Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf
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- Solicitation number
- 2024-RFP-0566
- Issued by
- Los Angeles County, California
About this file
This document is a Disclosure Form for the City of Pasadena Taxpayer Protection Amendment, specifically related to the Central Library Retrofit Project Building and Fire Plan Review Services. The form requires contractors or organizations to disclose detailed information about their organizational structure, including trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest. The form provides spaces for listing the contractor/organization name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and the requested organizational details.
The disclosure form is part of the City of Pasadena's transparency requirements for contractors, ensuring public accountability and awareness of the key stakeholders involved in city projects. It is specifically tied to the Central Library Retrofit Project, which involves seismic retrofit and repair of the historic Pasadena Central Library. The form must be completed by the contractor, indicating their organizational composition, and requires the preparer to provide their contact information, including name, title, phone number, and date of preparation.
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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 .