Pasadena_Taxpayer_Protection_Amendment_Disclosure.pdf

PDF 472 KB Posted

Attached to
Construction Management for Holly Street Bridge Seismic Retrofit & Rehabilitation Project (HBP)
Solicitation number
2026-RFP-0213
Issued by
Los Angeles County, California

About this file

This is a Taxpayer Protection Amendment Disclosure Form required by the City of Pasadena for the Construction Management for Holly Street Bridge Seismic Retrofit & Rehabilitation Project. The City of Pasadena is soliciting a qualified consultant to provide comprehensive construction management services, including on-site inspection and construction materials testing for the Holly Street Bridge project, which is federally funded through the Highway Bridge Program administered by the California Department of Transportation (Caltrans). The selected consultant will oversee and manage all construction activities and support day-to-day City staff operations in accordance with federal requirements applicable to the federally-funded project.

The disclosure form requires interested contractors or organizations to provide detailed information regarding their ownership structure and key personnel, including the names and titles of trustees, directors, partners, and officers, as well as identification of any individuals or entities holding more than 10% equity, participation, or revenue interest in the organization. The form applies to non-government entities, including nonprofit organizations with 501(c)(3), 501(c)(4), or 501(c)(6) status. This disclosure requirement is mandated under the City of Pasadena Charter Article XVII and must be completed and submitted as part of the bidding process to ensure transparency and compliance with local taxpayer protection provisions.

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{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 .