2-Form 6 - Litigation Disclosure.pdf

172 KB Posted

Attached to
Airport Landside Professional Architectural and Engineering Services
Solicitation number
153-26-AIR-RFQ
Issued by
Cameron County, Texas

About this file

Written by GovTribe AI ·

This is a Litigation Disclosure Form (Form 6) required by the City of Brownsville, Texas Procurement Department for respondents seeking to provide professional architectural and engineering services for landside development at Brownsville Airport. The form mandates that all respondents disclose any litigation, arbitration, or claims involving the respondent, its officers, or principals that occurred within the past five years and relate to the performance of public contracts or professional services. Respondents must certify whether they have or have not been involved in such matters and provide detailed information including case titles, case numbers, court venues, descriptions of disputes, and resolution outcomes if litigation has occurred. The form includes space for up to six separate case disclosures and requires certification by an authorized company representative with signature, printed name, title, date, company name, and phone number.

The form serves as a critical eligibility and qualification screening mechanism, with false, incomplete, or misleading information subject to disqualification, contract termination, or prosecution under Texas Penal Code Section 37.10 for tampering with a governmental record. This disclosure requirement applies to all respondents submitting proposals for the Airport Landside Professional Architectural and Engineering Services contract opportunity and represents a standard due diligence practice to ensure contractor integrity and past performance reliability in public contracting.

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12-153-26-AIR-RFQ Airport Landside Solicitation.pdf PDF
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4-Form 7 - Disclosure of Interest.pdf PDF
5-Form 3 - Texas Ethics Commission Certificate of Interested Parties (1295).pdf PDF
8-HUB Information.pdf PDF
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FY26 – Version 2 Procurement Department October 2025

Form 6 – Litigation Disclosure

Purpose

This form requires each Respondent to disclose any litigation, arbitration, or claims—pending, settled, or closed—within the past five (5) years involving the Respondent, its officers, or principals that relate to performance of public contracts or services similar to those solicited by the City of Brownsville.

Disclosure Statement

☐ The Respondent has NOT been involved in any litigation, arbitration, or claim within the past five (5) years related to public contracting or professional services.

☐ The Respondent HAS been involved in one or more litigation, arbitration, or claim matters within the past five (5) years as described below:

Case Title / Parties Case No. / Court / Venue Brief Description of Dispute

Status / Outcome / Date Resolved

Attach additional pages if necessary.

Certification

By signing below, the undersigned Respondent certifies that the information provided herein is complete and accurate to the best of their knowledge and that no other litigation, arbitration, or claims exist except as disclosed above. The Respondent acknowledges that submission of false, incomplete, or misleading information may result in disqualification, termination of contract, or prosecution under Texas Penal Code § 37.10 (Tampering with a Governmental Record).

Signature: ____________________________________________

Printed Name: _________________________________________

Title: ________________________________________________

Date: ______________________

Company Name: ________________________________________

Phone: ______________________

The Respondent has NOT been involved in any litigation arbitration or claim within the past five 5 years: Off
The Respondent HAS been involved in one or more litigation arbitration or claim matters within the past: Off
Case Title PartiesRow1:
Case No Court VenueRow1:
Brief Description of DisputeRow1:
Status Outcome Date ResolvedRow1:
Case Title PartiesRow2:
Case No Court VenueRow2:
Brief Description of DisputeRow2:
Status Outcome Date ResolvedRow2:
Case Title PartiesRow3:
Case No Court VenueRow3:
Brief Description of DisputeRow3:
Status Outcome Date ResolvedRow3:
Case Title PartiesRow4:
Case No Court VenueRow4:
Brief Description of DisputeRow4:
Status Outcome Date ResolvedRow4:
Case Title PartiesRow5:
Case No Court VenueRow5:
Brief Description of DisputeRow5:
Status Outcome Date ResolvedRow5:
Case Title PartiesRow6:
Case No Court VenueRow6:
Brief Description of DisputeRow6:
Status Outcome Date ResolvedRow6:
Printed Name_6:
Title_7:
Date_6:
Company Name_6:
Phone_6:
Signature6_es_:signer:signature:

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