9-Certificate of Interested Parties Form 1295.pdf
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- Solicitation number
- 4063
- Issued by
- Upton County, Amarillo City, Texas
About this file
This is a Certificate of Interested Parties Form 1295, a Texas Ethics Commission document filed with the Amarillo Independent School District in connection with competitive sealed proposals for construction services. The form relates to CSP 4063, a Roofing & HVAC Replacement project encompassing three school facilities: De Zavala, Mesa Verde, and Humphrey's Highland. Proposals are due by 1:30 P.M. Local Time on February 20, 2026, and may be submitted electronically or as three hard copies to the Amarillo ISD Purchasing Department at 7200 Interstate 40 West, Amarillo, Texas 79106. A pre-proposal conference is scheduled for February 4, 2026, at 10:00 A.M. at the AISD Maintenance & Construction Office, 905 East Street, Amarillo, Texas 79107. Proposals will be opened and read aloud at the deadline at the Amarillo ISD Education & Support Center. All proposals must include a proposal guarantee in the form of a cashier's check, certified check, or bid bond payable to Amarillo ISD in an amount equal to 5% of the largest possible total proposal amount.
The Certificate of Interested Parties Form 1295 is a disclosure document that requires the contracting business entity to identify any interested parties with controlling interests in the company or other relevant relationships to the contract. The form must be completed by the authorized agent of the contracting entity under penalty of perjury. If no interested parties exist, the submitter must check the applicable box and provide the required declaration. This form is mandated under Texas law to ensure transparency in government contracting and to identify potential conflicts of interest prior to contract award.
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Text version
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.
Business Entity Name
2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed.
Amarillo 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 services, goods, or other property to be provided under the contract.
BID or Contract Number School Board Meeting Date Purchase was Approved (if applicable) Bid name or Contract description
Name of Interested Party City, State, Country (place of business)
Nature of Interest (check applicable)
Controlling Intermediary
Who has controlling interest in company Location of Business
Check only if there is NO Interested Party.
6 UNSWORN DECLARATION
My name is , and my date of birth is .
My address is , , , , .
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of , on the day of , 20 .
(month) (year)
Signature Required
Signature of authorized agent of contracting business entity (Declarant)
ADD ADDITIONAL PAGES AS NECESSARY
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/22/2017 http://www.ethics.state.tx.us/File http://www.ethics.state.tx.us/
File details come from the government source that posted it. Updated .