Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project
1 D. DISCLOSURE - CAMPAIGN FINANCE ORDINANCE – CONTRACTORS AND SUBCONTRACTORS The City Council adopted Ordinance No. 5744, “Campaign Finance Ordinance,” which became effective on September 9, 2011, and amended it with Ordinance No. 5768, which became effective on March 15, 2012 (“the Ordinance”). The Ordinance prohibits: (1) A contractor* (including a subcontractor** ʊZKRKDVD
contract with the City of Glendale (“City”), Glendale Successor Agency or Glendale Redevelopment Agency (“GSA”), or the Housing Authority of the City of Glendale
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DQGWKDWFRQWUDFWLVVXEMHFWWRDSSURYDOE\WKH&LW\&RXQFLO*6$RU+$ʊIURPPDNLQJDFRQWULEXWLRQWRD&LW\&RXQFLO member, GSA member, HA member, City Clerk, or City Treasurer; and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a contractor or subcontractor who has provided a campaign contribution.
The provisions of the Ordinance restricting Council members from voting on matters affecting campaign contributors applies to a contractor whose contract requires the City Council’s, GSA’s, or HA’s approval, and specified subcontractors. A contract with the City, GSA, or HA is known as a “City Contract.” The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requires City staff to prepare this report which discloses certain information about: the contractor receiving the City Contract, and specified subcontractor(s) working under the City Contract.
Information that must be disclosed: Ɣ Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) Ɣ Name of the Chief Executive Officer/President
Ɣ Chief Operating Officer
Ɣ Chief Financial Officer
Ɣ Chairperson
Ɣ All members of the Board of Directors
Ɣ All persons who own more than 10% of the person, entity, or organization Ɣ Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
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
* “Contractor” is the person, entity, or organization that is the party, or prospective party, to the contract with the City, GSA, or HA. In addition to the name of the person, or entity, the Contractor must also disclose the name(s) of that person’s, entity’s, or organization’s Board of Dir ectors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten per cent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclo se these persons’ name and business address.
Kimley-Horn and Associates, Inc. 660 S. Figueroa St., Suite 2050, Los Angeles, CA 90017 Barry L. Barber, Chairman 421 Fayetteville Street, Suite 600 Raleigh NC 27601 Steven E. Lefton, CEO/President 11400 Commerce Park Drive, Suite 400 Reston VA 20191 Richard N. Cook, Senior VP/Secretary 421 Fayetteville Street, Suite 600 Raleigh NC 27601 Tammy L. Flanagan, CFO/Senior VP 421 Fayetteville Street, Suite 600 Raleigh NC 27601 David L. McEntee, VP/Treasurer/Assistant Secretary 421 Fayetteville Street, Suite 600 Raleigh NC 27601 N/A-wholly owned by Associates Group Services, Inc.
2 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” is the person, entity, or organization that 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. You must also disclose the names of the Subcontractor’s Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization.
Above please disclose these persons’ name and business address.
Campaign Committee owned or controlled by:
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
x I acknowledge that I have a continuing obligation to update this disclosure form if I substituteʊ or if I select additionalʊ architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and x 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 pages.
Executed on: , 20 , at: , California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
:
2 September 28 23 Los Angeles
Jean B. Fares, P.E., Senior Vice President
660 S. Figueroa St., Suite 2050, Los Angeles, CA 90017
213.354.9402 [email protected]
✔
N/A
Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project
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Subcontractor(s)-:
Name - ,. Address -- r -
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Full Name ,_ Tltle \' ,,.,� Business Address . � - Cltv ' State ZJp : - Chairperson
h,._ -· ·- :S:,_\ - -- '\,,.r •. Chief Executive Officer / President �,� (' ..__ ... ��·-· Ca-'--� ., ... Ct,..... ��-.c.
Chief OperatinQ Officer -
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Board of Directors
More than 10% interest owner
- "Subcontractor" is the person, entity. or organization that 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. You must also disdose the names of the Subcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization.
Above please disdose these persons' name and business address.
Cam ai n Committee owned or controlled b :
Title Business Address
On behalf of the above-named D Contractor �bcontractor:
CERTIFICATION
• 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, correct, and complete; and • I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is-�\-- pages.
E�ecuted on:
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Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project
or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Please disclose these persons' name and business address.
1 Geotechnologies, Inc. 439 Western Avenue, Glendale, CA 91201 Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project
4 5
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” is the person, entity, or organization that 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. You must also disclose the names of the Subcontractor’s Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization.
Above please disclose these persons’ name and business address.
Campaign Committee owned or controlled by:
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
x I acknowledge that I have a continuing obligation to update this disclosure form if I substituteʊ or if I select additionalʊ architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and x 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 pages.
Executed on: , 20 , at: , California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
1 Eric W Metz 28422 Constellation Rd, Suite 118 Santa Clarita Ca 91355 23September 26
Eric W Metz
28422 Constellation Rd, Suite 118
661-388-2003 [email protected]
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28422 Constellation Rd, Suite 118, Santa Clarita
Metz Surveying Inc. 28422 CONSTELLATION RD, SUITE 118, SANTA CLARITA, CA Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project
6 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” is the person, entity, or organization that 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. You must also disclose the names of the Subcontractor’s Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization.
Above please disclose these persons’ name and business address.
Campaign Committee owned or controlled by:
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named Contractor Subcontractor:
x I acknowledge that I have a continuing obligation to update this disclosure form if I substituteʊ or if I select additionalʊ architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and x 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 pages.
Executed on: , 20 , at: , California.
Signature: Print Full Name:
Address:
Phone Number: E-mail Address:
NUVIS 20250 SW Acacia Street, Suite 260 Newport Beach, CA 92660 Perry A. Cardoza, PLA
Perry A. Cardoza, PLA
20250 SW Acacia Street, Suite 260 Newport Beach, CA 92660 20250 SW Acacia Street, Suite 260 Newport Beach, CA 92660
September 21 23 Newport Beach
Perry A. Cardoza, PLA
N/A
20250 SW Acacia Street, Suite 260 Newport Beach, CA 92660 714-754-7311 [email protected]
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Exhibit 2 - Campaign Disclosure Forms
Colorado Street Multi-Modal Improvements Project