HomeMy WebLinkAboutContract 57830 CSC No. 57830
FORT WORTH
CITY OF FORT WORTH
COOPERATIVE PURCHASE AGREEMENT
This Cooperative Purchase Agreement ("Agreement") is entered into by and between American
Pollution Control Corporation ("Vendor") and the City of Fort Worth, ("City"), a Texas home vile
municipality.
The Cooperative Purchase Agreement includes the following documents which shall be construed in the
order of precedence in which they are listed:
1. This Cooperative Purchase Agreement;
2. Exhibit A— Seller's Quote, Scope of Services or Purchase Order;
3. Exhibit B—Cooperative Agency Contract GS-07F-0028Y; and
4. Exhibit C—Conflict of Interest Questionnaire
Exhibits A, B, and C,which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. Vendor agrees to provide City with the services and goods included in
Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all
exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with
the provisions of this Agreement. Total payment made under this Agreement for the first year by City
shall not exceed Sixteen Thousand Dollars ($16,000). Vendor shall not provide any additional items or
services or bill for expenses incurred for City not specified by this Agreement unless City requests and
approves in writing the additional costs for such services. City shall not be liable for any additional
expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing.
The term of this Agreement is effective beginning on the date signed by the Assistant City
Manager below("Effective Date") and expires on September 30, 2022.
Vendor agrees that City shall,until the expiration of three(3)years after final payment under this
Agreement, or the final conclusion of any audit commenced during the said three years, have access to
and the right to examine at reasonable times any directly pertinent books,documents,papers and records,
including, but not limited to, all electronic records, of Vendor involving transactions relating to this
Agreement at no additional cost to City. Vendor agrees that City shall have access during normal
working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor
reasonable advance notice of intended audits.
Notices required pursuant to the provisions of this Agreement shall be conclusively determined
to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3)
received by the other party by United States Mail, registered, return receipt requested, addressed as
follows:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
To CITY: To VENDOR:
City of Fort Worth American Pollution Control Corp.
Attn: Valerie Washington,Assistant City Manager Leo Guidroz,Division Manager
200 Texas Street
Fort Worth,TX 76102-6314 Address:
Facsimile: (817) 392-8654 401 West Admiral Doyle
New Iberia,LA 70560-9649
With copy to Fort Worth City Attorney's Office at
same address Facsimile: 504-3614323
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
CITY OF FORT WORTH:
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
By. Valerie Washington(Ju112,202216:56 CDT) responsible for the monitoring and administration
Name: Valerie Washington of this contract,including ensuring all performance
Title: Assistant City Manager and reporting requirements.
Date:
APPROVAL RECOMMENDED: By: Br Ray(Jul 11,202217:48 CDT)
Name: Brenda Ray
Title: Sr. Contract Compliance Specialist
By. J s Davis(Jul12,202209:06 CDT) p�a�FpRr Zi4 APPROVED AS TO FORM AND LEGALITY:
Name: James Davis jr 0�° °°'pad
Title: Fire Chief p/�� o�.�
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ATTEST: a� *- °o--- By:
n EXp q 000000000
Name: Taylor Paris
nna�5 Title: Assistant City Attorney
By JaffietteS.Goodall(Jul13,202211: DT) CONTRACT AUTHORIZATION:
Name: Jannette Goodall M&C: N/A
Title: City Secretary
VENDOR:
American Pollution Control Corporation
By: xx;4-5
Name: Leo Guidroz
Title: Division Manager OFFICIAL RECORD
Date: CITY SECRETARY
FT. WORTH, TX
Exhibit A
GSA PRICE LIST 2018
Solid Floatation Boom: Cylindrical float curtain boom, the boom is made of PVC
or Polyurethane ("U") and is fitted with ASTM connectors.
