4-00 35 13 Conflict of Interest Statement.pdf
PDF 59 KB Posted
- Attached to
- PW - 105560 - WATER SERVICE LEAK REPAIR AND WATER LEAD SERVICE REPLACEMENT CONTRACT 2025
- Solicitation number
- 25-0229
- Issued by
- Tarrant County, Texas
About this file
This document is a Conflict of Interest Statement from the City of Fort Worth for procurement processes. The document requires bidders, offerors, or respondents to complete a Conflict of Interest Questionnaire (CIQ) or certify that such a form is current and on file with the City Secretary's Office, as mandated by state law. If any member of the Fort Worth City Council, City Manager, Assistant City Managers, or a city agent with discretionary powers in planning, recommending, selecting, or contracting is affiliated with a bidding company, a Local Government Officer Conflicts Disclosure Statement (CIS) may be required.
The document provides links to download the necessary forms and includes checkboxes for bidders to indicate the status of their CIQ and CIS forms, such as whether they do not apply, are on file with the City Secretary, or are being provided to the City Secretary. Bidders are advised to consult legal counsel regarding the applicability of these forms and Local Government Code Chapter 176. The document is part of the City of Fort Worth's Standard Construction Specification Documents, revised on February 24, 2020, and requires the bidder to sign and provide their title on the form.
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Text version
00 35 13
CONFLICT OF INTEREST STATEMENT
Each bidder, offeror or respondent to a City of Fort Worth procurement is required to complete a Conflict of Interest Questionnaire or certify that one is current and on file with the City Secretary's Office pursuant to state law.
If a member of the Fort Worth City Council, any one or more of the City Manager or Assistant City Managers, or an agent of the City who exercise discretion in the planning, recommending, selecting or contracting with a bidder, offeror or respondent is affiliated with your company, then a Local Government Officer Conflicts Disclosure Statement (CIS) may be required.
You are urged to consult with counsel regarding the applicability of these forms and Local Government Code Chapter 176 to your company.
Form CIQ (Conflict of Interest Questionnaire) (state.tx.us) https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf
CIQ Form does not apply
CIQ Form is on file with City Secretary
CIQ Form is being provided to the City Secretary
CIS Form does not apply
CIS Form is on File with City Secretary
CIS Form is being provided to the City Secretary
BIDDER:
By:
Signature:
Title:
The referenced forms may be downloaded from the links provided below.
CONFLICT OF INTEREST STATEMENT
SECTION 00 35 13
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised February 24, 2020 00 41 00 Bid Proposal Workbook
File details come from the government source that posted it. Updated .