DISQUALIFICATION_DISCLOSURE_(4).pdf

This is a Disqualification Disclosure form required by the State of California under Public Contract Code Section 10162 for the City of Pasadena Water and Power Department's Wood Pole Inspection, Treatment, Repair, and UAV Inspection Services contract opportunity. The form requires prospective bidders to certify under penalty of perjury whether the bidder, any officer of the bidder, or any employee with a proprietary interest has ever been disqualified, removed, or otherwise prevented from bidding on or completing a federal, state, or local government project due to a violation of law or safety regulation. Bidders must check either "Yes" or "No" in response to this question, and if answering affirmatively, must provide a detailed explanation of the circumstances and attach supporting documentation.

This disclosure form is a mandatory compliance requirement for bidders seeking to participate in the Pasadena Water and Power Department's wood pole program, which encompasses approximately 11,000 poles across the municipal electric distribution system. The form serves as a preliminary qualification screening mechanism to ensure bidders meet fundamental regulatory and ethical standards before their proposals are considered for this infrastructure maintenance and inspection contract.