Conflict of Interest Questionnaire. For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. 1 Name of vendor who has a business relationship with local governmental entity. FORM CIQ OFFICE USE ONLY Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated 3 Name of local government officer about whom the information is being disclosed. 4 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.
Appears in 2 contracts
Sources: Independent Contractor Services Agreement, Services Agreement