DISQUALIFICATION_DISCLOSURE_(4).pdf

The document is a Disqualification Disclosure form related to the City of Pasadena's Winter Shelter Operator contract, which requires prospective bidders to complete a questionnaire under California Public Contract Code §10162. The form mandates that bidders disclose whether the bidder, any officer, or employee with a proprietary interest has ever been disqualified, removed, or prevented from bidding on or completing a federal, state, or local government project due to a violation of law or safety regulation.

The form provides a simple yes/no checkbox mechanism for bidders to self-report any past disqualifications, with an option to attach explanatory documentation if the answer is affirmative. This disclosure is part of the bidding process for the Pasadena Winter Shelter Operator program, which aims to provide low-barrier temporary shelter for individuals experiencing homelessness during the winter months from December 1 through March 31 each program year. The form is designed to ensure transparency and accountability in the bidding process for this critical community service contract.