426 Piedmont Avenue & 507 Naranja Drive RFQ Campaign Finance Ordinance Disclosure
CAMPAIGN FINANCE ORDINANCE DISCLOSURE
City of Glendale
Disclosure - Campaign Finance Ordinance
In August 2011, City Council adopted Ordinance No. 5744, Campaign Finance Ordinance, which became effective on September 9, 2011 and amended it with Ordinance No. 5768 in February 2011. The Ordinance prohibits campaign contributions from parties who contract/subcontract with the City of Glendale (City), Glendale Redevelopment Agency (GRA), or the Housing Authority (HA) of the City of Glendale and prohibits Council Members from voting on matters pertaining to contracts with persons who have provided campaign contributions.
The Ordinance requires disclosure in staff reports providing the following information for the contractor and it’s subcontractor(s) receiving a contract, or a series or combination of contracts, from the City with a total value of $50,000 or more and $25,000 or more, respectively, in a fiscal year (July 1-June 30), excluding competitively bid contracts awarded to the lowest responsible Consultant:
• Name of the entity
• Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• Any member of the board of directors
• Any person or entity that owns more than 10% of the contracting party or any subcontractor • Name of any campaign committee controlled or sponsored by the contracting party Please complete the following Information for contractors & subcontractors (including Consultants & Sub-consultants):
Contractor(s) *
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer/
President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
EAH Housing 22 Pelican Way, San Rafael, CA 94901
22 Pelican Way San Rafael CA 94901
22 Pelican Way
22 Pelican Way
22 Pelican Way
22 Pelican Way
San Rafael
San Rafael
San Rafael
San Rafael
CA
CA
CA
CA
94901
94901
94901
94901
Laura Hall
Welton Jordan
Catherine J. Macy
Linn Warren
See attached
5 | Conflict of Interest Declaration
Exhibit 5
426 Piedmont Avenue & 507 Naranja Drive RFQ Campaign Finance Ordinance Disclosure * For purposes of the Ordinance, the Contractor is any “person” who is the party or prospective party to the contract with the City, GRA or HA or any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the name and addresses of these persons above.
Subcontractor(s) **
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer/President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** “Subcontractor” means a person who has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. For purposes of the “subcontractor”, “Person” includes the subcontracting party as well as any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the names and addresses of these persons above.
Campaign Committee Controlled/Sponsored by
Title Business Address City State Zip
Certification
I hereby certify, on behalf of the above-named contractor, that the names of all “person” of the contractor and subcontractor under the contract are fully set forth above. I further acknowledge that the Consultant has a continuing obligation to update this disclosure form if the Consultant selects additional or substitute architects, design professionals, contractor or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the contractor to submit this disclosure form and certify to the content hereof.
Executed on at , California
Contractor’s Signature , Print Consultants’ Full Name
Contractor’s Address
Contractor’s Contact Phone Number Contractors’ E-mail Address Welton Jordan
22 Pelican Way, San Rafael, CA 94901
(415) 295-8876 [email protected]
San RafaelJune 22, 2023
5 | Conflict of Interest Declaration
426 Piedmont Avenue & 507 Naranja Drive RFQ
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and
• I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure form (and any attachment to this form) is true, accurate, c orrect, and complete; and
I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is pages.
Executed on: , 20 , at:
, California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
X
23 San Rafael
Welton Jordan
(415) 295-8876 Welton.Jordan@eahhous
ing.org
4 June 22
22 Pelican Way, San Rafael, CA 94901
5 | Conflict of Interest Declaration
CAL
IFORNIA 22 Pelican Way, San Rafael, CA 94901 | (415) 258-1800 | CA Lic. 853495 HAWAII 1001 Bishop Street, #2880, Honolulu, HI 96813 | (808) 523-8826 | HI Lic. RB-16985 www.EAHHousing.org
Expanding the range of opportunities for all by
developing, managing and promoting quality
affordable housing and diverse communities.
EAH INC.
