Conflict_of_Interest_Disclosure.docx
DOCX document 1 MB Posted
- Attached to
- Edinburg Municipal Auditorium Roof Repairs
- Solicitation number
- 2025-03
- Issued by
- Essex County, Texas
About this file
The document is a Conflict of Interest Disclosure form from the City of Edinburg, Texas, designed to identify potential conflicts of interest for contractors and vendors seeking to engage in municipal contracts. The form requires prospective contractors to carefully examine and disclose any potential conflicts involving city employees, board members, officials, or their immediate family members and business associates who might have financial interests or benefits related to city-funded projects. Contractors must warrant that they are not aware of any improper conflicts of interest at the time of contract execution and are obligated to exercise due diligence to prevent such situations throughout the contract period.
The disclosure form is governed by federal regulations (2 CFR Part 200), Texas Local Government Code Chapter 171.004, and City of Edinburg Policies & Procurement Manual. Contractors must certify whether they have any conflicts to disclose, with the understanding that undisclosed conflicts could result in serious consequences, including loss of funding, potential civil or criminal liability, and contract termination. The form requires vendors to provide company details, an authorized signatory, and a date of certification, emphasizing transparency and ethical conduct in municipal procurement processes.
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Text version
CITY OF EDINBURG CONFLICT OF INTEREST DISCLOSURE
SECTION 00460
NONCOLLUSION AFFIDAVIT
GENERAL
1.01 SECTION INCLUDES
This section describes the standardized forms for use in Bidder and Contractor representations and certifications for the project.
1.02 REFERENCES – Not Used
1.03 DEFINTIONS – Section 0700
1.04 REPRESENTATIONS AND CERTIFICATIONS
A. Conflict of Interest Disclosure
PRODUCT – Not Used
EXECUTION – Not Used
STANDARIZED FORMS FOLLOW
CONFLICT OF INTEREST DISCLOSURE
Prospective contractors should carefully consider whether any of their activities may give rise to an improper conflict of interest situation. Conflict of interest situations that are not properly addressed can result in a loss of funding to a specific program and/or to the City of Edinburg, and in some cases can result in civil or criminal liability.
Organizations that may enter into a contract with the City of Edinburg should examine the following:
· Are any employees or board members of the organization,
· A City of Edinburg employee or consultant who exercises program or project specific functions as part of their City position?
· A member of a Board, Council or Committee that may participate in the City’s selection or award process?
· A City Official?
· Are any immediate family members or business associates of my employees or board member’s,
· A City of Edinburg employee or consultant who participates in the City’s selection or award process as part of their City position?
· A member of a Board, Council or Committee that may participate in the City’s selection or award process?
· A City Official?
· Will any of my employees or board members receive a financial interest or benefit from any project funded and administered through the City (other than employee salaries or personnel benefits)?
· Will any immediate family members or business associates of my employees or board members receive a financial interest or benefit from any project funded and administered through the City (other than employee salaries or personnel benefits)?
· To my knowledge, will my program or project have a financial effect on a City official or employee who exercises City-related functions, or an immediate family member or business associate of such person? For example, will any of these persons be receiving rental payments, other business income, or program services from my company or services offered?
If you can answer "yes" to any of these questions, it is possible that there may be a conflict of interest. You should review the rules below to determine whether an actual conflict situation is raised, and, if so, what action needs to be taken to avoid a violation of the law. You should contact City staff immediately if you suspect that there might be an issue.
Any contractor entering into an agreement with the City will be required to warrant and represent, to the best of his/her knowledge at the time the contract is executed, he/she is not aware of any improper conflict of interest as described. Also, the contract will obligate contractors to exercise due diligence to ensure that no improper conflict situations occur during the contract.
The following Federal, State and local regulations and policies, govern projects funded through the City of Edinburg:
· 2 CFR Part 200 [Subpart B 200.112 and Subpart D 200.318]
· Texas Local Government Code Chapter 171.004
· City of Edinburg Policies & Procurement Manual
a. Certification:
I, the undersigned, certify and report that to the best of my knowledge,
· I have no conflict of interest to disclose
· I have the following conflict of interest to disclose:
Date: Company/Vendor Name:
| _________________________ | ______________________________ | |
| Printed Name and Title: | Authorized Signatory: |
END OF SECTION
Section 00460 Page 2 of 2 rev 10/14/02
00470- 3 of 3 image2.jpeg
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