Campaign_Contribution_Disclosure.pdf
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- Solicitation number
- PW2026-12
- Issued by
- Los Angeles County, California
About this file
Campaign Contribution Disclosure Provisions
This document is a Campaign Contribution Disclosure form issued by a California city in connection with a state and local contract opportunity for the Safe Streets For All (SS4A) Action Plan and Demonstration Projects. The disclosure provisions, governed by Government Code Section 84308, establish restrictions on campaign contributions related to city proceedings and contract approvals. The form requires applicants and their agents to disclose any campaign contributions exceeding $250 made to city councilmembers or other city officials within the preceding 12 months. No specific project timeline, response dates, or contract term information is provided in this disclosure document.
The disclosure requirements impose strict limitations on campaign contributions during and after city proceedings. City officials are prohibited from accepting, soliciting, or directing campaign contributions exceeding $250 from any party or agent for 12 months following contract approval, with the prohibition commencing when an application is filed. Any party to a city proceeding must disclose qualifying contributions on the record, and officials who have received such contributions must abstain from participating in the proceeding unless the excess contribution amount is returned within 30 days. The form requires applicants to certify their compliance by either listing contributing parties and officials or checking a box indicating no contributions were made. No funding amounts, pricing terms, or contract-specific financial information are detailed in this disclosure document.
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324225.3
CAMPAIGN CONTRIBUTION DISCLOSURE PROVISIONS
Cities are subject to the campaign disclosure provisions detailed in Government Code Section 84308.
Please carefully read the following information to determine if the provisions apply to you. If you determine that the provisions are applicable, the Campaign Disclosure Form must be completed and returned to the City with your application.
No City Councilmember or other City official shall accept, solicit, or direct a campaign contribution of more than $250 from any party1 or agent2 for 12 months after the City approves a contract. This prohibition commences when an application is filed, or a proceeding is otherwise initiated.
A party to a City proceeding shall disclose on the record of the proceeding any campaign contribution of more than $250 by a party or agent to any City Councilmember or other City official during the preceding 12 months. No party to a City proceeding, or agent, shall make a campaign contribution to a City Councilmember or other City official during a proceeding and for 12 months after the City approves a contract.
A City Councilmember or other City official who received a campaign contribution of more than $250 within the preceding 12 months from any party, or agent, to a proceeding shall disclose that fact on the record of the proceeding, and shall abstain from participating in the proceeding. However, if he or she returns the portion of a campaign contribution in excess of $250 within 30 days of knowing about the contribution and the relevant proceeding, he or she may participate in the proceeding.
1 “Party” is defined as any person who files an application for, or is the subject of, a proceeding.
2 “Agent” is defined as a person who represents a party in connection with a proceeding. If an individual acting as an agent also is acting as an employee or member of a law, architectural, engineering, or consulting firm, or a similar entity or corporation, both the individual and the entity or corporation are agents. When a closed corporation is a party to a proceeding, the majority shareholder is subject to these provisions.
To determine whether you or your agent made a campaign contribution of more than $250 to a City Councilmember or other City official within the preceding 12 months, you must aggregate all such contributions.
Names of current City Councilmembers and other City officials are available on the City’s website. If you have questions about Government Code Section 84308, FPPC regulations, or the Campaign Disclosure Form, please contact the City Clerk.
CAMPAIGN CONTRIBUTION DISCLOSURE FORM
(a) Document:
□ License
□ Lease
□ Permit
□ Franchise
□ Other Contract
□ Other Entitlement
Name and address of any party, or agent, who has contributed more than $250 to any City Councilmember or other City official within the preceding 12 months:
1. NoContribution______________________
2. NoContribution_______________________
3. ___________________________________
(b) Date and amount of contribution:
Date Amount $
Date Amount $
(c) Name of City Councilmember or other City official to whom contribution was made:
1. NoContribution_______________________
2. NoContribution______________________
3. NoContribution_____________________
(d) □ Check here If no contributions have been made to any Councilmember or other City official in the preceding 12 months.
(e) I certify that the above information is provided to the best of my knowledge.
Printed Name
Signature
Date Phone
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