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

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Attached to
SOUTHMOST AREA CORRIDOR STUDY AND POLICY INITIATIVE
Solicitation number
206-26-PLN-RFQ
Issued by
Cameron County, Texas

About this file

This is a Texas Ethics Commission Certificate of Interested Parties (Form 1295) acknowledgment document issued by the City of Brownsville Procurement Department in October 2025 for the Southmost Area Corridor Study and Policy Initiative. The form serves as a mandatory acknowledgment that vendors and respondents understand and will comply with the requirements of Texas Government Code 2252.908 and 1 Texas Administrative Code Chapter 46 regarding the filing of a Certificate of Interested Parties with the Texas Ethics Commission before contract execution. The form 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. Respondents are required to certify their understanding of these requirements and acknowledge that they will complete and file Form 1295 electronically at the TEC website to obtain a certificate number.

Respondents must print, sign, and notarize the completed 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. The City cannot execute any contract until a completed and verified Form 1295 is received from the vendor. The Certificate of Interested Parties will be made publicly accessible on the TEC's website in accordance with state law. All respondents must sign and date the acknowledgment form, providing their printed name, title, company name, phone number, and email address to certify their compliance with these requirements.

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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 .