Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
On-Call Telecommunications Facilities Entitlement Case Assessment and Management Services
Solicitation number
2026-RFP-0445
Issued by
Los Angeles County, California

About this file

This is a Taxpayer Protection Amendment disclosure form required by the City of Pasadena, California, for contractors and organizations bidding on or entering into contracts with the municipality. The disclosure document requires contractors to provide comprehensive information regarding their organizational structure, ownership, and key personnel, including the names and titles 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 applies to non-government entities, nonprofits with 501(c)(3), 501(c)(4), or 501(c)(6) status, and requires legible completion with additional sheets provided as needed for organizations with multiple stakeholders or complex ownership structures.

The disclosure is specifically associated with the City of Pasadena's on-call telecommunications facilities entitlement case assessment and management services contract, which seeks qualified consulting firms to perform application review, permitting, inspection, and project management for telecommunications facilities installations within the public right of way in accordance with Pasadena Municipal Code Chapter 12.22 and FCC standards. The contract operates on an as-needed basis with no guaranteed minimum work hours or number of assignments, with all services requested solely at the City's discretion. Contractors must comply with FCC shot clock time regulations and work under the supervision of City Staff, managing projects from permit application submission through construction completion.

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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 .