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CONFLICT OF INTEREST For vendor doing business with floc alOUESTIONNAIRE governmental entity A complete copy of Chapter 176 of the Local Government Code may be found at httpyANww.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form, ed an commercial activity of one of the parties. The term does ears a connection between two or more parties Of include a connection based on: (A} a transactaon that is subject to rate or fee regulation by a governmental entity; federal, state, or local governmental entity oragency of a federal, state, or fecal an (g) a transaction conducted at a price and subject to terms available to the public: ®r bj ease o goods or services from a Person that is chartered by a state or federal that is subject to regular examination by, and reporting to, that agency. agency and Local 9501��_r!!Mnt Code L@Lqd Lq, (a) A local 6�oTeinment officer shall file a conflicts disclosure statement with respect to a vendor if: (2) thevenclor. (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 (i) a contract between the local governmental or I entity and vendor has been executed; (ii) the local governmental entity is considering entering into contract -with the vendor; a (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 $i oo in the 12 -month period Preceding the date the officer becomes aware that; W 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. Locales "—eqt CqO911764%4�ljq. ... 11 (a) A vendor shall file—a 'completed conflict of interest questionnaire if the vendor has a business relati with a local governmental entity and: onship (1) has an employment or other business relationship with a local government officer of that local governmental entity, ora family member of the officer, described by Section 176.003(a)(2)(A), h officer, one or more gifts with .003(a)(2)(13), excluding any the aggregate value specified by Section 176 1 (2) as given a local government officer Of that local governmental entity, or a fami y member of the gift described by Section 176.003(a-1); or e (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 thea ppropriate 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 (13) 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 M Of a family relationship with a local government officer, Form Provided by Texas Ethics WWW.0thics.sjaj0.jX.US Revised 11/34/2016 ATTACHMENT H Page 10 of 26