9-00 35 13 Conflict of Interest Statement.pdf
PDF 153 KB Posted
- Attached to
- ITB Pecan Valley Golf Course Bridge Replacement
- Solicitation number
- 26-0310
- Issued by
- Tarrant County, Texas
About this file
This is a Conflict of Interest Statement form required by the City of Fort Worth for all bidders, offerors, and respondents participating in the Pecan Valley Golf Course Bridge Replacement procurement (CPN# 105401) in Texas. The form mandates that each bidder complete a Conflict of Interest Questionnaire (CIQ) or certify that one is current and on file with the City Secretary's Office in compliance with state law. Additionally, a Local Government Officer Conflicts Disclosure Statement (CIS) may be required if any member of the Fort Worth City Council, City Manager, Assistant City Manager, or City agent exercising discretion in the planning, recommending, selecting, or contracting process is affiliated with the bidder's company. The document provides checkbox options for bidders to indicate whether the CIQ form does not apply, is already on file, or is being provided to the City Secretary, with the same certification options available for the CIS form.
The file emphasizes that bidders have a duty to review the requirements set forth in both forms and are urged to consult with legal counsel regarding the applicability of these forms and Local Government Code Chapter 176 to their company. Links to both forms are provided through the Texas Ethics Commission website. The statement requires bidder authorization through signature, title, and company identification before submission, ensuring compliance with local conflict of interest regulations governing the procurement process for this bridge replacement project involving demolition, removal, and construction of infrastructure at Pecan Valley Golf Course.
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Text version
00 35 13 - 1
CONFLICT OF INTEREST STATEMENT
SECTION 00 35 13
CONFLICT OF INTEREST STATEMENT
Each bidder, offeror or respondent to a City of Fort Worth procurement is required to complete a Conflict of Interest Questionnaire or certify that one is current and on file with the City Secretary's Office pursuant to state law. Each bidder, offeror or respondent has a duty to review the requirements set forth in the forms and may certify, if appropriate, that the respective form does not apply.
If a member of the Fort Worth City Council, any one or more of the City Manager or Assistant City Managers, or an agent of the City who exercise discretion in the planning, recommending, selecting or contracting with a bidder, offeror or respondent is affiliated with your company, then a Local Government Officer Conflicts Disclosure Statement (CIS) may be required.
You are urged to consult with counsel regarding the applicability of these forms and Local Government Code Chapter 176 to your company.
The referenced forms may be downloaded from the links provided below.
Form CIQ (Conflict of Interest Questionnaire) Form CIS (Local Government Officer Conflicts Disclosure Statement)
� CIQ Form does not apply
� CIQ Form is on file with City Secretary
� CIQ Form is being provided to the City Secretary
� CIQ Form does not apply
� CIS Form is on File with City Secretary
� CIS Form is being provided to the City Secretary
BIDDER:
By: ___________________________________
Signature: ______________________________
Title: __________________________________
END OF SECTION
CITY OF FORT WORTH [Insert Project Name] STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS [Insert Project Number] Revised June 5, 2026
PECAN VALLEY GOLF COURSE BRIDGE REPLACEMENT
CPN# 105401
https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf
File details come from the government source that posted it. Updated .