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 in accordance with Chapter 176 of the Local Government Code. The form is required for any person or entity seeking to contract with the City of Arlington for the sale or purchase of property, goods, or services. Vendors must disclose any affiliations or business relationships that might create a conflict of interest with the local governmental entity. The form requires vendors to identify themselves in the designated field and provide detailed descriptions of any employment or business relationships maintained with corporations or other business entities in which City officers or directors serve or hold ownership interests of one percent or more. All vendors must complete and sign the questionnaire, even if no conflicts of interest are identified, in which case vendors may mark all applicable areas as "N/A" while still providing a required signature.

The CIQ form is a compliance document with no pricing, set-asides, or contract-specific terms included. Completion and submission of an accurate and signed Conflict of Interest Questionnaire is a mandatory requirement for bid or proposal submission to the City of Arlington. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be updated in conformance with applicable state regulations. Failure to properly complete and submit the CIQ may result in non-compliance with solicitation requirements.