Conflict_of_Interest.pdf
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- Solicitation number
- 26-P-00009
- Issued by
- Hillsborough County, Florida
About this file
This document is a Conflict of Interest Disclosure Form for the City of Tampa. The form requires proposers to disclose any potential conflicts of interest involving elected or appointed City of Tampa officials, City employees, or their immediate family members who may have a financial or personal connection to the proposing business.
The disclosure form defines specific terms such as "immediate family" (spouse, parents, children), "close personal relationship" (dating, cohabitation, intimate sexual relationships), and "controlling financial interest" (10% or more ownership or controlling stake in a business entity). Proposers must indicate whether any City of Tampa employees or officials have an association with their business by checking "yes" or "no" and providing details if applicable. The form requires the proposer's firm name, printed name, signature, title, and date of submission.
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Text version
Conflict(s) of Interest
For purposes of determining any possible conflict of interest, all proposers, must disclose if any elected or appointed officer of the City of Tampa, City of Tampa employee(s), or any immediate family member* or close personal relation** of an elected or appointed officer of the City of Tampa or City employee(s) is also an owner, corporate officer, agent, employee, stockholder, or has a controlling financial interest***, etc., of their business.
*Immediate family means spouse, parents and children of the person involved.
**Close personal relationship means dating, cohabitation, and/or having an intimate sexual relationship.
Dating includes but is not limited to casual dating, serious dating, or casual sexual involvement where the parties have no intention of carrying on a long-term relationship, cohabitation, and any other conduct or behavior normally associated with romantic or sexual relationships. This definition applies regardless of the sexual orientation of the employees involved. Persons involved in a close personal relationship shall be referred to as a "close personal relation."
***Controlling financial interest means ownership, directly or indirectly, to ten (10) percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten (10) percent or more in a firm, partnership, or other business entity or such other interest or position in a business entity sufficient to allow him or her to control its operations.
Indicate either “yes” (a City employee, elected or appointed official is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
YES _____ NO _____
NAME(S) / POSITION(S)
FIRM NAME: _____________________________________________________________ ___
BY (PRINTED NAME): ________________________________________________________________
BY (SIGNATURE): ___________________________________________________________________
TITLE: ____________________________________________________________________________
DATE:
File details come from the government source that posted it. Updated .