Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

PDF 472 KB Posted

Attached to
Hazardous Waste Management and Emergency Response Services
Solicitation number
2023-RFP-201
Issued by
Los Angeles County, California

About this file

This document is a Disclosure form pursuant to the City of Pasadena Taxpayer Protection Amendment under Pasadena City Charter, Article XVII. The form requires contractors or organizations to disclose detailed information about their organizational structure, including trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest. The form provides spaces for listing the contractor/organization name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and the required disclosure details.

The disclosure form is specifically related to the City of Pasadena's Hazardous Waste Management and Emergency Response Services procurement, which aims to select a qualified firm to manage hazardous and non-hazardous regulated wastes and provide spill cleanup and emergency response services. The form appears to be part of the transparency and accountability requirements for potential contractors bidding on this municipal contract, ensuring that the City of Pasadena has complete information about the organizational makeup of entities seeking to do business with the city government.

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Text version

{project.template.processClassification} - {project.title} Release Date: {project.releaseProjectDate}

Disclosure Pursuant to the City of Pasadena Taxpayer Protection Amendment

Pasadena City Charter, Article XVII

Contractor/Organization hereby discloses its trustees, directors, partners, officers, and those with more than 10% equity, participation, or revenue interest in Contractor/Organization, as follows:

(If printing, please print legibly. Use additional sheets as necessary.)

1. Contractor/Organization Name:

2. Type of Entity:

□ non-government □ nonprofit 501(c)(3), (4), or (6)

3. Name(s) of trustees, directors, partners, officers of Contractor/Organization:

4. Names of those with more than 10% equity, participation or revenue interest in Contractor/Organization:

Prepared by: ________________________________

Title: ______________________________________

Phone:

Date: ______________________________________

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