5-5. 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 vendors seeking to contract with the municipality. The form is required pursuant to Chapter 176 of the Local Government Code and must be completed by any person or agent representing an entity bidding on the purchase of property, goods, or services with the City of Arlington. Vendors must disclose any affiliations or business relationships that could create conflicts of interest with the local governmental entity. The questionnaire requires vendors to identify themselves, describe any employment or business relationships maintained with corporations or entities in which City officers or directors hold ownership interests of one percent or more, and provide a certified signature affirming the accuracy of the disclosure.

If a vendor is unaware of any conflicts of interest with the City, the form may be submitted with "N/A" entered in the applicable sections; however, a signature in Section 7 is mandatory in all cases. Updated questionnaires must be filed in conformance with Chapter 176 regulations. The form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/. This documentation applies to the City of Arlington's solicitation for the purchase of one static pipe bursting rig and associated tooling designed for trenchless pipeline replacement applications for its Water Utilities department. Electronic submission is strongly encouraged, though paper bids in sealed envelopes labeled with company name, solicitation number, and title are accepted. The City exclusively uses Bonfire for solicitation notification and dissemination; bids received through other means may be non-compliant due to incomplete specifications or addendums.