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 Federal Labor Compliance Officer consulting services procurement. The City of Pasadena Housing Department is seeking qualified consultants to provide federal labor compliance services for construction projects funded through the U.S. Department of Housing and Urban Development (HUD), including Community Development Block Grant (CDBG) and Home Investment Partnership (HOME) programs. The consultant will support the City throughout all phases of project implementation, including pre-construction, construction monitoring, and project close-out, with responsibilities encompassing bid document review, wage determination verification, contractor compliance monitoring, certified payroll record review, worker interviews, and federal regulatory documentation and reporting in accordance with HUD requirements.

The disclosure form requires contractors or organizations to identify themselves by entity type (non-government, nonprofit 501(c)(3), (4), or (6)), list all trustees, directors, partners, and officers, and identify any individuals or entities with more than 10% equity, participation, or revenue interest in the contracting organization. This transparency requirement is mandated under the City of Pasadena Charter, Article XVII, Taxpayer Protection Amendment, and must be completed and submitted by the contractor as part of the proposal process. The form requires legible completion with preparer identification, title, phone number, and submission date, with additional documentation available upon request.