Conflict of Interest Certification. By signing this Contract CM is certifying that no member of the Board of Regents of The Texas State University System, or its Executive Officers (including component institutions) has a financial interest, directly or indirectly, in the transaction that is the subject of this Contract.
Conflict of Interest Certification. The undersigned Applicant hereby certifies that:
Conflict of Interest Certification. Pursuant to Chapter 176 of the Texas Local Government Code, Engineer certifies that Engineer has completed any required conflict of interest disclosures or questionnaires (see xxx.xxxxxx.xxxxx.xx.
Conflict of Interest Certification. Design Professional certifies that Design Professional is not an expert witness for any party in litigation against the City at the time of the issuance of this Contract.
Conflict of Interest Certification. Pursuant to Texas Government Code Section 2261.252(b), the Department is prohibited from entering into contracts in which Department officers and employees have a financial interest. By signing the Contract, the Contractor certifies that it is not prohibited from entering into a Contract with the Department as a result of a financial interest as defined under Texas Government Code Section 2261.252(b), and that it will exercise reasonable care and diligence to prevent any actions or conditions that could result in a conflict of interest with the Department. The Contractor also certifies that none of the following individuals, nor any of their family members within the second degree of affinity or consanguinity, owns 1% or more interest or has a financial interest as defined under Texas Government Code Section 2261.252(b) in the Contractor: Any member of the Texas Transportation Commission; and The Department’s Executive Director, General Counsel, Chief of Procurement and Field Support Operations, Director of Procurement, and Director of Contract Services. Violation of this certification may result in action by the Department.
Conflict of Interest Certification. Contractor acknowledges that Texas Local Government Code Chapter 176 requires a vendor that seeks to or enters into a contract with a local governmental entity to file a conflicts of interest questionnaire if the vendor: (i) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer; (ii) has given a local government officer, or a family member of the officer, one or more gifts that exceed certain values; or (iii) has a family relationship with a local government officer. By execution of this Agreement, Contractor certifies as follows: (i) Contractor has fully complied with the applicable requirements of Chapter 176 of the Texas Local Government Code;
Conflict of Interest Certification. I have read and understand the WKU Conflict of Interest Policy. Yes No Will/do you or any member of your household or grant staff alone or in combination have a significant financial interest in the above sponsor?* Yes No Are you or any member of your household or grant staff affiliated with the above sponsor or with an external agency in a way that will hinder your abilities to fulfill obligations to WKU, its’ students, or your colleagues? Yes No * Significant Financial Interest: If a publicly-traded company, when the value of the past 12 months remuneration plus the value of current equity exceeds $5,000. If a non-publicly-traded company (e.g. startup), when the value of the past year’s remuneration exceeds $5,000 or the investigator holds any equity interest. Also includes intellectual property rights and interests (e.g. patents, copyrights), upon receipt of income related to such rights and interests. Excludes: Work for government entities or an institution of higher education or mutual funds so long as the investigator does not directly control the investment decisions made in these vehicles.
Conflict of Interest Certification. Form A The undersigned hereby certifies that the Bidder shall comply with Massachusetts Conflict of Interest Laws, X.X. x. 268A and with the City’s Conflict of Interest terms stated in Article 33 of these Contract Documents. BIDDER'S NAME: AUTHORIZED SIGNATURE: TITLE: DATE: Form B ACKNOWLEDGEMENT OF ADDENDA The Bidder acknowledges all addenda . ADDENDA NUMBER DATE ISSUED _ _ _ _ Form C AFFIDAVIT OF NON-COLLUSION It shall be understood that any bid submitted to the City is made without collusion with any other bidder submitting a bid on the same commodity/service, and is in all respects fair and without fraud. STATE OF: Date: COUNTY OF: S.S.: _ The undersigned being duly sworn, deposes and says that he/she is the (Sole Owner; Partner, President, Treasurer, or Other Duty Authorized Official of a Corporation) of (Name of Firm as Appearing in Submitted Proposal) and works in (City/Town) and certifies under penalties of perjury that this proposal is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this paragraph the word “person” shall mean any natural person, joint venture, partnership, corporation or other business or legal entity. (Signature and Title of Person Making Affidavit) Sworn to before me this day of , 20 Notary Public: My commission expires: Form D IN WITNESS WHEROF, the undersigned certifies, under the pains and penalties of perjury that:
Conflict of Interest Certification. By executing the Agreement, Design/Build Contractor certifies that no member of the Board of Regents of The Texas State University System, or Executive Officers, including component institutions, has a financial interest, directly or indirectly, in the transaction that is the subject of this contract.
Conflict of Interest Certification. By signing this Contract CM is certifying that no member of the City of Lakeway City Council, or its Staff (including component institutions) has a financial interest, directly or indirectly, in the transaction that is the subject of this Contract.
