9-Form 3 - Texas Ethics Commission Certificate of Interested Parties (Form 1295).pdf

This document is a Texas Ethics Commission Certificate of Interested Parties (Form 1295) to be completed by the awarded vendor prior to contract execution. The form is designed to disclose interested parties involved in a government contract, requiring the completion of specific sections that identify the business entity filing the form, the governmental entity or state agency party to the contract, and any interested parties with controlling or intermediary interests.

The form provides a template for documenting key information such as the name of the business entity, its location, the governmental entity involved, and a detailed breakdown of interested parties. It includes spaces to list names, cities, states, counties, and the nature of their interests (controlling or intermediary). The form must be signed under penalty of perjury by an authorized agent of the contracting business entity, with provisions to add additional pages as necessary. The form was revised on 12/22/2017 by the Texas Ethics Commission and is part of the state's transparency and ethics reporting requirements for government contracts.