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:
1. 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.
Ted Baker - President / CEO
2. 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 ($2000) investment in the business (corporation/partnership) entity.
Ted Baker - President / CEO
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.
Omar Echeverri - Estimator /
Group Manager of Transportation
5. 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 N/A
34 Q:\_Projects\TRF0418 (52) - Ped Lead Interval\Bid Packagelsource files\TRF0418 - 01 Front End (HSIP). docx Rev. 12/10/2020
If Yes, briefly describe the nature of the financial interest the official** may have in this contract.
N/A
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?
N/A
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
If Yes, which official** and what was the nature of item provided? Date:_ 07/11/2022
Signature of Contractor/Applicant
Baker Electric & Renewables LLC Ted Baker
Name of Company, Firm or Entity Print or type name of Contractor/Applicant President / CEO
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. 35 Q:\_ Projects\TRF0418 (52) - Ped Lead Interval \Bid Package\source files\TRF0418 - 01 Front End (HSIP) docx Rev. 12/10/2020