DISQUALIFICATION_DISCLOSURE_(4).pdf

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Attached to
On-Call Labor Compliance Services
Solicitation number
2026-RFP-0462
Issued by
Los Angeles County, California

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Written by GovTribe AI ·

This is a Disqualification Disclosure form required by the City of Pasadena, California under Public Contract Code Section 10162, applicable to the On-Call Labor Compliance Services contract opportunity. The disclosure form requires prospective bidders to complete a questionnaire under penalty of perjury regarding any disqualification, removal, or prevention from bidding on or completing federal, state, or local government projects due to violations of law or safety regulations. Bidders must indicate whether they, any officer of the bidder, or any employee with proprietary interest in the bidder have experienced such disqualification. The form provides checkboxes for "Yes" or "No" responses, with instructions that affirmative answers must be accompanied by a detailed explanation of circumstances and supporting documentation.

No additional pricing, set-asides, incumbency information, funding sources, or other salient contract terms are contained within this disclosure form. The document serves solely as a compliance verification mechanism to ensure bidder eligibility and integrity in the procurement process for labor compliance consulting services supporting the City's Capital Improvement Program projects.

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DISQUALIFICATION DISCLOSURE

In accordance with California code, Public Contract code- PCC §10162, the prospective bidder shall complete, under penalty of perjury, the following questionnaire.

Has the bidder, any officer of the bidder, or any employee of the bidder who has proprietary interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or safety regulation?

(Please check one below)

Yes_____ No _______

If the answer is yes, explain the circumstances and attach document to this Exhibit.

Yes:
No:
Text3:

File details come from the government source that posted it. Updated .