4-5. 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 agent seeking to contract or conduct business with the City of Arlington for the sale or purchase of property, goods, or services. The CIQ must disclose any affiliations or business relationships that could create conflicts of interest with the local governmental entity. Proposers must complete the form by identifying their company name in Section 1, describing any employment or business relationships with corporations or entities in which City officers or directors hold ownership interests of one percent or more, and providing the names of relevant officers. A signature is required in Section 7 of the form in all cases. If no conflict of interest exists, proposers must state "N/A" in applicable sections while still providing a required signature.

The form serves as a disclosure mechanism tied to the Two-Year Requirements Contract for the Purchase and Delivery of Food and Beverage for the Arlington Jail Facility. Updated questionnaires must be filed in conformance with Chapter 176 requirements, and the completed CIQ form is submitted as part of the solicitation response package. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/. Bidders must ensure compliance with all disclosure requirements as part of their bid submission to the City of Arlington through the Euna Procurement platform.