Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Advanced Metering Infrastructure ("AMI") Consulting and Program Management Services
Solicitation number
2024-RFP-0574
Issued by
Los Angeles County, California

About this file

This document is a Disclosure form pursuant to the City of Pasadena Taxpayer Protection Amendment, specifically 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 blank spaces for contractors to input their organization's name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and the required personnel information.

The disclosure form is part of the larger Advanced Metering Infrastructure (AMI) Consulting and Program Management Services procurement process for the City of Pasadena. While the form itself does not contain specific financial or contractual details, it represents a transparency mechanism designed to provide insight into the ownership and leadership of potential contractors bidding on city projects. Contractors must complete this form as part of their proposal submission, ensuring that the city has comprehensive information about the organizations seeking to provide services for the AMI project.

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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 .