OEM PART DESCTIPTION GSA
NUMBER OFFERED
PRICE
SFB10/PVC/100 OIL BOOM 10-inch x 100ft Section $517.38
SFB10/PVC/25 OIL BOOM 10-inch x 25ft Section $164.17
SFB10/PVC/50 OIL BOOM 10-inch x 50ft Section $276.59
SFB18/PVC/100 OIL BOOM 18-inch 100ft Section $700.45
SFB-18/U/100 Response Boom 18-inch x 100ft $1,165.25
SFB-18/U/30/100 Response Boom 18-inch x 100ft w/Short Floats $1,204.75
SFB-18/U/30/50 Response Boom 18-inch x 50ft w/Short Floats $622.12
SFB-18/U/50 Response Boom 18-inch x 50ft $602.37
SFBI8TC/PVC/100 OIL BOOM 18-inch w/Top Cable 100ft Section $716.37
SFBI8TC/PVC/50 OIL BOOM 18-inch w/Top Cable 50ft Section $368.13
SFB20/PVC/100 OIL BOOM 20-inch x 100ft Section $837.63
SFB-24/U/100 Response Boom 24-inch x 100ft $1,572.10
SFB-24/U/30/100 Response Boom-24-inch x 100ft w/Short Floats $1,611.60
SFB-24/U/30/50 Response Boom 24-inch x 50ft w/Short Floats $849.25
SFB-24/U/50 Response Boom 24-inch x 50ft $829.50
SFB24TC/PVC/100 OIL BOOM 24-inch w/Top Cable 100ft Section $967.86
SFB36/PVC/50 OIL BOOM 36-inch x 50ft Section $688.51
Permanent Floatation Boom: For use in long-term deployment situations. The
boom is made of PVC or URETHANE ("U") fabric and fitted with ASTM
connectors.
OEM PART DESCRIPTION GSA
NUMBER OFFERED
PRICE
HUSKY24/U/100 Permanent Boom 24-inch Urethane $3,464.00
HUSKYMK18/50 PERMANENT BOOM 18-inch PVC x 50ft $1,541.56
HUSKYMK24/50 PERMANENT BOOM 24-inch PVC x 50ft $1,551.64
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Accessories: Supplementary accessories to fit deployment needs.
OEM PART DESCRIPTION GSA
NUMBER OFFERED
PRICE
A22wCH 221b. Anchor with Chain $55.84
A40wCH 401b. Anchor with Chain $105.00
A80wCH 801b. Anchor with Chain $241.92
AS22Comp150 221b. Anchor System Complete w/150' of Line $327.60
AS40Comp300 401b. Anchor System Complete w/300' of Line $376.99
Buoyl2INF 12-inch Inflatable Buoy $49.60
Buoy9Crwn 9-inch Crown Buoy $40.35
LineNylon 1/2 Nylon Rope 1/2-inch $0.42/ft
LineNylon 5/8 Nylon Rope 5/8-inch $0.55/ft
RopePainter Painter Line (Buoy to Boom) $26.88
TB18STD Tow Bridle for 18-inch Boom $37.80
TB24COM/FLT/100 Tow Bridle for 24-inch Boom w/Float and 100' Line $184.80
TB24STD Tow Bridle for 24-inch Boom $40.74
TendFend6 Tender Fender Boom Stand Off Unit 6feet $487.20
TendFend8/10 Tender Fender Boom Stand Off Unit 8/10feet $575.40
Tg1Pn3/8w/Lanyard Toggle Pin 3/8-inch with Lanyard $10.08
Track4Alum "I" Beam Riser Track 4-inch Aluminum $40.95/ft
Track4Galy "I" Beam Riser Track 4-inch Galvanized $43.68/ft
Track6Alum "I" Beam Riser Track 6-inch Aluminum $40.95/ft
Track6Galy "I" Beam Riser Track 6-inch Galvanized $43.68/ft
TRngCUSTOM Tether Ring for 25-36 inch Piling $699.72
TRngSTD Tether Ring for 23-inch Piling $550.20
TS4RAsy Tide Riser Roller Assembly 4-inch $729.12
TS6RAsy Tide Riser Roller Assembly 6-inch $768.60
Yconnector Y Shaped 3-Way Connector $305.50
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Exhibit B
AMAmerican Pollution Control Corp.
