4-4 Conflict of Interest Form.pdf

This is a Conflict of Interest Questionnaire (CIQ) form issued by the City of Arlington, Texas Office of Procurement, required pursuant to Chapter 176 of the Local Government Code. Any person or agent seeking to contract with the City of Arlington for the sale or purchase of property, goods, or services must complete and submit this questionnaire to disclose any affiliations or business relationships that might create a conflict of interest. The form requires vendors to provide their company name, identify any officers or affiliated entities with business relationships to the City, describe employment or business relationships maintained with corporations or entities where local government officers serve as officers, directors, or hold ownership interests of one percent or more, and provide a signature confirming the accuracy of disclosures. Vendors unaware of any conflicts of interest must state the proposer name and mark "N/A" for all other sections, though a signature remains mandatory.

The form serves as a compliance document for the Kayak and Paddleboard Self-Service Rental Units and Program Management solicitation issued by the City of Arlington. The CIQ must be submitted with bid or proposal responses and is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/. The City of Arlington exclusively uses Bonfire for notification and dissemination of all solicitations, and bidders are strongly encouraged to submit responses electronically; paper proposals must be sealed and labeled with company name, solicitation number, and title, with late submissions not accepted.