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 for use in connection with an Annual Requirements Contract for Fill Materials for the Public Works Department. The form is mandated by Chapter 176 of the Local Government Code and must be completed by any person or entity seeking to contract with the City of Arlington for the sale or purchase of property, goods, or services. Bidders are required to disclose any affiliations or business relationships that might create a conflict of interest with the local governmental entity. The questionnaire requests the proposer name, identification of any vendors with business relationships to local government officials, names of relevant officers, and descriptions of employment or business relationships between the vendor and corporations or entities in which local government officers hold official positions or ownership interests of one percent or more.

Completion of the CIQ form is mandatory for all bidders, with signatures required on all submissions regardless of whether conflicts of interest exist. If a bidder is unaware of any conflicts of interest, they must state the proposer name in Section 1 and mark "N/A" for all other applicable areas while still providing a required signature. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be submitted in conformance with state law. The City of Arlington emphasizes that all solicitations are distributed exclusively through Euna Procurement, and bidders receiving notifications through other channels may not have access to complete specifications or addendums, potentially rendering their bids non-compliant.