 1

Council Member, District 2

Council Member, District 3

Council Member, District 4

Council Member, District 5

Council Member, District 6

NAME

Tray Payne

Christy Martinez-Garcia

Shelia Patterson Harris

Mark W. McBrayer

Steve Massengale

Dr. Jennifer Wilson

Latrelle Joy

W. Jarrett Atkinson City Manager

File details come from the government source that posted it. Updated .