DISQUALIFICATION_DISCLOSURE_(4).pdf

The document is a Disqualification Disclosure form from the City of Pasadena's Parks, Recreation & Community Services (PRCS) department, aligned with California Public Contract Code §10162. The form is specifically related to the Flag Football Officials Assignor contract opportunity, requiring prospective bidders to disclose any prior disqualifications or removals from federal, state, or local government projects due to law or safety regulation violations.

The form is a mandatory questionnaire that bidders must complete under penalty of perjury, with a simple yes/no checkbox to indicate whether the bidder, any officer, or employee with proprietary interest has been disqualified from previous government project bids or completions. If the answer is "Yes," the bidder is required to explain the circumstances and attach supporting documentation to the exhibit. This disclosure serves as a mechanism to ensure contractor integrity and compliance with government contracting standards.