PROGRESSIVE DESIGNBUILD CONTRACT FOR
TEMPORARY FIRE STATION 12 PROJECT
CIP # GGV0275
CONSULTANT LEVINE ACT DISCLOSURE
California Government Code section 84308, commonly referred to as the Levine Act, prohibits any City of Chula Vista Officer' (" Officer") from taking part in decisions related to a contract if the Officer received a political contribution totaling more than $ 250 within the previous twelve months, and for twelve months following the date a final decision concerning the contract hasbeen made, from the person or company awarded the contract.
The Levine Act also requires disclosure of such contribution by a parry to be awarded a specific contract. The Levine Act doesnot apply to competitively bid, labor, or personal employment contracts.
A. The Levine Act ( Govt. Code § 84308) DOES NOT apply to this Agreement.
B. The Levine Act ( Govt. Code § 84308) does apply to this Agreement and the required disclosure is as follows:
Current Officers can be located on the City of Chula Vista' s websites below:
Mayor & Council - haps:// www. chulavistaca. ogv/ departments/ mayor- council City Attorney - haps:// www. chulavistaca. ogv/ departments/ city- attorney/ about- us Planning Commissioners — www. chulavistaca. gov/ pc
Candidate for Elected Office — www. chulavistaca. gov/ elections
1. Have you or your company, or any agent on behalf of you or your company, made political contributions totaling more than $250 to any Officer in the 12months preceding the dateyou submitted your proposal, the date you completed this form, or the anticipated date of any Council action related to this Agreement? YES: If yes, which Officer( s): Click or tap here to entertext.
NO: C/
2. Do you or your company, or any agent on behalf of you or your company, anticipate or plan to make political contributions totaling more than $250 to any Officer in the 12months following the finalization of this Agreement or any Council action related to this Agreement?
YES: If yes, which Officer( s): Click or tap here to enter text.
NO: C/
Answering yes to either question above may not preclude the City of Chula Vista from entering into or taking any subsequentaction related to the Agreement. However, it may preclude the identified Officer( s) from participating in any actions related to the Agreement.
SIGNATURES ON NEXT PAGE]
I " Officer" means any elected or appointed officer of an agency, any alternate to an elected or appointed officer of an agency, and any candidate for elective office in an agency. GC § 84308
j City .7chi. VistaAgreementNo.: ICIP# GGV0275
Service Provider Name: RICKSON- HALL CONSTRUCTION COa Rev. 3/ 21/ 2024
PROGRESSIVE DESIGN/ BUILD CONTRACT FOR
TEMPORARY FIRE STATION 12 PROJECT
CIP # GGV0275
CONSULTANT LEVINE ACT DISCLOSURE
ERICKSON- HALL CONSTRUCTION CO
ag 29, 202413: 5
City of ChulaVista AgreementNo.: ICIP# GGV0275
Service Provider Name: ERICKSON- HALL CONSTRUCTION COa
6 PDT)
Rev. 3/ 21/ 2024
CIP NO. GGV0275 Levine Act Disclosure
Final Audit Report 2024- 08- 29
Created: 2024- 08- 28
By: Jonathan Salsman ( JSalsman@chulavistaca. gov)
Status: Signed
Transaction ID: CBJCHBCAABAAdKINvhEplgbAgH5NbypJwA5_ E1iAW1r8 CIP NO. GGV0275 Levine Act Disclosure" History
Document created by Jonathan Salsman ( JSalsman@chulavistaca. gov) 2024- 08- 28 - 11: 12: 31 PM GMT
Document emailed to ncomplin@ericksonhall. com for signature 2024- 08- 28 - 11: 13: 09 PM GMT
Email viewed by ncomplin@ericksonhall. com
2024- 08- 28 - 11: 13: 42 PM GMT
Signer ncomplin@ericksonhall. com entered name at signing as Nathan Complin 2024- 08- 29 - 8: 56: 34 PM GMT
Document e-signed by Nathan Complin ( ncomplin@ericksonhall. com) Signature Date: 2024- 08- 29 - 8: 56: 36 PM GMT - Time Source: server Q Agreement completed.
2024- 08- 29 - 8: 56: 36 PM GMT
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