6-11 Required Form, if applicable - Conflict of Interest Questionnaire.pdf

This is a Conflict of Interest Questionnaire form related to the Fire Station No. 2 Renovation & Expansion project in Temple, Texas. Completion and submission of this form is required when specified in the General Instructions to Proposers, Item 24. The referenced project involves the renovation and expansion of an existing fire station located at 1710 E. Avenue H in Temple, Texas. The scope of work includes reconfiguring interior spaces to create six individual bedrooms, constructing two restrooms with showers, remodeling the kitchen and dayroom, adding an IT closet and dedicated office, and constructing an approximately 460-square foot addition on the east side of the living quarters. Additional work encompasses enclosing and converting the existing west porch into a gear storage room, removing and replacing exterior stone veneer, and replacing all gypsum board and insulation in affected areas. The contractor must complete all work within 365 consecutive calendar days from the Notice to Proceed.

The engineer's estimate of probable cost for this project is $1,672,844. All labor, materials, and work required to complete the project must be furnished and performed by the selected contractor. The Conflict of Interest Questionnaire form serves as a disclosure mechanism to identify any potential conflicts of interest that proposers may have in relation to this contract opportunity, as outlined in the General Instructions to Proposers.