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, required for vendors and consultants seeking to contract with the City of Arlington for the provision of goods, services, or property. The form is mandated by Chapter 176 of the Local Government Code and requires disclosure of any affiliations or business relationships that could create conflicts of interest with the City. Vendors must complete the questionnaire by providing their company name, identifying any officers of the City with whom they have business relationships, and describing employment or business relationships with corporations or entities in which City officers serve as officers, directors, or hold ownership interests of one percent or more. The form includes designated text fields and checkbox sections for documenting such relationships.

Vendors who are not aware of any conflicts of interest must state the proposer name in Section 1 and enter "N/A" in all other applicable areas, though a signature is required in all cases regardless of conflict disclosure status. The completed CIQ form is available through the Texas Ethics Commission at https://www.ethics.state.tx.us/forms/conflict/ and must be submitted with bid or proposal materials. The City of Arlington emphasizes that all solicitations and related documents, including this questionnaire, are disseminated exclusively through Euna Procurement, and vendors should not rely on alternative sources for obtaining specifications and addendums to ensure compliance with submission requirements.