OFFICERS:
L
inn Warren, Chair
Robert M. (Bob) Brown, Vice Chair
Paul Foster, Secretary/Treasurer
Laura Hall, Assistant Secretary and President & CEO
Cathy Macy, Assistant Secretary and CFO
Welton Jordan, Assistant Secretary and Chief Real Estate Development Officer David Egan, Assistant Secretary and Vice President Real Estate Development DIRECTORS:
B
arney Deasy (2024)
Robert M. (Bob) Brown (2024)
Pat Cashman (2023)
Paul S. Foster (2023)
Joseph F. Walsh (2024)
Linn Warren (2024)
Lucien P. Wong (2024)
5 | Conflict of Interest Declaration
• For purposes of the Ordinance, the Contractor is any "person' who is the party or prospective party to the contract with the City, GRA or HA or any member of that party's Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the name and addresses of these persons above.
s- ----··-·----· -
Name Address
J. S. Egan Design Inc. d.b.a EGAN SIMON ARCHITECTURE 7740 N. MANCHESTER AVE #205, PLAYA DEL REY, CA, 90293 Full Name Title Business Address Citv State Zio
Chairperson
JOHN EGAN Chief Executive Officer/President SEE ABOVE
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
•• "Subcontractor" means a person who has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. For purposes of the "subcontractor*, "Person" includes the subcontracting party as well as any member of that party's Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the names and addresses of these persons above.
Campaign Committee Controlled/Sponsored by ______ ___ __ _ Title Business Address C State Zl
Certification
I hereby certify, on behalf of the above-named contractor, that the names of all "person" of the contractor and subcontractor under the contract are fully set forth above. I further acknowledge that the Consultant has a continuing obligation to update this disclosure fonm if the Consultant selects additional or substitute architects, design professionals, contractor or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the contractor to submit this disclosure fonm and certify to the content hereof.
Executed on 7f--f at California
CootractoCs s;goaM�r ==:_ , Paot Coos"ltao�• F"IL Name __________________ _ Contractor's Address. _____________________________________________ _ Contractor's Contact Phone Number _____________ _ Contractors' E-mail Address, _____________ _ 426 Piedmont Avenue & 507 Naranja Drive RFO Campaign Finance Ordinance Disclosure June 6, 2023 7740 N. MANCHESTER AVE #205, PLAYA DEL REY
JOHN EGAN
7740 N. MANCHESTER AVE #205, PLAYA DEL REY, CA, 90293
(310)871-0962 [email protected]
CERTIFICATION
On behalf of the above-named D Contractor liZI Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute- or if I select additional- architects, design professionals, contractors, or subcontractors within ten (10) days of the selection orchange;and
• I hereby certify that
• I have identified all persons for which the Ordinance requires disclosure; • The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and
• I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is _3 ___ pages.
Address: 7740 N. MANCHESTER AVE #205, PLAYA DEL REY, CA, 90293 Print Full Name: JOHN EGAN
Phone Number: ..sl3"1-"0Jc.30"6-"7--'B-'-04'---------- E-mail Address: [email protected] 426 Piedmont Avenue & 507 Naranja Drive RFQ
7740 W Manchester Ave #205
5 | Conflict of Interest Declaration
426 Piedmont Avenue & 507 Naranja Drive RFQ Campaign Finance Ordinance Disclosure * For purposes of the Ordinance, the Contractor is any “person” who is the party or prospective party to the contract with the City, GRA or HA or any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the name and addresses of these persons above.
Subcontractor(s) **
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer/President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** “Subcontractor” means a person who has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. For purposes of the “subcontractor”, “Person” includes the subcontracting party as well as any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the names and addresses of these persons above.
Campaign Committee Controlled/Sponsored by
Title Business Address City State Zip
Certification
I hereby certify, on behalf of the above-named contractor, that the names of all “person” of the contractor and subcontractor under the contract are fully set forth above. I further acknowledge that the Consultant has a continuing obligation to update this disclosure form if the Consultant selects additional or substitute architects, design professionals, contractor or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the contractor to submit this disclosure form and certify to the content hereof.
