6-07 Conflict of Interest Questionnaire.pdf
PDF 2 MB Posted
- Attached to
- 03 RFP #26-003 Nursing Program Testing and Learning System, and NCLEX® Preparation Review Courses State and local contract opportunity
- Solicitation number
- RFP #26-003 Nursing Program Testing and Learning System, and NCLEX® Preparation Review Courses
- Issued by
- El Paso County, East Columbia CDP, Texas
About this file
This is a Conflict of Interest Questionnaire document issued by El Paso County Community College District's Purchasing & Contract Management Department in connection with RFP #26-003 for a Nursing Program Testing and Learning System and NCLEX® Preparation Review Courses. The questionnaire is required under Texas Local Government Code Chapter 176 and must be completed and submitted by vendors responding to the solicitation. Vendors must file the completed questionnaire with the District's records administrator no later than the seventh business day after the later of: the date the vendor begins discussions or negotiations with the District, or submits an application, response to the RFP, or other related correspondence. The questionnaire requires vendors to disclose any employment or business relationships with local government officers or their family members, any gifts provided to officers or their families, and any family relationships with District officers that meet the threshold amounts specified by law.
The questionnaire specifically addresses disclosure requirements under Texas Local Government Code Sections 176.003 and 176.006, requiring vendors to report employment or business relationships resulting in taxable income exceeding $2,500 in the preceding 12-month period and gifts with aggregate values exceeding $100. The document includes contact information for El Paso County Community College District's Purchasing & Contract Management Department staff, including Director Ruben C. Gallardo and other procurement personnel, as well as the District's Board of Trustees members. Vendors with questions regarding the conflict of interest requirements are directed to contact the Texas Ethics Commission. Completion and truthful filing of the questionnaire is mandatory, with violations constituting a misdemeanor offense under Texas law.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 1-02 RFP 26-003 Proposal Form.pdf | ||
| 3-04 Attachment B - Organization Details.pdf | ||
| 7-08 Confidentiality Agreement.pdf | ||
| 8-01 RFP 26-003 Solicitation Packet.pdf | ||
| 5-06 Required Contract Clauses NON-Federal Funds.pdf | ||
| 2-03 Attachment A - References.pdf | ||
| 4-05 Texas Family Code Form.pdf |
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El Paso County Community College District Purchasing & Contract Management Department
About Us The El Paso County Community College Districts’ Purchasing & Contract Management Department is comprised of the following individuals:
Director, Purchasing & Contract Management Ruben C. Gallardo, C.P.M.
Room A605P Telephone: (915) 831-6306 Fax: (915) 831-6490 E-mail: rgalla16@epcc.edu
Mr. Gallardo oversees all the activities of the Purchasing & Contract Management staff. The director ensures that all purchasing related processes are in compliance with the provisions of established statutes at the State and Federal level, as well as El Paso County Community College District established policies and procedures. Mr. Gallardo also handles several commodities primarily in the construction and insurance areas, and is responsible for overseeing all vendor agreements resulting from competitive solicitations. The office of the director reviews all purchasing contracts the District initiates.
Additionally, the director ensures that the District's purchasing processes meet current business standards and ensures processes are conducted in an efficient and effective manner
Procurement Analyst Al Trujillo Room A605Q Telephone: (915) 831-6550 Fax: (915) 831-6490 E-mail: atruji20@epcc.edu
Mr. Trujillo is responsible for auditing and evaluating the purchasing activities and events required to complete the entire competitive solicitation process.
He is responsible for compiling, reviewing and revising specifications, to also include processing competitive solicitations for construction, engineering, architectural and other capital improvement projects for the District. In addition, he also has buying responsibilities.
Associate Director Debbie Espinoza, CPPB Room A605O Telephone: (915) 831-6309 Fax: (915) 831-6490 E-mail: despino8@epcc.edu
Ms. Espinoza is responsible for assisting the Director with planning, organizing, staffing and directing purchasing services to include procurement and contract related initiatives. Ms. Espinoza is responsible for managing all procurement activity related to her assigned commodities in support of instruction and operations for the District.
Buyers Luis Cervantes Room A605N Telephone: (915) 831-6311 Fax: (915) 831-6490 E-mail: lcervan2@epcc.edu
Cassandra Guevara Room A605S Telephone: (915) 831-6305 Fax: (915) 831-6490 E-mail: cgueva11@epcc.edu
Mary M. Jáuregui Room A605U Telephone: (915) 831-6308 Fax: (915)831-6490 E-mail: mlaird@epcc.edu
Buyers are responsible for managing all procurement activity related to their assigned commodities in support of instruction and operations for the District.
RFP #26-003
mailto:rgalla16@epcc.edu mailto:atruji20@epcc.edu mailto:despino8@epcc.edu mailto:lcervan2@epcc.edu mailto:cgueva11@epcc.edu mailto:mlaird@epcc.edu
Purchasing Specialist Liz Ontiveros Room A605M Telephone: (915) 831-6505 Fax: (915) 831-6490 E-mail: eontiv11@epcc.edu
Ms. Ontiveros is responsible for the vendor master input and database maintenance for vendor accounts.
