6-5. Conflict of Interest Form.pdf

This is a Conflict of Interest Questionnaire (CIQ) form issued by the City of Arlington, Texas, Office of Procurement, required pursuant to Chapter 176 of the Local Government Code for any person or agent seeking to contract with the City of Arlington. The form must be completed and submitted by all proposers bidding on the City's Construction Documents for 150th Anniversary Public Art Sculpture Installation project. The questionnaire requires vendors to disclose any affiliations or business relationships that might create a conflict of interest with the City. If a proposer is not aware of any conflicts of interest, the vendor must state the proposer name in Section 1 and use "N/A" for all other areas on the form. Regardless of whether conflicts exist, a signature is required in Section 7.

The form requests identification of any vendors with business relationships to the City of Arlington, the names of City officers involved, and detailed descriptions of employment or business relationships that the vendor maintains with any corporation or business entity in which a local government officer serves as an officer, director, or holds an ownership interest of one percent or more. Updated questionnaires must be filed in conformance with Chapter 176 of the Local Government Code. The form is available on the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/. Completion and submission of this form is a mandatory requirement for proposal consideration and must accompany all bid submissions to the City of Arlington.