Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf
PDF 472 KB Posted
- Attached to
- Busfinder Inspections
- Solicitation number
- 2024-RFP-0264
- Issued by
- Los Angeles County, California
About this file
This document is a Disclosure Form pursuant to the City of Pasadena Taxpayer Protection Amendment, specifically related to the Pasadena City Charter, Article XVII. 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 is part of the City of Pasadena's transparency requirements for entities seeking to engage in contracts or business with the city government.
The form provides blank fields for contractors to input their organization's name, type of entity (with options for non-government and nonprofit 501(c)(3), (4), or (6) classifications), and lists of key personnel and stakeholders. It requires the preparer to provide their name, title, phone number, and the date of preparation. While the form itself does not specify a specific contract, it is associated with the Busfinder Inspections project for the Pasadena Department of Transportation Transit Division, which involves monthly inspections of 119 BusFinders throughout the city for a potential two-year contract with two additional one-year option years.
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| [B]_Busfinder_Picture.jpg | JPG image | |
| Busfinder_Inspections.pdf | ||
| Unique_Entity_ID_(SAM).pdf | ||
| DoIT_Technical_Questionnaire.xlsx | XLSX spreadsheet | |
| RELEVANT_EXPERIENCE_FORM.pdf | ||
| Sample_Audit_Sheet.xlsx | XLSX spreadsheet | |
| CONFLICT_OF_INTEREST_(5).pdf | ||
| DISQUALIFICATION_DISCLOSURE_(4).pdf | ||
| Master_Services_Contract.pdf | ||
| DESIGNATED_REPRESENTATIVESdocx.pdf | ||
| REQUIRED_FORMS_-_AAs_-_SIG-LEGAL-STATUS_-_DECLARATION_OF_NONCOLUSION_(27).pdf |
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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 .