ESBD_387539_1734731272965_Attachment D - Conflict of Interest Disclosure Statement.pdf
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- Attached to
- Request for Qualifications 781-5-03287 Information Technology Audit and Advisory Services
- Solicitation number
- 781-5-03287
- Issued by
- Texas
About this file
This is a Conflict of Interest Statement attachment (Attachment D) for RFQ No. 781-5-03287 from the Texas Higher Education Coordinating Board (THECB). The document requires respondents to maintain neutrality and impartiality while providing full disclosure of any potential conflicts of interest. It mandates that respondents must either affirm they have no conflicts or submit a detailed statement outlining any potential conflicts. The document specifies that THECB will be the sole arbiter in determining whether a conflict exists, and any entity determined to have a conflict will be disqualified from contract award.
The document outlines specific restrictions regarding former THECB employees, prohibiting contracts with anyone employed by THECB within the past 12 months. Those employed by THECB or other Texas state agencies between 12 and 24 months ago must disclose their previous employment details. The document also includes a warning about indemnification terms, noting that as a state agency, THECB is constitutionally prevented from indemnifying respondents, and including such terms may result in a nonresponsive proposal determination. The document concludes with an unsworn declaration form for the authorized respondent representative to complete under penalty of perjury.
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ATTACHMENT D – CONFLICT OF INTEREST STATEMENT
RFQ No. 781-5-03287
Respondents shall be neutral and impartial and shall not advocate specific positions to THECB. Respondents are encouraged to provide complete disclosure of matters that might be considered a conflict of interest. Completeness of disclosure may be a factor in evaluating proposals. Respondents shall identify the extent, nature, and length of any relationships or engagements that might be considered a conflict of interest. THECB will determine whether a conflict of interest or the perception of a conflict of interest exists from the perspective of a reasonable person uninvolved in the matters covered by the resulting contract. THECB is the sole arbiter of whether a conflict or the appearance of a conflict of interests exists. Entities having a conflict of interest, as determined by THECB, will not be eligible for contract award.
If a Respondent does not have any known or potential conflict of interest, the proposal should include such a statement. Failure to provide either a statement on potential conflicts of interest or a statement that no potential conflicts exist shall automatically disqualify the Respondent.
Respondents must address how they intend to ensure that no interest arising or potentially arising as a result of its activities or those of its parent, affiliate, or other related entity shall conflict with Respondent’s duty should it be selected to provide these services.
THECB may not enter into a contract with a person who has been employed by THECB within the past twelve months. Persons who have been employed by THECB or by another state agency in Texas more than twelve months but fewer than twenty-four months ago shall disclose in the proposal the nature of previous employment with the state agency and the date the employment ended.
NOTE: THECB, as a state agency, is prevented by the Texas Constitution from indemnifying Respondents. Respondents are discouraged from including a term in their Proposal that requires THECB to indemnify them. Such a term may result in the proposal being deemed nonresponsive.
Conflict of Interest Statement:
☐ I hereby affirm that Respondent has no known existing or potential conflicts of interest.
☐ Respondent submits the following conflict of interest statement:
UNSWORN DECLARATION:
“My name is _____________________________, my date of birth is _________, (Authorized Respondent Representative) and my address is ___________________, ________________, ___________, (Street) (City) (State)
___________ and _________________. I declare under penalty of perjury that the (Zip Code) (Country) foregoing is true and correct.
Executed in ______________ County, State of ________, on the ___ day of
____________ 202__.
_____________________________________, Declarant.”
(Signature of Authorized Respondent Representative)
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| Check Box - Submit Conflicts: Off |
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