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 entities seeking to contract with the City of Arlington for the purchase of property, goods, or services. The form complies with Chapter 176 of the Local Government Code and mandates disclosure of any affiliations or business relationships that could create conflicts of interest between the proposer and the local governmental entity. Prospective bidders must complete the questionnaire and submit it with their bid response. The form requires vendors to identify themselves, list the name of any officer involved, and describe employment or business relationships maintained with corporations or entities where local government officers serve as officers, directors, or hold ownership interests of one percent or more. Vendors unaware of any conflicts of interest must state "N/A" in the applicable sections while still providing a signature in the designated box.

The CIQ form is a standard submittal document for the City of Arlington's Annual Requirements Contract for High-Density Polyethylene (HDPE) Water Pipe for the Water Utilities Department. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be completed and signed by all bidders regardless of whether conflicts of interest exist. Failure to complete and sign the questionnaire may result in bid non-compliance. The City of Arlington distributes all solicitations exclusively through Euna Procurement, and bidders are strongly encouraged to submit responses electronically, though sealed paper submissions are accepted if properly labeled with the company name, solicitation number, and title. Late bids will not be accepted.