DISQUALIFICATION_DISCLOSURE_(4).pdf

This is a Disqualification Disclosure form required by the City of Pasadena, Water & Power Department in accordance with California Public Contract Code Section 10162 for the Chemical Water Treatment Services contract at the Glenarm Power Plant. The form requires prospective bidders to complete a questionnaire under penalty of perjury regarding any disqualification history. Bidders must indicate whether they, any officer of the bidding entity, or any employee with proprietary interest in the bidder have ever been disqualified, removed, or otherwise prevented from bidding on or completing a federal, state, or local government project due to violations of law or safety regulations.

The form provides a binary response structure requiring bidders to check either "Yes" or "No" to the disqualification question. If a bidder answers affirmatively, they are required to explain the circumstances and attach supporting documentation to the disclosure. This mandatory disclosure is a pre-qualification requirement designed to ensure that only compliant bidders participate in the procurement process for the Glenarm Power Plant chemical water treatment services contract in Pasadena, California.