6-5. Conflict of Interest Form.pdf

This is a Conflict of Interest Questionnaire (CIQ) form issued by the City of Arlington, Office of Procurement, in compliance with Chapter 176 of the Local Government Code, which applies to any person or entity seeking to contract with the City of Arlington for the sale or purchase of property, goods, or services. The form requires vendors and their agents to disclose any affiliations or business relationships that might create a conflict of interest with the local governmental entity. The CIQ is a mandatory submittal document for the Request for Qualifications for Architectural Design of the Public Works South Field Operations Facility in Arlington, Texas. Respondents who are unaware of any conflicts of interest must enter "N/A" in applicable sections while still providing the proposer name and a required signature in the designated area.

The form includes sections for identifying vendors with business relationships to the City, naming officers involved, and describing any employment or business relationships between the vendor and corporations or business entities with respect to which local government officers serve as officers, directors, or hold an ownership interest of one percent or more. The CIQ template contains multiple checkbox fields for disclosure documentation. All responses must be submitted in accordance with the City of Arlington's procurement procedures, and the form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/. Submission of the completed CIQ is required for proposal compliance.