ATTACHMENT B CONFLICT OF INTEREST ACKNOWLEDGEMENT AND CERTIFICATION FORM.pdf
PDF 314 KB Posted
- Attached to
- Rebuilt Transmissions Supply
- Solicitation number
- 145784
- Issued by
- Nueces County, Texas
About this file
This is a Conflict of Interest Acknowledgement and Certification Form related to a Texas state and local contract opportunity for rebuilt transmissions supply. The contract requires the contractor to remanufacture or rebuild transmissions in accordance with Allison Transmission original equipment manufacturer (OEM) specifications, procedures, and requirements. The successful contractor must be an Allison Transmission authorized dealer, distributor, or remanufacturing facility with appropriately qualified personnel, including manufacturer-trained technicians, capable of performing all required remanufacturing and rebuilding procedures. All transmissions must be rebuilt using new, remanufactured, or reconditioned components that meet applicable Allison Transmission OEM requirements, and all applicable service bulletins, updated parts, engineering changes, and product improvements in effect at the time of rebuilding must be incorporated into the transmission as part of the rebuilding process.
The conflict of interest certification form serves as a standard compliance document requiring bidders and contractors to acknowledge and certify their understanding of conflict of interest regulations and their commitment to maintaining ethical standards throughout the contracting process. Prospective contractors must complete and submit this form as part of their bid package to demonstrate their compliance with state conflict of interest policies and regulations. This document is essential for ensuring transparency and maintaining the integrity of the procurement process in Texas.
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Text version
IFB No. 2026-SP-16 Rebuilt Transmission Supply
ATTACHMENT B
CONFLICT OF INTEREST ACKNOWLEDGEMENT
AND CERTIFICATION FORM
1. The Contractor represents that no officer or employee of the CCRTA has a Substantial Interest (defined as any interest which has a value of $5,000.00 or more or represents ten percent (10%) or more of a person's gross income during the most recent calendar year) in this Contract.
The Contractor further represents that no officer or employee of the CCRTA has (1) colluded with the Contractor in a recommendation for award, bid, proposal or solicitation on any CCRTA contracts, or (2) received any pecuniary benefit from the Contractor within the past six months.
2. The Contractor agrees to ensure that the CCRTA’s Code of Ethics is not violated as a result of the Contractor’s activities in connection with this Contract. The Contractor agrees to immediately inform the CCRTA if it becomes aware of the existence of any such Substantial Interest or Conflict of Interest, or the existence of any violation of the Code of Ethics arising out of or in connection with this Contract.
3. The CCRTA may in its sole discretion, require the Contractor to cause an immediate divestiture of such Substantial Interest or elimination of such Conflict of Interest, and failure by the Contractor to comply shall render this Contract voidable by the CCRTA. Any willful violation of these provisions, creation of a Substantial Interest or existence of a Conflict of Interest with the express or implied knowledge by the Contractor shall render this Contract voidable by CCRTA.
4. In accordance with section 176.006, Texas Local Government Code, the Contractor is required to file a Conflict-of-Interest Questionnaire (CIQ) within seven business days of becoming aware of a Conflict of Interest under Texas law. The CIQ can be obtained from the Texas Ethics Commission at www.ethics.state.tx.us. The CIQ shall be sent to CCRTA’s Director of Procurement or its designee.
I DO CERTIFY THAT THE CONTENTS OF THIS ACKNOWLEDGEMENT AND CERTIFICATION
ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF.
Company Name
Certifying Person (Print or Type) Signature of Certifying Person
Title
Date http://www.ethics.state.tx.us/
| ATTACHMENT B |
| CONFLICT OF INTEREST ACKNOWLEDGEMENT |
| AND CERTIFICATION FORM |
| Company Name: |
| Certifying Person Print or Type: |
| Title: |
| Date: |
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