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 pursuant to Chapter 176 of the Local Government Code. The form 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. The document serves as a disclosure mechanism to identify any affiliations or business relationships that could create conflicts of interest between the proposer and the local governmental entity.

Bidders must complete the questionnaire by providing their proposer name in Section 1 and disclosing in subsequent sections any employment or business relationships maintained with corporations or other business entities where a local government officer serves as an officer, director, or holds an ownership interest of one percent or more. If no conflict of interest exists, proposers must state "N/A" in the applicable sections while still providing a required signature in Section 7. The completed CIQ form must accompany the proposal submittal, with the official form available through the Texas Ethics Commission at https://www.ethics.state.tx.us/forms/conflict/. All responses should be submitted through the City of Arlington's designated procurement platform to ensure receipt of complete specifications and any applicable addendums.