8-5. 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. The form must be completed by any person or agent seeking to contract with the City of Arlington for the sale or purchase of property, goods, or services. The questionnaire is applicable to the Design Build Contract for HVAC Replacement at 501 W. Sanford Street solicitation. Vendors must disclose any affiliations or business relationships that might create a conflict of interest with the City of Arlington. If a vendor is not aware of any conflicts of interest, the proposer must state their name in section one and enter "N/A" in the remaining areas of the form; however, a signature is required in section seven in all cases.

The form requires vendors to identify any officer or agent of a local governmental entity with whom the vendor maintains a business relationship, including employment or business relationships with corporations or other business entities in which the local government officer serves as an officer, director, or holds an ownership interest of one percent or more. Updated questionnaires must be filed in compliance with Chapter 176 requirements. The CIQ form is available through the Texas Ethics Commission website at https://www.ethics.state.tx.us/forms/conflict/ and must be submitted as part of the vendor's response to the solicitation.