Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

This is a Taxpayer Protection Amendment Disclosure form required by the City of Pasadena, California, in conjunction with a Chemical Water Treatment Services contract opportunity for the Glenarm Power Plant. The form serves as a transparency and disclosure document mandated under Pasadena City Charter Article XVII, requiring contractors and organizations to provide detailed information about their ownership structure and key personnel prior to contract award.

The disclosure document requires contractors to identify their organization name, entity type (including designations such as non-government, nonprofit 501(c)(3), (4), or (6)), and list all trustees, directors, partners, and officers of the organization. Additionally, contractors must disclose the names of any individuals or entities holding more than 10% equity, participation, or revenue interest in the contractor organization. This form must be completed and submitted by the preparing contractor representative, who must provide their title, phone number, and date of submission. The disclosure requirement applies to all potential contractors bidding on the City of Pasadena Water & Power Department's chemical consultant services contract for water treatment process management and optimization at the Glenarm Power Plant facility.