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 for all persons or entities seeking to contract with the municipality for the sale or purchase of property, goods, or services. The form is mandated under Chapter 176 of the Texas Local Government Code and must be completed and filed by all proposers responding to solicitations, including the Fleet Maintenance Services contract opportunity. The questionnaire requires disclosure of any affiliations or business relationships that could create conflicts of interest with the City of Arlington. Proposers who are unaware of any conflicts of interest must enter "N/A" in applicable sections while still providing a signature on the form.

The CIQ form requests identification of vendors with business relationships to the local governmental entity, names of officers involved, and detailed descriptions of any employment or business relationships between the vendor and corporations or entities with which City of Arlington officers serve as officers, directors, or hold ownership interests of one percent or more. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be submitted as part of the proposal package. All proposers are advised that the City of Arlington exclusively uses Bonfire for solicitation notification and dissemination; receipt of solicitations through other means may result in incomplete specifications or addendums that could render bids non-compliant.