ATTACHMENT B CONFLICT OF INTEREST ACKNOWLEDGEMENT AND CERTIFICATION FORM.pdf
PDF 240 KB Posted
- Attached to
- Transportation Uniform Supply
- Solicitation number
- 147477
- Issued by
- Nueces County, Texas
About this file
This document is a Conflict of Interest Acknowledgement and Certification Form for the Transportation Uniform Supply contract opportunity in Texas, administered by CCRTA (Capital City Regional Transportation Authority). The form serves as a required certification document that bidders must complete to acknowledge and attest to their understanding of conflict of interest policies and regulations applicable to this procurement. While specific project details are not contained within this form itself, bidders responding to this solicitation must submit a completed Uniform Specifications Submittal Form (Exhibit I) through PlanetBids for CCRTA review and approval by Tuesday, November 10, 2026, at 3:00 p.m. (CST). CCRTA will respond to submissions, questions, and product approval requests by Tuesday, November 17, 2026, and all proposed uniform products must receive CCRTA approval prior to bid submission.
The Conflict of Interest Acknowledgement and Certification Form establishes the legal framework for bidder disclosures and compliance requirements related to potential conflicts of interest in the procurement process. This certification is a standard compliance document that ensures bidders understand their obligations to disclose any financial interests, relationships, or circumstances that could compromise the integrity of the bidding process or create conflicts with their ability to perform contract obligations. The form does not establish pricing terms, set-asides, or funding information; rather, it functions as a preliminary certification requirement that bidders must satisfy before their bids can be considered responsive and the bidder deemed responsible.
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Text version
IFB No. 2026-SP-21 Transportation Uniform 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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