Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
Community-Police Mediation Pilot Program
Solicitation number
2026-RFP-0318
Issued by
Los Angeles County, California

About this file

This is a Taxpayer Protection Amendment Disclosure form required by the City of Pasadena for contractors and organizations bidding on the Community-Police Mediation Pilot Program in California. The City of Pasadena seeks an organization with demonstrated expertise in facilitative mediation, preferably with law enforcement context experience, to provide mediation services supporting the constructive resolution of complaints involving Pasadena Police Department personnel. The pilot program aims to foster mutual understanding, improve communication, and build trust between the community and the Department through voluntary, informal, and non-disciplinary mediation processes. The selected organization must assemble a diverse team of trained, impartial mediators with facilitative mediation experience, manage approximately 18 mediations annually, facilitate mediation sessions, collect participant surveys, complete post-mediation outcome surveys, and coordinate closely with City staff. A representative must be available to attend up to five meetings with community organizations and seven half-hour briefings with Pasadena Police Department personnel.

The disclosure form requires contractors to identify their organization type (non-government, nonprofit 501(c)(3), (4), or (6)), list names of trustees, directors, partners, and officers, and disclose all individuals with more than 10% equity, participation, or revenue interest in the organization. This form is a mandatory transparency requirement under the City of Pasadena Charter Article XVII and must be completed by all bidders as part of the procurement process. No specific contract term, pricing information, or award date is provided in this disclosure document.

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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 .