6-Form 1295 - Vendor Instructions.pdf
PDF 238 KB Posted
- Solicitation number
- RFP 26-239
- Issued by
- Harris County, Texas
About this file
This is a vendor instruction document for Form 1295, required by Texas law, issued by Klein Independent School District (Klein ISD) for disclosure of interested parties in contract negotiations. The form must be completed and submitted by every vendor submitting a proposal to Klein ISD, regardless of whether interested parties exist. The form applies to the Professional Development contract opportunity (RFP 26-102). Vendors are required to disclose any individuals with a controlling interest in their business or who help negotiate or facilitate the contract, including owners, officers, brokers, advisers, and attorneys. The form must be completed online through the Texas Ethics Commission website, printed, signed, and attached to the proposal submission.
Form 1295 requires vendors to provide their business entity name and location, identify Klein ISD as the governmental entity, include the contract identification number and description of goods or services in Section 3, and list all interested parties with their locations and nature of interest. If no interested parties exist, vendors must check the designated box confirming this status. The form requires notarization and must be signed under penalty of perjury by an authorized agent of the contracting business entity. Form 1295 is not required for sponsored research contracts at universities, interagency contracts between state agencies or universities, or certain health and human services contracts where contract value is unknown at signing. Additional pages may be added as necessary to disclose multiple interested parties.
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Form 1295 – Vendor Instructions
What is Form 1295?
Form 1295 is required by Texas law to disclose anyone who:
Has a controlling interest in your business, or helps negotiate or facilitate your contract with Klein ISD. This includes owners, officers, brokers, advisers, or attorneys.
Who Must File?
Every vendor submitting a proposal to Klein ISD must complete, print, sign, and attach Form 1295, even if there are no interested parties.
How to Complete & Submit
1. Complete online: Go to Form 1295 Filing and fill in the required fields.
https://www.ethics.state.tx.us/filinginfo/1295/
2. Download a copy, it will include a certification number.
3. Sign the form.
4. Attach the signed form to your proposal for Klein ISD.
Important: Make sure to include the bid number and name in Section #3:
Contract ID: RFP 26-102 Bid Name/Description: Professional Development EXAMPLE: RFP 26-102 - Professional Development
Summary of Key Rules – Disclosure of Interested Parties (Form 1295)
Definitions:
Business entity: Any legal organization doing business (e.g., sole proprietorship, partnership, or corporation).
Governmental entity: A city, county, public school district, or special-purpose district/authority.
State agency: Any government board, office, department, or institution of higher education.
Interested party: Someone with a controlling interest in your business or who helps negotiate/ facilitate the contract (e.g., owner, officer, broker, adviser, attorney).
Exceptions (when Form 1295 is NOT required):
Sponsored research contracts at universities.
Interagency contracts between state agencies or universities.
Health and human services contracts where the contract value is unknown at signing, and any qualified vendor can bid.
https://www.ethics.state.tx.us/filinginfo/1295/
EXAMPLE ONLY
CERTIFICATE OF INTERESTED PARTIES FORM 1295
Complete Nos. 1 - 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
1 Name of business entity filing form, and the city, state and country of the business entity's place of business.
[fill in the requested business entity information] 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed.
Klein ISD 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract.
[fill in the solicitation/contract number & name here]
Name of Interested Party City, State, Country
(place of business) Nature of Interest (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party.
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
[Sign the form before submitting Administrator to the Procurement Administrator]
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said , this the day of , 20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
ADD ADDITIONAL PAGES AS NECESSARY
Form provided by Texas Ethics Commission www.ethics.state.tx.us Adopted 10/5/2015 http://www.ethics.state.tx.us/
| Form 1295 – Vendor Instructions |
| Who Must File? |
| How to Complete & Submit |
| Important: Make sure to include the bid number and name in Section #3: |
| Summary of Key Rules – Disclosure of Interested Parties (Form 1295) Definitions: |
| Exceptions (when Form 1295 is NOT required): |
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