Conflict_of_Interest.pdf
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- Solicitation number
- 26-P-00009
- Issued by
- Hillsborough County, Florida
About this file
This is a Conflict of Interest Disclosure form required by the City of Tampa for all proposers responding to the Professional Building Plan Review & Inspections Services Request for Qualifications. The form mandates that proposers disclose any associations between their business and elected or appointed City officials, City employees, or their immediate family members or close personal relations, including spouses, parents, children, or individuals in dating or cohabiting relationships. The disclosure requirement extends to ownership stakes, corporate officer positions, agent or employee roles, stockholder status, or controlling financial interests of ten percent or more in the proposer's business entity. Proposers must indicate yes or no regarding such conflicts and provide detailed names and positions if conflicts exist.
The form defines key terms relevant to the disclosure process, including immediate family as spouse, parents, and children; close personal relationships as dating, cohabitation, or intimate sexual relationships regardless of sexual orientation; and controlling financial interest as direct or indirect ownership of ten percent or more of corporate stock or equivalent interest in partnerships or other business entities that would permit operational control. Proposers must sign and date the completed form with their printed name, title, and firm name. This disclosure serves as a compliance requirement within the broader RFQ evaluation framework, which includes criminal history screening practices, Small Local Business Enterprise participation, and adherence to Florida statutory provisions for building plan review and inspection services.
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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:
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