3-Form 1295 Acknowledgment for Exemptions Form.pdf

Form 1295

Acknowledgment of Exemptions Form Fort Bend Independent School District (FBISD) is required to comply with House Bill 1295, which amended the Texas Government Code by adding Section 2252.908, Disclosure of Interested Parties.

Under this law, FBISD may not execute any Board- or Superintendent-approved contract with a business entity unless that entity submits a completed Disclosure of Interested Parties (Form 1295) to FBISD.

However, this requirement does not apply to the following types of contracts:

Acknowledgment of Exemptions (Check Applicable Box)

� a sponsored research contract of an institution of higher education;

� an interagency contract of a state agency or an institution of higher education;

� a contract related to health and human services if:

o the value of the contract cannot be determined at the time the contract is executed; and o any qualified vendor is eligible for the contract;

� a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity;

� a contract with an electric utility, as that term is defined by Section 31.002, Utilities Code; or

� a contract with a gas utility, as that term is defined by Section 121.001, Utilities Code.

Vendor Certification

I certify that the information provided above is true and correct.

I understand that failure to comply with Texas Gov’t Code §2252.908 may result in contract delays or termination.

Company Name: __________________________

Printed Name: _________________________________

Authorized Signature: __________________________

Date: ________________________________________

Instructions for Vendor

If exempt, check the applicable box, sign, and upload it under the HB 1295 Form in the Required Forms section in Bonfire.

https://www.ethics.state.tx.us/statutes/Gov-Code-2252.908.php