Grid Connect Inc CIQ 8.31.21C.NFLJCT OF !NTEREST QUEST!٥NNA!RE -
This questionnaire reflects changes made to the law by Η.Β. 23, 84th Leg., Regular Session.
F.RM CIQ
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined
by Section 176.001(1.3) with a local governmental entity and the vendor meets requirements under Section 176.006(a).By law this questionnaire must be filed with the records administrator of the local government entier not later than the 7th business day after the
date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(3-1), local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is amisdemeanor.
Name of vendor who has a business relationship with local governmental enti^.
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Check this box if you are fifing an update to a previously filed questionnaire.□
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7'h business day
after the date on which you became U'.vare that the originally filed questionnaire was incomplete or Inaccurate.)
1 Name of local government officer about whom the information in this section is heing disclosed.
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Describe eacb employment or other business relationship with ilie local government officer, or a family member of the ofilcer. as described by Section17ň.00.1(a١(2)(A). Also ،!escribe any I'anilly relations hip with the local gowrnmeni officer. This section, (item 3 includingsubparLs A. R, c& D). must be
completed for each officer with whom the vendor has an employment or otlier btisiness relationship as defined by Section 176.001(1-3). I.ocal Government Code.
Attach additional pages to this Forni CIQ as necessai^.
Is the local government officer named In this se؛A.;n recei^ng or likely to receive taxable Incorni, otiter than investment income, from ilie vendor?□Yes
B.Is the vendor receiving or likely to receive trable income, otlier tlian investment inc،؛nie. from or at Ilie direction of the local goieniment omeer tiamwl inthis section .AND the taxable income is not received fiora lite local gos emmental entity?□Yes
C. Is tlie filer of this qucslioniiaire employed by ئ co^uraiion or otltcr bu.sincss entity with respect to wltich lite local govcntmeiil officer series as an officer
،tr director, er httids an ownership 01' one percent or tnore?
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D. Describe each employment or business and family rclalionsliip with the local govemmciil officer ttaincd in tills section.
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have no Conflict of InteresWo disclose.
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fgnalure of vendor dolitg business with the governmental entity
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
AcomplciccupyofChapiCTl76oflhc Local GovcmmcniCoücraay be found al hiipr/Zwww.sialaics.lcgis.siale.ا.١.الدر Dws-LG’him Ltil76.hi¡n. l-'ürcasy
ге1'с٢с11сс. bolu w arc some of lhe seciions cilcil on Ibis fom.
Local ernmeni Cíidť s 176.001( l-a>: "Ba^inc.'S relationship" means ;ا conncciíon between two ormtire panics baseti on commercial activity olone of lhe
pañíes. The lem does nol include a TOiincction based on:
lAlairansaclion that is subject to rate orfee regulation byafcderal.state,or local govcmiTtentaiciuityor an
governmental entity;
(B١ tt transaction condiieled at a price and subjcei to terms available to the publie; I.r
1،;;зригспа$с or Icascofgoods or scr\’iccsfromaF٥;؛ n٠h١؛t is ؛hartcrcdbyastaicorfcdcral agency and that is subjcciio regular examination by.
and reporting to, that agency.
agciicj' of a iCdcral. state, or local
Local t.*,»t;rnmBntCndeS176.tl»3<a>(2t<A>antl(B١:
( Λ١ Л local government oflfeer shall tile ؛1conllicts disclosure siaiemcni with respect to a vendor! f
(2> ihcvendor:
(Λ) has· an employment or other business relationship with the localgovcmmentofficerorafamily member of the oftlccr that
results In the omcer or ftmily member receiving taxable income, other than investment ineom،, that exceeds $2,500 during
the 12٠mo:ith peri od preceding the dale that the officer becomes it ware that
(؛)a contract between ilie local governmental entity and vendor has been executed; or
(ii) tlte local governmental entity is considering entering inlt, a contract wdih the vOTdott
( B) has gis en to the local government officer or it fami ly member ol'ihe officer one or more gifts tltat Itave an agregate value of
more titan SI Win lite 12-monili pcriixl pmeeding lite ،late the officer bccttines aware lltat:
(؛) a contract between lite local governiienial eiiliiy and vendor lias been executed; or
(ii) Ilie local govemmental entity is considering entering into a contract with the vendor.
Local Cavern ment Code 6 l76.O0b< a) and ( a-11
(a) A vendor shall ffiea comp leiwl conffict of i merest 4ueslionnaire i llhe vendor hasa business relation-ship with a local govemiitental entity and:
(!) has an emplojniient or other business relaiioitsltip wiili a local goveiinneiii officer of tltat local govcnmieiital entity, ora family
memberoftheofficsr,dsscribedbySeciioii!76.n03(a)(2)(Al;
(21 has given a local government officer of that local governmental entity, or a family member of the officer otte or more gife with tlie
aggregate value sp«iftcd by Sectionl76.W3(a)(21(Bl,excluding any giftdescribed by Sectionl7f,.00.١(a-1); or
(3) hasa family rclailttnship with a local government olftcer of that local govern menial entity.
ia-11 The completed conflict ofinterwtquestlonnaire must he filed with the appropriate records administrator not later than the seventh business dayarterihe later of:
i ll the date that the venaor;
(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or
(B)submiistiiihe 1^1 giivernmental entity an application,responsetoarequoi for pn.posals or bids, comes pondence,،١r a
writing related to a potential eontraci with the loeal governmental entity; or،2) ilie date the vendor becomes aware:
(A) ol'an employment or other business relationship with a local goveiiimeiii officer, or a family tntinber of the officer,
described by Subseetioit (a);
(لا) that the Vendor Itas given one or more gins described by Siibsecilon (a؛; or
( Cl of a family relationship with alocai govenuneni olTicer.
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II
Citv of Denton Ethics Code ()rdinancL‘ Number 18.757 1II
Relative: a family m.ember lelaicd to 8 City Olfteial within the third 3'·’ dcitfcc ofaffiniiv (marriauel ЧГ consanuuinitv (blixxJ or adoption)ا
City Official: fur pii^،،se of this article, the term consists ol'the Council Mem hem. Department Heads, or memher of the Board ol' Ethics, Planning!
and aoniiig Commissiuti .Membere. Board of Adjuslineni. Historie Landmat Commission, or Public Utilities Board ا
\'cnd0f: a person who provides or seeks to pruv idc goods, services, andfor real property to llic City in exchattge for compensation. This definition
does not include those property owners from whom the City acquires public right-of-way or other real property inietesis for public use.
Per the City of Denton Ethics Code. Secti.,:i 2-273. - Pruhibiliuns
13) It shall be a violation of this ΑπΓςΙβ for a Vendor to ofTer or give a Gift to City Official exceeding fifty dollars ($50.00) pet" gift, or multiple gift
cumulatively valued at mom than two hundred dullara ($2W.00) per a single fiscal year.
Per the City of Denton Ethics Code. Section 2-2Χ2. -Disposition (b), (5) Ineligibility
If the Board of Etliies finds that a k'eiidor has violated this .Article, the Board may rccommeiid to the City Manager that the Vendor be deemed
ineligible to enter i nto a City contract or other arrangeineni for goods, scrtricc-s. or real profutny. for a period of one (1) year.
=٠rm provided by Texas Etriids Commission 'www.ethids.state.ỈX.ƯS Revised า1,'30/201ร