4-Conflict of Interest Questionnaire.pdf

The document is a Conflict of Interest Questionnaire (Form CIQ) issued by the City of San Angelo, Texas Purchasing Division. The form is designed for vendors doing business with the local governmental entity and reflects changes made to the law by H.B. 23, 84th Legislature, Regular Session. It requires vendors to disclose any potential conflicts of interest, including business relationships with local government officers or their family members, and any transactions that may be subject to regulation or examination by a governmental agency.

The questionnaire requires vendors to provide detailed information about their business relationships, including whether the vendor or a local government officer (or their family member) will receive taxable income from the transaction, and any employment or business relationships with corporations or entities where the local government officer serves as an officer, director, or holds an ownership interest. The form must be completed and filed with the local government administrator not later than the seventh business day after the date the vendor becomes aware of facts requiring disclosure, with potential penalties for knowingly violating the local government code.