Conflict of Interest Acknowledgment Form

CODE OF THE TOWN OF SIMSBURY, CONNECTICUT
PART I ADMINISTRATIVE LEGISLATION / Chapter 13, ETHICS, CODE OF /
Acknowledgment Form and Charter Section 1003
 

I have read Section 1003 of the Charter of the Town of Simsbury, the Code of Ethics Ordinance, and the Guidelines issued thereunder. I understand my responsibilities as a member of the Board/Commission/Committee listed below and I am in compliance with the Charter and the Code of Ethics.  I have indicated in the space below any areas of conflict should they arise in matters before our board, commission, agency or department, and I agree to report any future conflicts under the provisions of Section 1003 of the Charter.

CONFLICTS OF INTEREST - SECTION 1003
 

It is hereby declared to be the policy of the Town that any elected or appointed officer, any member of any board or commission or any employee of the Town who has a financial interest, direct or indirect, in any contract, transaction or decision of any officer or agent of the Town or any board or commission, shall disclose that interest to the Board of Selectmen, which shall record such disclosure upon the official record of its meetings. Such disclosure of a financial interest, direct or indirect, in any contract, transaction or decision of any officer or agent of the Town or of any board or commission shall disqualify such elected or appointed official or such member of a board or commission or such Town employee from participation in the awarding, assignment or discussion of said contract, transaction or decision.  Violation by any such official, board or commission member or employee of the provisions of this section shall be grounds for his/her removal.

By clicking submit, you agree to and acknowledge the above and attest that you are the person stated below.

Please enter any areas of conflict. If "NONE" please enter "NONE."
Please enter first and last name.
Please use the following format: MM/DD/YYYY