03/29/2016
Who are officers of the City of Waco?
Officers are the members of the Waco City Council, the City Manager, and any agent or employee
who exercises discretion in the planning, recommending, selecting, or contracting with a vendor. An
agent may include engineers and architects, as well as others, who assist the City is making a decision
on some contract or purchase.
When must a vendor file the conflict of interest questionnaire?
No later than seven days after the date the vendor: (a) begins contract discussions or negotiations with
the city, or (b) submits an application or response to a request for proposals or bids, correspondence, or
another writing related to a potential agreement with a city, or (c) becomes aware of an employment or
other business relationship with an officer or family member of the officer that the vendor (i) has made
one or more gifts of more than $100 or (ii) has a family relationship with.
How do I go about filling out the Conflict of Interest Questionnaire form?
Section 1: Fill in the full name of the person or company who is trying to do business with the City. If
the “person” is a corporation, partnership, etc., then it is the name of that corporation, partnership,
etc., that is required on Form CIQ. If a sole proprietorship, then just the name of the individual is
needed. If the “person” is an individual acting as an agent for some other person or a company,
then it is the agent’s name. Any time an agent is involved, two FORM CIQs must be
completed and submitted: one for the agent, and one for the person or company that the agent
acted for. The agent’s FORM CIQ must note the vendor that the agent acted for.
Section 2: Check box if the form is an update to a form previously completed. Updates are required
by the 7th business day after an event that makes a statement in a previously filed questionnaire
incomplete or inaccurate. Updates are also required by September 1 of each year in which the
person submits a proposal, bid or response to the City of Waco or begins contract discussions or
negotiations with the City.
Section 3: Insert the name of the City of Waco officer with whom there is an affiliation to or business
relationship. If there is more than one City officer with whom there is an affiliation or business
relationship, a separate form should be completed for each officer.
Section 4: Check the “Yes” or “No” box in Section 4 A or B.
4.A: State whether the officer named on the form receives or is likely to receive taxable income,
other than investment income, from the vendor filing the questionnaire.
4.B: State whether the vendor receives or is likely to receive taxable income, other than
investment income, from or at the direction of the officer named on the form AND the
taxable income is not received from the City.
Section 5: Describe each employment or business relationship with the local government officer
named on the form.
Section 6: Check box to acknowledge gifts made that require disclosure.
Section 7. Person completing form must date and sign the form. If the form is being completed for a
corporation, partnerships, etc., the person signing should be someone who is authorized to act on
behalf of the corporation, partnership, etc.
A signature is required in box #4 regardless of any other entry on the form.
A copy of Chapter 176 of the Texas Local Government Code can be found at:
http://www.statutes.legis.state.tx.us/SOTWDocs/LG/htm/LG.176.htm
