RFQ_2023-18_A15_Economic_Interest_Certification.docx
DOCX document 27 KB Posted
- Attached to
- RFQ 2023-18: CADV CEQA PEIR
- Solicitation number
- 0000030830
- Issued by
- California
About this file
This document is a Request for Qualifications (RFQ) issued by the California State Lands Commission (CSLC) seeking an environmental consultant to prepare a Program Environmental Impact Report (PEIR) under the California Environmental Quality Act (CEQA) for the Commercial Abandoned & Derelict Vessels (CADV) Removal Projects in the legal Delta. The purpose of this solicitation is to initiate the process to contract with a qualified firm to assist in the preparation of the PEIR. The selected firm will be required to provide the appropriate qualifications and expertise to support this environmental documentation effort.
The document also includes a requirement for the selected contractor to provide a completed Form 700 (Statement of Economic Interests) upon award of the contract, if required. The website link for the Form 700 pamphlet and form is provided for reference.
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Text version
Request for Qualifications (RFQ) #2023-18 Page 1 of 1 State Lands Commission CADVs CEQA PEIR
ATTACHMENT 15
ECONOMIC INTEREST CERTIFICATION - FORM 700
(DATE)
Contractor Name Contractor Street Address Contractor City, State Zip Code
State Lands Commission Attention: Contracts 100 Howe Avenue, Suite 100-S Sacramento, CA 95825
Upon award of the contract, [Contractor Name] agrees to provide a completed Title 10, California Code of Regulations, Chapter 12, Article 1, Statement of Economic Interests (Form 700), if required.
Authorized Signature of Contractor
Website Address for Form 700 Pamphlet and Form [Ctrl + Click to follow link] — www.fppc.ca.gov/Form700.html
File details come from the government source that posted it. Updated .