DOCUMENT

ITB - Water (suitable for road construction) 2007

  • YEAR CREATED: 2007
  • ENTITY TYPE: County
  • TYPE OF DOCUMENT: BID - ITB, IFB, ITT, RFB
The document is a form titled "Conflict of Interest Questionnaire" (Form CIQ). It consists of several sections and subparts that need to be completed for each officer with whom the filer has an affiliation or business relationship. The document begins by stating that Section 5, including subparts A, B, C, and D, must be completed for each officer. It also mentions that additional pages can be attached if necessary. Section 5 contains four subparts: A, B, C, and D. Subpart A asks if the local government officer named in this section is receiving or likely to receive taxable income from the filer of the questionnaire. The options to answer are "Yes" or "No". Subpart B asks if the filer of the questionnaire is receiving or likely to receive taxable income from or at the direction of the local government officer named in this section, and if the income is not from the local governmental entity. Again, the options to answer are "Yes" or "No". Subpart C asks if the filer of the questionnaire is affiliated with a corporation or other business entity that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more. The options to answer are "Yes" or "No". Subpart D instructs the filer to describe each affiliation or business relationship. Section 6 asks the filer to describe any other affiliation or business relationship that might cause a conflict of interest. Section 7 is left blank and does not contain any instructions or prompts. The document ends with a space for the signature of the person doing business with the governmental entity and the date. The last line mentions that the form was amended on January 13, 2006. Overall, the document is a questionnaire form that aims to gather information about any potential conflicts of interest between the filer and local government officers.
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