Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

This is a Taxpayer Protection Amendment Disclosure form required by the City of Pasadena, California, in connection with a design-build contract opportunity for hydrogen fueling station services. The disclosure form requires contractors and organizations to provide comprehensive information about their organizational structure, including the contractor or organization name, entity type classification, and identification of all trustees, directors, partners, and officers. Additionally, the form mandates disclosure of any individuals or entities holding more than 10% equity, participation, or revenue interest in the contracting organization. The form is applicable to non-government entities, including nonprofit organizations classified under Internal Revenue Code sections 501(c)(3), 501(c)(4), or 501(c)(6). The document serves as a transparency mechanism under the City of Pasadena Charter Article XVII to ensure proper disclosure of ownership and leadership structures prior to contract award.

The disclosure form is a standardized template that must be completed and submitted by proposers in response to the City of Pasadena's Request for Proposals for Design-Build-Operate-Maintain services related to a hydrogen fueling station project. The form requires the preparer to provide their name, title, and contact information along with the date of completion. This disclosure requirement is part of the competitive selection process governed by Pasadena Municipal Code section 4.08.047 and supports the City's best-value evaluation methodology, which considers qualifications, team composition, technical proposals, financial strength, safety records, local and small business participation, pricing, and interview performance in determining contract award.