CITY OF CHULA VISTA DISCLOSURE STATEMENT
Pursuant to Council Policy 101-01, prior to any action upon matters that will require discretionary action by the Council, Planning Commission and all other official bodies of the City of Chula Vista (the "City"), a statement of disclosure of certain ownership or financial interests, payments, or campaign contributions for a City election must be filed. The following information must be disclosed:
List the names of all persons having a financial interest in the property that is the subject of the application or the contract, e.g., owner, applicant, contractor, subcontractor, material supplier.
Shahram Elihu, President 100% Ownership of Blue Pacific Engineering Construction, Inc.
If any person* identified pursuant to item one (1) above is a corporation or partnership, list the names of all individuals with a two thousand dollars ($2,000) investment in the business (corporation/partnership) entity.
N/A
If any person* identified pursuant to item one (1) above is a non-profit organization or trust, list the names of any person serving as director of the non-profit organization or as trustee or beneficiary or trustor of the trust.
N/A
Please identify every person, including any agents, employees, consultants, or independent contractors you have assigned to represent you before the City in this matter.
Shahram Elihu, President
Has any person associated with this contract had any financial dealings with an official** of the City as it relates to this contract within the past twelve (12) months? Yes. _ No X :_Projects GGV0241 - CVEATC Ped Bridge Repair\Bid Package|GGV0241_Ph2 Prevailing Wage Bid Package.docx Rev.11/18/2020
If Yes, briefly describe the nature of the financial interest the official** may have in this contract.
6. Have you made a contribution of more than two hundred fifty dollars ($250) within the past twelve (12) months to a current member of the Chula Vista City Council? No X Yes If yes, which Council member?
Have you provided more than three hundred forty dollars ($340), or an item of equivalent value, to an official** of the City in the past twelve (12) months? (This includes being a source of income, money to retire a legal debt, gift, loan, etc.) Yes No X If Yes, which official** and what was the nature of item provided? Mah del
Date: 02/09/2022
Signature of Contractor/Applicant
Blue Pacific Engineering Construction, Inc. Shahram Elihu Name of Company, Firm or Entity Print or type name of Contractor/Applicant President
Title
Person is defined as: any individual, firm, co-partnership, joint venture, association, social club, fraternal organization, corporation, estate, trust, receiver, syndicate, any other county, city, municipality, district, or other political subdivision, or any other group or combination acting as a unit.
** Official includes, but is not limited to: Mayor, Council member, Planning Commissioner, Member of a board, commission, or committee of the City, employee, or staff members. 0:1 Projects GGV0241 - CVEATC Ped Bridge Repair/Bid Package|GGV0241_Ph2 Prevailing Wage Bid Package.doex Rev. 11/18/2020