AMERICAN POLLUTION CONTROL, CORP. 1
Oil Stop Division
401 West Admiral Doyle
F New Iberia, LA 70560
PH: 504-361-4321 FAX: 504-361-4323
E-mail: infogoilstop.com Website: www.oilstop.com
Standard Form 1449, Contract for Commercial Items (Cont'd)
American Pollution Control Corporation
Contract Number: GS-0717-0028Y
GENERAL SERVICES ADMINISTRATION
FEDERAL SUPPLY SERVICE
AUTHORIZED FEDERAL SUPPLY SCHEDULE CATALOG/PRICE LIST
On-line access to contract ordering information,terms and conditions,up-to-date pricing, and the
option to create an electronic delivery order is available through GSA Advantage!, a menu-
driven database system. The INTERNET address for GSA Advantage! is
http://www.gsaadvantage.gov
SCHEDULE TITLE: Federal Supply Schedule 084—Total Solutions for Law Enforcement,
Security, Facility Management Systems, Fire, Rescue, Special Purpose Clothing, Marine Craft
and Emergency/Disaster Response
FSG 19: Marine Craft and Equipment
Primary NAICS Code: 326199
CONTRACT NUMBER: GS-0717-0028Y
CONTRACT PERIOD: October 1, 2021 —September 30, 2026
For more information on ordering from Federal Supply Schedules click on the FSS Schedules
button at www.fss.gsa.gov
CONTRACTOR:
American Pollution Control Corporation
401 West Admiral Doyle
New Iberia, LA 705609649
Ph: 504-361-4231
Fax: 504-361-4323
Email: info@oilstop.com
Web address: www.oilstop.com
CONTRACTOR'S ADMINISTRATION SOURCE:
Leo Guidroz
Phone number: 504-361-4231
Fax number: 504-361-4323 Email: leo@oilstop.com
ISO 9001-2008 Certified— Certificate No. AGS11SO92118-4
BUSINESS SIZE: Small Business
Standard Form 1449, Contract for Commercial Items (Cont'd) Page 1D
American Pollution Control Corporation
Contract Number: GS-07F-0028Y
CUSTOMER INFORMATION:
la. TABLE OF AWARDED SPECIAL ITEM NUMBERS (SIN)
SIN DESCRIPTION
260-12 Floating Marine Barriers and Booms, Floats, Perimeter Floats, and Moorings—Includes
parts and accessories
lb. LOWEST PRICED MODEL NUMBER AND PRICE FOR EACH SIN:
(Government price based on a unit of one)
SIN PRODUCT NUMBER PRICE
260-12 SFB 10/PVC/25 $164.17
2. MAXIMUM ORDER*:
260-12 $300,000; per SIN/per Order
*If the best value selection places your order over the Maximum Order identified in this
catalog/price list, you have an opportunity to obtain a better schedule contract price. Before
placing your order, contact the aforementioned contractor for a better price. The contractor may
(1) offer a new price for this requirement(2) offer the lowest price available under this contract
or(3) decline the order. A delivery order that exceeds the maximum order may be placed under
the schedule contract in accordance with FAR 8.404.
3. MINIMUM ORDER: $20.00
4. GEOGRAPHIC COVERAGE: Domestic delivery within the 48 contiguous states,Alaska,
Hawaii, Puerto Rico, Washington, DC, and U.S. Territories.
5. POINT(S) OF PRODUCTION: Harvey, LA (Jefferson Parish) and New Iberia, LA (Iberia
Parish)
6. DISCOUNT FROM LIST PRICES:
SIN 260-12: Basic Discount is 21% on all products, except on Part Number HUSKYMKI8/50,
which is 15% (See pricing proposal document Basic Discounts Offered)
For calculation of the GSA Schedule price (price paid by customers ordering from the GSA
Schedule, and the price to be loaded into GSA Advantage),the contractor should calculate as
follows: Negotiated price (list price minus basic discount) divided by 0.9925. Current IFF rate is
0.75% (1- 0.0075 = 0.9925).
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Standard Form 1449, Contract for Commercial Items (Cont'd) Page IE
American Pollution Control Corporation
Contract Number: GS-0717-0028Y
7. QUANTITY/VOLUME DISCOUNTS AS FOLLOWS:
+3% for 30+units
+3% for 45+units
+3% for 60+units
(See pricing proposal document Quantity/Volume Discounts Offered)
8. PROMPT PAYMENT TERMS: Net 30 Days.
9a. Government Purchase Cards are accepted at or below the micro-purchase threshold.
