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CONFLICT OF INTEREST OUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at httpl/www.statutes.legis.state.tx.usl Docs/LGlhtnVLG.176.htm. For easy reference, below are some of the sections cited on ibis form. Local Gpyeromsni Code § 176.00111•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 4 176.00 a 2 A and—0: : (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, ether than investment income, that exceeds $2,500 during the 112 -month period preceding the date that the officer becomes aware that (1) a contract between the local governmental entity and vendor has been executed; or (fi) 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 oflicer becomes aware that: (f) 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 sh& °'176A- %0q' nd (a 1„) all file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (t) 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); (8) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government off !car. Form provided by Texas Ethics Commission www.eihics.state.ix.us Revised 11=201b Page It) of 25