7-5. Supporting Documents 5 Campaign Contributions Disclosure Form.pdf
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- Delaware County, Pennsylvania
About this file
This is a Campaign Contributions Disclosure Form issued by the City of Chester, Pennsylvania, as a required component of the municipal procurement process for the waste management and parking management contracts. The form serves as a transparency mechanism to identify any campaign contributions made by bidding firms, their affiliates, officers, directors, controlling shareholders, or partners to the City of Chester. Bidders must disclose whether their firm or related entities have made contributions, solicited contributions, served as intermediaries for contributions, reimbursed contributions, or controlled political committees that made contributions. The form requires submission of detailed information for any affirmative responses, including the contributor's name, relationship to the firm, contribution recipient, date, and amount. This disclosure requirement applies to all prospective contractors regardless of whether they are competing for the waste management contract (5-year term beginning January 1, 2026, with potential extensions through 2032) or the municipal parking management services contract (2-year term with renewal option for Year 3).
The form explicitly states that legally disclosed campaign contributions do not automatically disqualify a bidder from contract participation, and the City of Chester requires this information as a standard part of its procurement vetting process. The Campaign Contributions Disclosure Form is one of multiple required supporting documents that bidders must complete, alongside sexual harassment and non-discrimination acknowledgments, workers' compensation forms, bid bonds, non-collusion affidavits, and conflict of interest disclosures. This comprehensive disclosure requirement reflects the City's commitment to transparency and fair dealing in municipal contracting, ensuring that all potential contractors undergo thorough background and conflict-of-interest review before award consideration.
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Text version
Chester City Hall, Municipal Building, 1 East 4th Street, Chester, Pennsylvania, 19013
Campaign Contributions Disclosure Form
Please note that legally disclosed campaign contributions do not automatically disqualify a bidder from participating as a contractor. The City of Chester must obtain this information as part of its procurement process.
1. Has your firm made any contributions to the City of Chester? Yes ___ No ___
2. Has your firm solicited or served as an intermediary for any contributions? Yes ___ No ___
3. Has an officer, director, controlling shareholder, or partner of your firm solicited or served as an intermediary for any contributions?
Yes ___ No ___
4. Has an affiliate of your firm made any contributions? Yes ___ No ___
5. Has an affiliate of your firm solicited or served as an intermediary for any contributions?
Yes ___ No ___
6. Has an officer, director, controlling shareholder, or partner of a for-profit affiliate of your firm made any contributions?
Yes ___ No ___
7.
Has an officer, director, controlling shareholder, or partner of a for-profit affiliate of your firm solicited or served as an intermediary for any contributions?
Yes ___ No ___
8.
Has your firm or an affiliate of your firm business reimbursed another individual or business for a contribution that the individual or business has made?
Yes ___ No ___
9.
Has an officer, director, controlling shareholder, or partner of a for-profit business, or of a for-profit affiliate of your firm, reimbursed another individual or business for a contribution that the individual or business has made?
Yes ___ No ___
10. Has a political committee controlled by your firm or by an affiliate of your firm, made any contributions?
Yes ___ No ___
11.
Has a political committee controlled by an officer, director, controlling shareholder, or partner of the for-profit business, or of a for-profit affiliate of your firm, made any contributions?
Yes ___ No ___
Chester City Hall, Municipal Building, 1 East 4th Street, Chester, Pennsylvania, 19013
Campaign Contributions Disclosure Form
For any “Yes” answers on the previous page, please provide the following details:
Name of Contributor
Relationship to Your firm
Recipient of the Contribution Date Amount ($)
City of Chester Bid Number
City of Chester Project Name
Bidder Company Name
Bidder Company Contact Name
Title
Signature
Today’s Date
Phone
File details come from the government source that posted it. Updated .