DISQUALIFICATION_DISCLOSURE_(4).pdf
PDF 12 KB Posted
- Attached to
- Busfinder Inspections
- Solicitation number
- 2024-RFP-0264
- Issued by
- Los Angeles County, California
About this file
The document is a Disqualification Disclosure form from the City of Pasadena, California, related to a contract opportunity for BusFinder Inspections within the City of Pasadena's Department of Transportation Transit Division. The form requires prospective bidders to disclose whether the bidder, any officer, or employee with a 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. Bidders must complete this questionnaire under penalty of perjury, checking either "Yes" or "No" and providing additional documentation if applicable.
The context of this disclosure form is a contract for monthly inspections of 119 BusFinders located throughout Pasadena's bus stops. These solar-powered, e-ink devices display arrival times for Pasadena Transit, LA Metro, and Foothill Transit buses. The contract term is structured for two years with two additional one-year option years. The primary scope involves documenting the condition of each BusFinder and photographing any discovered issues, ensuring the continued functionality of these informational devices that serve residents, visitors, and workers in the Pasadena transportation network.
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Other files
| File | Type | Posted |
|---|---|---|
| [B]_Busfinder_Picture.jpg | JPG image | |
| Busfinder_Inspections.pdf | ||
| Unique_Entity_ID_(SAM).pdf | ||
| DESIGNATED_REPRESENTATIVESdocx.pdf | ||
| REQUIRED_FORMS_-_AAs_-_SIG-LEGAL-STATUS_-_DECLARATION_OF_NONCOLUSION_(27).pdf | ||
| CONFLICT_OF_INTEREST_(5).pdf | ||
| Master_Services_Contract.pdf | ||
| Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf | ||
| DoIT_Technical_Questionnaire.xlsx | XLSX spreadsheet | |
| RELEVANT_EXPERIENCE_FORM.pdf | ||
| Sample_Audit_Sheet.xlsx | XLSX spreadsheet |
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Text version
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 .