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 seeking to contract with the municipality for the sale or purchase of property, goods, or services. The form complies with 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 of Arlington. Vendors must complete the questionnaire by providing their company name, identifying any officers or directors with potential conflicts, and describing employment or business relationships with corporations or entities in which local government officers hold positions or ownership interests of one percent or more. All vendors must submit a signed form regardless of whether conflicts exist; those without conflicts may submit "N/A" for applicable sections while providing the proposer name and required signature.

The questionnaire form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be submitted with bid proposals. Completion of this disclosure document is mandatory for all bidders on City of Arlington solicitations and serves as verification that vendors have disclosed any potential conflicts of interest relationships. The form includes designated sections for vendor identification, officer names, descriptions of business relationships, and signature authorization, with checkbox options for marking various disclosure categories.