5-Form 3 - Texas Ethics Commission Certificate of Interested Parties (1295).pdf

PDF 278 KB Posted

Attached to
Airport Landside Professional Architectural and Engineering Services
Solicitation number
153-26-AIR-RFQ
Issued by
Cameron County, Texas

About this file

This is a Certificate of Interested Parties form issued by the City of Brownsville Procurement Department for use in connection with the Airport Landside Professional Architectural and Engineering Services contract opportunity in Texas. The form acknowledges the statutory requirement under Texas Government Code 2252.908 and 1 Texas Administrative Code Chapter 46 that certain vendors must file a Certificate of Interested Parties (Form 1295) with the Texas Ethics Commission before contract execution. The requirement applies to any contract that must be approved by the City Commission or executed by a City official before becoming effective, or otherwise meets criteria established by the Texas Ethics Commission. Respondents are required to certify that they have reviewed the applicable requirements and understand the filing obligations.

Respondents must complete and file Form 1295 electronically at the Texas Ethics Commission website to obtain a certificate number, then print, sign, and notarize the form and submit a PDF copy to the City of Brownsville Procurement Department after notice of intent to award but prior to contract execution. The City will not execute a contract until a completed and verified Form 1295 is received. The Certificate of Interested Parties will be made publicly accessible on the Texas Ethics Commission website in accordance with state law. By signing the certification, respondents acknowledge understanding these requirements and agree to comply with all filing obligations if applicable to their contract.

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FY26 – Version 2 Procurement Department October 2025

Form 3 – Texas Ethics Commission Certificate of Interested Parties (Form 1295)

Purpose

This form serves as an acknowledgment of the statutory requirement for certain vendors to file a Certificate of Interested Parties (Form 1295) with the Texas Ethics Commission (TEC) before a contract can be executed with the City of Brownsville.

The requirement applies to any contract that:

• Must be approved by the City Commission or executed by a City official before becoming effective, or

• Otherwise meets the criteria established by the Texas Ethics Commission under Texas Government Code

§2252.908 and 1 Texas Administrative Code Chapter 46.

Respondent Acknowledgment

By signing below, the Respondent certifies and acknowledges the following:

1. The Respondent has reviewed the requirements of Texas Government Code §2252.908 and 1 TAC Chapter 46.

2. When applicable, the Respondent shall complete and file Form 1295 electronically at https://www.ethics.state.tx.us/filinginfo/1295/ to obtain a Certificate Number issued by the TEC.

3. The Respondent shall print, sign, and notarize the TEC Form 1295 and provide a PDF copy to the City of Brownsville Procurement Department after notice of intent to award but prior to contract execution.

4. The Respondent understands that the City may not execute a contract until a completed and verified Form 1295 is received.

5. The Respondent acknowledges that the Certificate of Interested Parties will be made publicly accessible on the TEC’s website in accordance with state law.

https://www.ethics.state.tx.us/filinginfo/1295/

FY26 – Version 2 Procurement Department October 2025

Certification

By signing below, the undersigned Respondent certifies that they have read and understood the requirements of Texas Government Code §2252.908 and 1 TAC Chapter 46 and that a completed Form 1295 will be filed and provided to the City prior to contract execution, if applicable.

The Respondent further understands that the Form 1295 itself must be signed and notarized in accordance with TEC requirements.

Signature: ____________________________________________

Printed Name: _________________________________________

Title: _______________________________________________

Date: ______________________

Company Name: ________________________________________

Phone: ______________________

Email: _______________________________________________

Printed Name_3:
Title_4:
Date_3:
Company Name_3:
Phone_3:
Email_4:
Signature3_es_:signer:signature:

File details come from the government source that posted it. Updated .