DISQUALIFICATION_DISCLOSURE_(4).pdf

The document is a Disqualification Disclosure form in compliance with California Public Contract Code §10162, specifically designed for the Pasadena Fire Department's Multi-Cancer Early Detection Blood Test procurement. The form requires prospective bidders to disclose whether the bidder, any officer, or employee with 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 procurement is part of the Pasadena Fire Department's Health and Wellness Program, seeking to provide annual multi-cancer early detection screening for approximately 179 full-time employees over two years. The testing will be funded through the Assistance to Firefighter's Grant (AFG), and the successful bidder must adhere to Federal Procurement Standards and policies outlined by the Federal Emergency Management Assistance. The bidder will be responsible for providing all necessary items and functions to meet the contract's intent, with a focus on comprehensive screening services for firefighting and emergency response personnel.