9b. Government Purchase Cards are accepted above the micro-purchase threshold.
10. FOREIGN ITEMS: None
1 la. TIME OF DELIVERY: 30 to 60 DARO.
1 lb. EXPEDITED DELIVERY: 3 days ARO, if in stock(Contact Contractor)
1 lc. OVERNIGHT AND 2-DAY DELIVERY: Consult with Contractor.
I Id. URGENT REQUIREMENTS: Customers are encouraged to contact the contractor to
request accelerated delivery.
12. FOB POINT: Origin
13a. ORDERING ADDRESS: Same as Contractor's address.
13b. ORDERING PROCEDURES: For supplies and services, the ordering procedures,
information on Blanket Purchase Agreements (BPA's) are found in Federal Acquisition
Regulation (FAR) 8.405-3.
14. PAYMENT ADDRESS: Same as Contractor's address.
15. WARRANTY PROVISION: SCW (12 months from the date of shipment)
15a. RESTOCKING POLICY: 15% Restocking Fee (Not all models apply, contact contractor)
16. EXPORT PACKING CHARGES: Not applicable.
17. TERMS AND CONDITIONS OF GOVERNMENT PURCHASE CARD ACCEPTANCE:
Accepted at or below micro-purchase level, and accepted above the micro-purchase level.
18. TERMS AND CONDITIONS OF RENTAL,MAINTENANCE,AND REPAIR(IF
APPLICABLE): N/A
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Standard Form 1449, Contract for Commercial Items (Cont'd) Page 1F
American Pollution Control Corporation
Contract Number: GS-0717-0028Y
19. TERMS AND CONDITIONS OF INSTALLATION (IF APPLICABLE): N/A
20. TERMS AND CONDITIONS OF REPAIR PARTS INDICATING DATE OF PARTS
PRICE LISTS AND ANY DISCOUNTS FROM LIST PRICES (IF AVAILABLE): N/A
20a. TERMS AND CONDITIONS FOR ANY OTHER SERVICES (IF APPLICABLE): N/A
21. LIST OF SERVICE AND DISTRIBUTION POINTS (IF APPLICABLE): N/A
22. LIST OF PARTICIPATING DEALERS (IF APPLICABLE): N/A
23. PREVENTIVE MAINTENANCE (IF APPLICABLE): N/A
24a. SPECIAL ATTRIBUTES SUCH AS ENVIRONMENTAL ATTRIBUTES (e.g.,recycled
content, energy efficiency, and/or reduced pollutants): N/A
24b. Section 508 Compliance for EIT: N/A
25. DUNS NUMBER: 877537407
26.NOTIFICATION REGARDING REGISTRATION IN CENTRAL CONTRACTOR
REGISTRATION (CCR) DATABASE: Contractor valid until current expiration date.
ISO 9001-2008 Certified- Certificate No. AGSITS092118-4
GSA PRICE LIST 2018
Solid Floatation Boom: Cylindrical float curtain boom, the boom is made of PVC
or Polyurethane ("U") and is fitted with ASTM connectors.
OEM PART DESCTIPTION GSA
NUMBER OFFERED
PRICE
SFB10/PVC/100 OIL BOOM 10-inch x 100ft Section $517.38
SFB10/PVC/25 OIL BOOM 10-inch x 25ft Section $164.17
SFB10/PVC/50 OIL BOOM 10-inch x 50ft Section $276.59
SFB18/PVC/100 OIL BOOM 18-inch 100ft Section $700.45
SFB-18/U/100 Response Boom 18-inch x 100ft $1,165.25
SFB-18/U/30/100 Response Boom 18-inch x 100ft w/Short Floats $1,204.75
SFB-18/U/30/50 Response Boom 18-inch x 50ft w/Short Floats $622.12
SFB-18/U/50 Response Boom 18-inch x 50ft $602.37
SFBI8TC/PVC/100 OIL BOOM 18-inch w/Top Cable 100ft Section $716.37
SFBI8TC/PVC/50 OIL BOOM 18-inch w/Top Cable 50ft Section $368.13
SFB20/PVC/100 OIL BOOM 20-inch x 100ft Section $837.63
SFB-24/U/100 Response Boom 24-inch x 100ft $1,572.10
SFB-24/U/30/100 Response Boom-24-inch x 100ft w/Short Floats $1,611.60
SFB-24/U/30/50 Response Boom 24-inch x 50ft w/Short Floats $849.25
SFB-24/U/50 Response Boom 24-inch x 50ft $829.50
SFB24TC/PVC/100 OIL BOOM 24-inch w/Top Cable 100ft Section $967.86
SFB36/PVC/50 OIL BOOM 36-inch x 50ft Section $688.51
Permanent Floatation Boom: For use in long-term deployment situations. The
boom is made of PVC or URETHANE ("U") fabric and fitted with ASTM
connectors.
