DISQUALIFICATION_DISCLOSURE_(4).pdf

The document is a Disqualification Disclosure form in compliance with California Public Contract Code (PCC) §10162, specifically related to the City of Pasadena's Cold-Water Meters Procurement opportunity. 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 form is a mandatory questionnaire that must be completed under penalty of perjury, with bidders required to check either "Yes" or "No" to the disqualification inquiry. If the answer is "Yes", the bidder is instructed to explain the circumstances and attach supporting documentation to the exhibit. This disclosure is part of the City of Pasadena Water and Power Department's procurement process for cold-water meters, serving as a transparency mechanism to ensure contractor reliability and past performance integrity.