4-03 - Form 1295 Certificate of Interested Parties.pdf

This is a House Bill 1295 Certificate of Interested Parties form related to RFP 2026-015 for Dental & Vision Insurance Benefits in Texas. The form serves as a disclosure document required under Texas law for entities bidding on or entering into contracts with state and local government agencies. The certificate requires bidders to identify all interested parties with a financial interest in the proposed contract, including owners, officers, directors, and other stakeholders. The form is a mandatory submission for the dental and vision insurance benefits procurement, which covers eligible full-time employees, retirees, and their dependents across the state.

The Certificate of Interested Parties is a procedural compliance document essential to the bidding process for state contracts in Texas. Failure to complete and submit this form accurately may result in bid rejection or contract termination. The form requires detailed disclosure to ensure transparency and prevent conflicts of interest in the procurement process. All bidders responding to RFP 2026-015 must include this certification with their proposals to be considered for award of the dental and vision insurance benefits contract.