3-05 Conflict of Interest Questionnaire Form.pdf
PDF 380 KB Posted
- Attached to
- Traffic Signal Equipment & Supplies
- Solicitation number
- Bid #28-01-26
- Issued by
- Bell County, Texas
About this file
The document is a Conflict of Interest Questionnaire (Form CIQ) for vendors doing business with a local governmental entity, specifically related to Bid #28-01-26 for Traffic Signal Equipment & Supplies. The form is provided by the Texas Ethics Commission and is designed to disclose potential conflicts of interest between vendors and local government officers, as mandated by Chapter 176 of the Local Government Code. The questionnaire requires vendors to provide information about business relationships, employment connections, financial interactions, and potential conflicts with local government officers or their family members.
The document outlines detailed legal requirements for vendors, including the need to file a conflicts disclosure statement if they have an employment or business relationship with a local government officer that results in taxable income exceeding $2,500 in a 12-month period, or if they have given gifts to a local government officer with an aggregate value of more than $100. The form must be filed with the appropriate records administrator not later than the seventh business day after the date the vendor becomes aware of a potential conflict, such as when discussions or negotiations begin for a contract, or when an employment or business relationship is established.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Bid #28-01-26 Traffic Signal Equipment & Supplies 23
Bid #28-01-26 Traffic Signal Equipment & Supplies 24
| b. Termination for Cause or Convenience for Contracts Exceeding $10,000 |
| c. Equal Employment Opportunity |
| Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 shall be deemed to include the equal opportunity clause provided under 41 CFR 60-1.4(b), in a... |
| d. Davis-Bacon Act as amended (40 U.S.C. 3141-3148) |
| When required by Federal program legislation, all prime construction contracts in excess of $2,000, Vendor shall comply with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “L... |
| The City must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. Vendor agrees that for any purchase to which this requirement applies, the award is conditioned upon Vendor’s acceptance of... |
| subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non-Federal entity must ... |
| e. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) |
| Where applicable, all contracts awarded by the City in excess of $100,000 that involve the employment of mechanics or laborers, Vendor agrees to comply with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). U... |
| f. Rights to Inventions Made Under a Contract or Agreement |
| If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assi... |
| g. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. |
| Where applicable, all contracts awarded by the City in excess of $150,000, Vendor agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control... |
| h. Debarment and Suspension (Executive Orders 12549 and 12689) |
| A contract award (see 2 CFR 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 19... |
| i. Byrd Anti-Lobbying Amendment (31 U.S.C. 1352) |
| Vendors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or att... |
| Vendor agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It is further acknowledged that vendor certifies compliance with all provisions, laws, acts, regulations, etc. as specifically noted above. |
File details come from the government source that posted it. Updated .