CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ Sample Clauses

CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ. If you have a conflict of interest as described in this form or the Local Government Code Chapter 176, cited therein- you are required to complete and file with TIPS, Xxxxxxx Xxxxxx, 0000 XX Xxxxxxx 000 Xxxxx, Xxxxxxxxx, Xxxxx 00000 You may find the Blank CIQ form on our website at: Copy and Paste the following link into a new browser or tab: xxxxx://xxx.xxxx-xxx.xxx/assets/documents/docs/CIQ.pdf Do you have any conflicts under this statutory requirement? 2 No Filing of Form CIQ If yes (above), have you filed a form CIQ as directed here? 3
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CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ or face the possibility of a Class C Misdemeanor. □ Vendor has no known Conflict of Interests with the District □ Vendor has a known Conflict of Interest and will be attaching a copy of the CIQ FELONY CONVICTION NOTIFICATION State of Texas Legislative Senate Bill No. 1, Section 44.034, Notification of Criminal History of Contractor states: a) A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony. The notice must include a general description of the conduct resulting in the conviction of a felony. b) A school district may terminate a contract with a person or business entity if the district determines that the person or business entity failed to give notice as required by Subsection (a) or misrepresented the conduct resulting in the conviction. The district must compensate the person or business entity for services performed before the termination of the contract. c) This section does not apply to a publicly-held corporation. Please check off one box and sign the form in the appropriate space(s): My firm is a publicly-held corporation; therefore, this reporting requirement is not applicable. My firm is neither owned nor operated by anyone who has been convicted of a felony. My firm is owned and operated by the following individual(s) who has/have been convicted of a felony: Name of Xxxxx(s): Details of Conviction(s): INSURANCE REQUIREMENTS – REQUIRED FOR WORK PERFORMED ON DISTRICT PROPERTY The vendor shall carry Statutory Workmen’s Compensation Insurance, Comprehensive General Liability Insurance covering premises operation and Contractor’s Liability in the amount of $100,000/$300,000 for bodily injury and $100,000 each accident property damage and Automobile Liability covering all owned, non-owned, and hired vehicles in the amount of $100,000/$300,000 bodily injury and $100,000 each accident property damage. Certificates of Insurance shall be delivered to the Purchasing Department before work is commenced. Upon award of bid, the vendor shall supply purchasing proof of insurance, in the manner prescribed by the Texas Worker’s Compensation Commission, informing all persons providing services on the project that they are required to be covered, and station how a person may verify coverage and report lack of coverage. The undersigned agrees to fully comply in strict accordance with the above requirements,...
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CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ or face the possibility of a Class C Misdemeanor. □ Vendor has no known Conflict of Interests with the District □ Vendor has a known Conflict of Interest and will be attaching a copy of the CIQ
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CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ. A person or business, and their agents, who seek to contract or enter into an agreement with the City, are required by Texas Local Government Code, Chapter 176, to file a conflict of interest questionnaire (FORM CIQ) which is found in Appendix
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CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ. Do you have any CONFLICT OF INTEREST TO REPORT OR DISCLOSE under this statutory requirement? Do you have any CONFLICT OF INTEREST TO REPORT OR DISCLOSE under this statutory requirement? YES or NO If you have a conflict of interest as described in this form or the Local Government Code Chapter 176, cited therein- you are required to complete and file with TIPS. The Form CIQ is one of the attachments to this solicitation. There is an optional upload for this form provided if you have a conflict and must file the form -Y-e--s- Vendor Corrected to "NO" 8.2.21 Filing of Form CIQ If yes (above), have you filed a form CIQ by uploading the form to this RFP as directed above? Y--e-s- Vendor Corrected to "NO" 8.2.21 6 Regulatory Standing I certify to TIPS for the proposal attached that my company is in good standing with all governmental agencies Federal or state that regulate any part of our business operations. If not, please explain in the next attribute question. 4 7 Yes Regulatory Standing Regulatory Standing explanation of no answer on previous question. 4 8 No response
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CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ. A person or business, and their agents, who seek to contract or enter into an agreement with the City, are required by Texas Local Government Code, Chapter 176, to file a conflict of interest questionnaire (FORM CIQ) which is found in Appendix C. The form must be filed with the City Secretary no later than seven (7) days after the date the person or business begins contract discussions or negotiations with the City, or submits an application, response to a request for proposals or proposals, correspondence, or other writing related to any potential agreement with the City. If no conflict exists the offeror must xxxx the form Not Applicable or NA and return with the proposal packet.
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Related to CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ

  • 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 xxxxx://xxx.xxxxxx.xxxxx.xx.xx/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 - Form CIQ No response Do not upload this form unless you have a reportable conflict with TIPS. There is an Attribute entitled “Conflict of Interest Questionnaire Requirement” immediately followed by an Attribute entitled “Conflict of Interest Questionnaire Requirement – Form CIQ – Continued.” Properly respond to those Attributes and only upload this form if applicable/instructed. If upload is required based on your response to those Attributes, the Conflict of Interest Questionnaire – Form CIQ must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded at this location. Vendor’s Warranties, Terms, and Conditions (Supplemental Vendor Information Only)

  • Conflict of Interest Questionnaire Requirement Vendor agrees that it has looked up, read, and understood the current version of Texas Local Government Code Chapter 176 which generally requires disclosures of conflicts of interests by Vendor hereunder if Vendor:

  • CONFLICT OF INTEREST FORM Bidder shall complete the Conflict of Interest Form attached hereto and submit it with their bid.

  • Interest Questionnaire - Form CIQ No response Do not upload this form unless you have a reportable conflict with TIPS. There is an Attribute entitled “Conflict of Interest Questionnaire Requirement” immediately followed by an Attribute entitled “Conflict of Interest Questionnaire Requirement – Form CIQ – Continued.” Properly respond to those Attributes and only upload this form if applicable/instructed. If upload is required based on your response to those Attributes, the Conflict of Interest Questionnaire – Form CIQ must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed, and uploaded at this location.

  • CONFLICT OF INTEREST POLICY 4.1. The Company, partners of the Company or other affiliated parties may have material interest, a legal relationship or arrangement concerning a specific transaction in the Trader’s Room or on the trading platform or interests, relationships, or arrangements that may be in conflict with the interests of the Client. By way of example, the Company may: - act as Principal concerning any instrument on the Company’s own account by selling to or buying the instrument from the Client; - combine the Client’s transaction with that of another Client; - buy or sell an instrument the Company recommended to the Client; - advise and provide other services to partners or other clients of the Company who may have interests in investments or underlying assets which conflict with the Client’s interests. The Client consents to and grants the Company authority to deal with or for the Client in any manner which the Company considers appropriate, notwithstanding any conflict of interest or the existence of any material interest in any transaction in the Trader’s Room or on the trading platform, without prior notification of the Client. The Company’s employees are required to comply with a policy of impartiality and to disregard any material interests or conflicts of interest when advising the Client.

  • Disclosure of Conflict of Interest The Architectural Designer represents, warrants and covenants that it has no public or private interest which does or may conflict in any manner with the performance of the Work and that neither it, nor any of its directors, officers, members, partners, employees or Subconsultants, has or shall during the Term acquire, directly or indirectly, any such interest. The Architectural Designer shall promptly and fully disclose to the School District’s Contract Administrator all interests which may constitute such a conflict.

  • Conflict of Interest Includes For the purposes of Article A6.0, a conflict of interest includes any circumstances where:

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