OEM PART DESCRIPTION GSA
NUMBER OFFERED
PRICE
HUSKY24/U/100 Permanent Boom 24-inch Urethane $3,464.00
HUSKYMK18/50 PERMANENT BOOM 18-inch PVC x 50ft $1,541.56
HUSKYMK24/50 PERMANENT BOOM 24-inch PVC x 50ft $1,551.64
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Accessories: Supplementary accessories to fit deployment needs.
OEM PART DESCRIPTION GSA
NUMBER OFFERED
PRICE
A22wCH 221b. Anchor with Chain $55.84
A40wCH 401b. Anchor with Chain $105.00
A80wCH 801b. Anchor with Chain $241.92
AS22Comp150 221b. Anchor System Complete w/150' of Line $327.60
AS40Comp300 401b. Anchor System Complete w/300' of Line $376.99
Buoyl2INF 12-inch Inflatable Buoy $49.60
Buoy9Crwn 9-inch Crown Buoy $40.35
LineNylon 1/2 Nylon Rope 1/2-inch $0.42/ft
LineNylon 5/8 Nylon Rope 5/8-inch $0.55/ft
RopePainter Painter Line (Buoy to Boom) $26.88
TB18STD Tow Bridle for 18-inch Boom $37.80
TB24COM/FLT/100 Tow Bridle for 24-inch Boom w/Float and 100' Line $184.80
TB24STD Tow Bridle for 24-inch Boom $40.74
TendFend6 Tender Fender Boom Stand Off Unit 6feet $487.20
TendFend8/10 Tender Fender Boom Stand Off Unit 8/10feet $575.40
Tg1Pn3/8w/Lanyard Toggle Pin 3/8-inch with Lanyard $10.08
Track4Alum "I" Beam Riser Track 4-inch Aluminum $40.95/ft
Track4Galy "I" Beam Riser Track 4-inch Galvanized $43.68/ft
Track6Alum "I" Beam Riser Track 6-inch Aluminum $40.95/ft
Track6Galy "I" Beam Riser Track 6-inch Galvanized $43.68/ft
TRngCUSTOM Tether Ring for 25-36 inch Piling $699.72
TRngSTD Tether Ring for 23-inch Piling $550.20
TS4RAsy Tide Riser Roller Assembly 4-inch $729.12
TS6RAsy Tide Riser Roller Assembly 6-inch $768.60
Yconnector Y Shaped 3-Way Connector $305.50
ISO 9001-2008 Certified- Certificate No. AGS11SO92118-4
Exhibit C
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. OFFICEUSEONLY
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code.An
offense under this section is a misdemeanor.
jJ Name of vendor who has a business relationship with local governmental entity.
2
❑ Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information is being disclosed.
N/A
Name of Officer
4j Describe each employment or other business relationship with the local government officer, or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income, from the vendor?
Yes F-1 No
B. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes F-1 No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership interest of one percent or more.
6
❑ Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
7 14A;405
29JUNE 2022
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.Iegis.state.tx.us/
Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code§176.001(1-a):"Business relationship"means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an
agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by, and reporting to, that agency.
Local Government Code§176.003(a)(2)(A)and(B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income, that exceeds $2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than$100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code§ 176.006(a)and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the
officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any
gift described by Section 176.003(a-1);or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity; or
(B) submits to the local governmental entity an application,response to a request for proposals
or bids, correspondence, or another writing related to a potential contract with the local
governmental entity;or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a
family member of the officer,described by Subsection(a);
(B) that the vendor has given one or more gifts described by Subsection (a);or
(C) of a family relationship with a local government officer.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021