Annual Certification of Compliance with the Code of Conduct

Name *

Home Address *

Title *

Email *

Review and check only one (provide any comments or explanations as necessary below): *

I have read and understand the Code of Ethics and Conduct of the Long Island Power Authority and hereby certify that I am in compliance with all of the policies and standards and principles of conduct stated therein and I have no direct or indirect Financial Interests or Other Interests which may create or appear to create a conflict with my official job duties and responsibilities. I further certify that I have inquired as to my spouse and dependent children* and based upon such inquiry none of the above has any direct or indirect Financial Interests or Other Interests which may create or appear to create a conflict with my official job duties and responsibilities.
I have read and understand the Code of Ethics and Conduct of the Long Island Power Authority and acknowledge my responsibility to fully disclose any and all Financial Interests or Other Interests which may create or appear to create a conflict with my official job duties and responsibilities and these interests are described below. I also understand that as a result of any conflict of interest, additional action will need to be taken to relieve the conflict. I further certify that I have inquired as to my spouse and dependent children* and based upon such inquiry none of the above has any direct or indirect Financial Interests or Other Interests which may create or appear to create a conflict with my official job duties and responsibilities except as described below.

Comments

Review and check if applicable

Within the last year, I, as a former private sector employee with less than two years of employment at the Authority, have not (1) approved any invoices for payment rendered by my former private sector employer; (2) assigned work to my former private sector employer; or (3) participated in any RFP in which my former private sector employer submitted a proposal.

Comment

Disclaimer