A12_2024-08_Form_700_Economic_Interest_Cert.pdf
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- 0000033266
About this file
This document is an attachment to RFQ 2024-08 for an Electrical Audit Engineering Consultant issued by the State Lands Commission. The attachment requires the selected contractor to provide a completed Form 700 - Statement of Economic Interests upon award of the contract. The Form 700 provides disclosure of the contractor's financial interests and is required to comply with state regulations. The attachment includes a link to the Form 700 pamphlet and form on the website of the Fair Political Practices Commission.
The RFQ appears to be for engineering consulting services related to an electrical audit. No additional details about the scope of work, project timeline, or contract term are provided in this attachment. Pricing terms, funding information, and other contractual requirements are also not included in this document.
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Text version
RFQ 2024-08
Electrical Audit Engineering Consultant State Lands Commission Page 1 of 1
ATTACHMENT 3
FORM 700 STATEMENT OF ECONOMIC INTEREST CERTIFICATION
DATE:
Contractor Name Contractor Street Address Contractor City, State Zip Code
State Lands Commission Attention: Contracts 100 Howe Avenue, Suite 100-S Sacramento, CA 95825
Upon award of the contract, (Contractor Name) agrees to provide a completed Title 10, California Code of Regulations, Chapter 12, Article 1, Statement of Economic Interests (Form 700), if required.
Authorized Signature of Contractor
Website Address for Form 700 Pamphlet and Form [Ctrl + Click to follow link] — www.fppc.ca.gov/Form700.html
Dev.Shrestha Line
Dev.Shrestha Line
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