This is the operation that adds vendors to our database, after a requisition or Services Agreement is received.
She receives all vendor master forms to review, update, and generate vendor records. She is also responsible for administering and monitoring, district-wide, all aspects of major contracts including the District's insurance policies and claims. She coordinates the use of off-campus facilities for instructional purposes, and processes Services Agreements for the District.
Additionally, Liz serves as a resource and support person to the Purchasing & Contract Management director, and District staff who process purchasing transactions.
Bid Analyst Esmeralda Marquez Room A605T Telephone: (915) 831-6430
Email: emarqu89@epcc.edu
Ms. Marquez is responsible for the processing of all competitive solicitations and works with the buyers and director in ensuring the process is documented and that all required documents are processed efficiently.
Purchasing Clerk
VACANT
The file clerk is responsible for the filing and maintaining of all of Purchasing a Contract Management Department's records. Additionally, she also serves as a support person to the Department and college staff.
Purchasing Systems Assistant Rebecca Vasquez Room A605G Telephone: (915) 831-6310
E-mail: rvasqu45@epcc.edu
Ms. Vasquez provides database training, processes purchasing requisitions and all reports associated with purchasing transactions. Becky also researches and trouble-shoots issues relating to the financial database as well as issues pertaining to the purchasing transactions. She is the resident expert on requisition and purchase order flow within the Banner Financial Database.
Purchasing Clerk Antonia Raygoza Room A605H Telephone: (915) 831-6304
E-mail: araygoza@epcc.edu
Ms. Raygoza also processes and distributes all transactions related to the procurement process. Toni serves as a resource and support person to the buyers, the Purchasing & Contract Management director, and college staff who process purchasing transactions. Her position is key to the efficient and timely processing of purchasing requisitions and purchase orders.
Customer Service Specialist Jessica Ramirez Room A605F Telephone: (915) 831-6496
E-mail: jrami371@epcc.edu
Ms. Ramirez serves as the primary customer service contact for the Purchasing & Contract Management Department. She is also responsible for purchase order expediting and followup calls to vendors for all purchase orders. She also works closely with the Shipping and Receiving Department to resolve any discrepancies pertaining to purchase orders.
RFP #26-003
mailto:eontiv11@epcc.edu mailto:emarqu89@epcc.edu mailto:rvasqu45@epcc.edu mailto:araygoza@epcc.edu mailto:jrami371@epcc.edu
El Paso County Community College District Board of Trustees
Mr. Brian Haggerty Chair of the Board District 2, Northeast
Ms. Bonnie Soria Najera Vice Chair of the Board District 7, Lower Valley
Dr. Carmen Olivas Graham Board Secretary District 5, East
Mr. John E. Uxer, Jr.
Board Trustee District 1,Westside
Ms. Belen Robles
District 3, Central
Mr. Jesus Mendez
District 4, Central/South
Ms. Diana Y. Mooy
District 6, Southeast
RFP #26-003
May 25, 2023
Dear Vendor.
Chapter 176 of the Texas Local Government Code now requires that the enclosed conflict of interest questionnaire be completed and filed with the College. It is respectfully requested that you acquaint yourself with the appropriate code provisions and submit the questionnaire to me along with your proposal response.
You should feel free to contact the Texas Ethics Commission at 201 East 14th Street, 10th Floor, P.O. Box 12070, Austin, TX 78711-2070, (512) 463-5800. This commission promulgated the questionnaire and instructions. The College is implementing this statutory requirement.
Thank you for your cooperation, Ruben Gallardo, C.P.M./mmj Director, Purchasing & Contract Management cc: Competitive Solicitation File Electronic File
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
FORM CIQ
OFFICE USE ONLY
Date Received
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
Name of Officer
4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity?
Yes No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an
Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
Signature Date ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/14/2024
Name of signatory
PUR062 - August 2025
Revised 8/14/2024Form provided by Texas Ethics Commission www.ethics.state.tx.us
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or
(B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
PUR062 - August 2025
| CIQ About Us Contact List.pdf |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist |
El Paso County Community College District Board of Trustees
| CIQ About Us Contact List.pdf |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist |
El Paso County Community College District Board of Trustees
| CIQ About Us Contact List.pdf |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist |
El Paso County Community College District Board of Trustees
| CIQ About Us Contact List.pdf |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist |
El Paso County Community College District Board of Trustees
| CIQ About Us Contact List.pdf |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist |
El Paso County Community College District Board of Trustees
| ADP283C.tmp |
| El Paso County Community College District Purchasing & Contract Management Department |
| About Us |
| Purchasing Specialist Liz Ontiveros |
| Purchasing Clerk |
| Purchasing Systems Assistant Rebecca Vasquez |
| Customer Service Specialist Jessica Ramirez |
El Paso County Community College District Board of Trustees
| Name of Officer: |
| Name of signatory: |
| Date: |
| Name of Vendor: |
| Describe Employment Relationship: |
| Employment Relationship to Vendor in Sec 1: |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
File details come from the government source that posted it. Updated .