CONFLICT OF INTEREST QUESTIONNAIRE. If you have a conflict of interest as described in this form No FORM CIQ or the Local Government Code Chapter 176, cited therein- you are required to complete and file with TIPS, Richard Powell, 4845 US Highway 271 North, Pittsburg, Texas 75686 You may find the Blank CIQ form on our website at: Copy and Paste the following link into a new browser or tab: https://www.tips-usa.com/assets/documents/docs/CIQ.pdf Do you have any conflicts under this statutory requirement?
CONFLICT OF INTEREST QUESTIONNAIRE. Chapter 176 of the Texas Local Government Code requires contractors contracting or seeking to contract with H-GAC to file a conflict of interest questionnaire (CIQ) if they have an employment or other business relationship with an H-GAC officer or an officer’s close family member. The required questionnaire and instructions are located on the H-GAC website or at the Texas Ethics Commission website https://www.ethics.state.tx.us/forms/CIQ.pdf. H-GAC officers include its Board of Directors and Executive Director, who are listed on this website. Respondent must complete and file a CIQ with the Texas Ethics Commission if an employment or business relationship with H-GAC office or an officer’s close family member as defined in the law exists.
CONFLICT OF INTEREST QUESTIONNAIRE. Do you have any CONFLICT OF INTEREST TO REPORT No FORM CIQ - Do you have any CONFLICT OF OR DISCLOSE under this statutory requirement? YES or INTEREST TO REPORT OR DISCLOSE under NO you have a conflict of interest as described in this this statutory requirement? form or the Local Government Code Chapter 176, cited therein- you are required to complete and file with TIPS. may find the Blank CIQ form on our website at: Copy and Paste the following link into a new browser or tab: https://www.tips-usa.com/assets/documents/docs/CIQ.pdf There is an optional upload for this form provided if you have a conflict and must file the form.
CONFLICT OF INTEREST QUESTIONNAIRE. Prior to commencing removal, Purchaser must complete, execute, and file with the City Secretary a Conflict of Interest Questionnaire (“Form CIQ”), a copy of which is attached to this contract as Exhibit A. This is a condition precedent to Purchaser’s entitlement to commence work, and is a requirement imposed pursuant to Texas Local Government Code, Chapter 176.
CONFLICT OF INTEREST QUESTIONNAIRE. If required by Chapter 176, Texas Local Government Code, the Consultant shall complete and file the Conflict of Interest Questionnaire with the County Clerk, Elections Division, 5501 Airport Blvd., Austin, Texas 78751. If any statement on a submitted Questionnaire becomes incomplete or inaccurate, the Consultant shall submit an updated Questionnaire not later than the seventh business day after the date of the event that caused the statement to become incomplete or inaccurate. The Consultant should note that the law requires the County to provide access to a filed Questionnaire on the official Travis County Internet website. As a duly authorized representative of Consultant, I acknowledge by my signature below that I have read and understand the above paragraphs and that Consultant has the obligation to ensure compliance with its provisions by itself and its employees, agents, and representatives. The parties have duly executed this Agreement effective as of the later date set forth below (the “Effective Date”). CONSULTANT: HDR ARCHITECTURE, INC. By: Printed Name:Todd Tierney Title:Senior Vice PresidenkAuthorized Representative Date:4/9/2021 The Texas Board of Professional Engineers, 1917 South IH -35 South, Austin, Texas 78741, phone: (512) 440-7723, has jurisdiction over individuals licensed under the Texas Engineering Practice Act, Chapter 1001 of the Occupations Code. TRAVIS COUNTY, TEXAS: DRAFT By:Travis County Judge Date: APPROVED AS TO PURCHASING POLICIES AND PROCEDURES BY: DRAFT By:Bonnie S. Floyd, MBA, CPPO, CPPB Travis County Purchasing Agent AVAILABILITY OF FUNDS CONFIRMED:By: DRAFT
CONFLICT OF INTEREST QUESTIONNAIRE. Sign and upload the Conflict of Interest Questionnaire, provided as an attachment to this RFP. Additionally, Chapter 176 of the Texas Local Government Code requires vendors and consultants contracting with PSA to file a Conflict of Interest Questionnaire (CIQ) if they have an employment or other business relationship with a PSA officer or an officer’s close family member. PSA is a program of the Brazos Valley Council of Governments, whose officers include:The Honorable Milton Tate, Jr., ChairThe Honorable Duane Peters, 1st Vice Chair The Honorable Byron Ryder, 2nd Vice Chair The Honorable Kavon Novak, SecretaryThe Honorable Charles Ellison, Immediate Past Chair