Executed on at , California
Contractor’s Signature , Print Consultants’ Full Name
Contractor’s Address
Contractor’s Contact Phone Number Contractors’ E-mail Address 06/21/2023 Los Angeles
4940 Alminar Ave
213-392-0972 [email protected]
La Canada CA 91011
Jack Wickersham
Lynn Wickersham
Jack Wickersham 4940 Alminar Ave La canada CA 91011
4940 Alminar Ave La canada CA 91011
AMJ Construction Management
426 Piedmont Avenue & 507 Naranja Drive RFQ
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and
• I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure form (and any attachment to this form) is true, accurate, c orrect, and complete; and
I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is pages.
Executed on: , 20 , at:
, California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
3 06/21/2023 23 Los Angeles
Jack Wickersham
4940 Alminar Ave La Canada, CA 91011
213-392-0972 [email protected]
5 | Conflict of Interest Declaration
5 | Conflict of Interest Declaration
426 Piedmont Avenue & 507 Naranja Drive RFQ Campaign Finance Ordinance Disclosure * For purposes of the Ordinance, the Contractor is any “person” who is the party or prospective party to the contract with the City, GRA or HA or any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the name and addresses of thes e persons above.
Subcontractor(s) **
Name Address
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer/President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
** “Subcontractor” means a person who has entered into a contract for the performance of all or a portion of the work undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usually by a general or prime contractor. For purposes of the “subcontractor”, “Person” includes the subcontracting party as well as any member of that party’s Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the names and addresses of these persons above.
Campaign Committee Controlled/Sponsored by
Title Business Address City State Zip
Certification
I hereby certify, on behalf of the above-named contractor, that the names of all “person” of the contractor and subcontractor under the contract are fully set forth above. I further acknowledge that the Consultant has a continuing obligation to update this disclosure form if the Consultant selects additional or substitute architects, design professionals, contractor or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the contractor to submit this disclosure form and certify to the content hereof.
Executed on at , California
Contractor’s Signature , Print Consultants’ Full Name
Contractor’s Address
Contractor’s Contact Phone Number Contractors’ E-mail Address June 20, 2023 Torrance
Partner Assessment Corporation dba Partner Energy
2154 Torrance Boulevard, Suite 200, Torrance, CA 90501
310-615-4500 [email protected]
Partner Assessment Corporation dba Partner Energy 2154 Torrance Boulevard, Suite 200, Torrance, CA 90501 Joseph P. Derhake /CEO
2154 Torrance Boulevard, Suite 200
Tony Liou - Partner Energy
Monique Burrola
Marc Goldberg 2154 Torrance Boulevard,Suite 200
Dana Derhake 2154 Torrance Boulevard,Suite 200
2154 Torrance Boulevard,Suite 200
2154 Torrance Boulevard,Suite 200 Torrance
Torrance
Torrance
Torrance
90501
90501
90501
90501
CA
CA
CA
CA
Torrance CA 90501
426 Piedmont Avenue & 507 Naranja Drive RFQ
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute― or if I select additional― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and
• I hereby certify that:
I have identified all persons for which the Ordinance requires disclosure; The information in this disclosure form (and any attachment to this form) is true, accurate, c orrect, and complete; and
I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is pages.
Executed on: , 20 , at:
, California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
x
3 June 20 23 Torrance
Tony Liou
2154 Torrance Boulevard, Suite 200, Torrance, CA 90501
310-615-4500 [email protected]
5 | Conflict of Interest Declaration
Jo Ann Rayner 19012 Saddleback
Ridge Road
Santa Clarita CA 91351
June 16, 2023 Santa Clarita
Jo Ann Rayner
19012 Saddleback Ridge Road, Santa Clarita, CA 91351
(818) 731-9120 [email protected]
Vector Engineering
x
June 16 23 Santa Clarita
Jo Ann Rayner, President, Vector Engineering Group, Inc. 19012 Saddleback Ridge Road, Santa Clarita, CA 91351
(818) 731-9120 [email protected]
5 | Conflict of Interest Declaration
2
Hellman & Lober
5 | Conflict of Interest Declaration