Pasadena_Taxpayer_Protection_Amendment_Disclosure_(2).pdf

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Attached to
On-Call Geotechnical Engineering Services
Solicitation number
2023-RFP-142
Issued by
Los Angeles County, California

About this file

This document is a Disclosure Form pursuant to the City of Pasadena Taxpayer Protection Amendment (Pasadena City Charter, Article XVII), which requires contractors or organizations to disclose key organizational details when engaging in city contracts. The form is structured to collect information about the contractor/organization, including its name, type of entity (with options for non-government or nonprofit 501(c)(3), (4), or (6)), and requires listing of trustees, directors, partners, officers, and individuals with more than 10% equity, participation, or revenue interest.

The form is a standard transparency document designed to provide the City of Pasadena with comprehensive information about potential contractors, ensuring accountability and open disclosure of organizational leadership and significant stakeholders. While the form is blank in this instance, it is associated with an On-Call Geotechnical Engineering Services opportunity where the City seeks to procure services from up to three organizations with at least 5 years of experience in geotechnical engineering, including soils exploration, analysis, project design, construction inspection, monitoring, testing, and materials sampling for city-owned infrastructure projects.

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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 .