EXHIBIT B
CAMPAIGN FINANCE ORDINANCE
City of Glendale
DISCLOSURE • CAMPAIGN FINANCE ORDINANCE
he City Council adopted Ordinance No. 5744. "Campaian Finance Ordinance To assist members of the City Council, SA, 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 the subcontractors) working under the City Contract.
A contractor must provide the information listed below when: A subcontractor must provide the information listed below when:
• The City Contract has a total anticipated or actual value of $50,000 or more; or I value on or more: or • The subcontract through a City Contract has a total anticipated or actual value of $25,000 or more: or
• A combination or series of City Contracts have a value of $50,000 or more. A combination or series of subcontracts, for the same or different projects, have an aggregate value of $25,000 or more
Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Contractor or Subcontractor) • Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• All members of the Board of Directors
• All persons who own more than 10% of the person, entity, or organization • Name of any campaign committee owned or controlled by the person, entity, or organization Please complete the following disclosure form:
Contractor(s)*:
Name: Address
J. De Sigio Construction, Inc. 5055 Bleecker Street, Baldwin Park, CA 91706 Full Name - Title Business Address T City State • Zip
Julian De Sigio, Ji. Chairperson, Secretary, CFO. & V.P.. 5055 Bleecker Street Baldwin Park CA 91706 Julian De. Sigio. MIL Director & President 5055 Bleecker Street Baldwin Park CA 91706 Judy R. De Sigie Director & Vice President 5055 Bleecker Street Baldwin Park CA 91706 D. Scott Walker Vice President 5055 Bleecker Street Baldwin Park CA 91706 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, SA, or HA or any member of that person's, entity's, or organization'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 WS Pipeline - Chiton/Kenneth Phase I Project PROPOSAL FORMS RFP No. 3938 EXHIBIT I - DISCLOSURE - CAMPAIGN FINANCE ORDINANCE PF-29
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.
Subcontractor(s)**:
Name Address
Full Name Title Business Address City State Zip
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. Subcontractor includes any member of that person's, entity's, or organization'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: N/A
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named X 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, correct, and complete; and I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is_ 2 _ pages.
Executed on: May 22 _ 2024 _. at:_Baldwin Park _ California.
Signature: judy K. Dedigio Print Full Name: Judy R. De Sigio Address: 5055 Bleecker Street, Baldwin Park, CA 91706
Phone Number: (626) 480-8900 E-mail Address: [email protected] WS Pipeline - Chilton/Kenneth Phase I Project PROPOSAL FORMS RFP No. 3938 EXHIBIT I - DISCLOSURE - CAMPAIGN FINANCE ORDINANCE PF-30
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.
Subcontractors)**:
Name Address
TAIT & Associates, Inc.
Full Name Title Business Address City
State Zip
Thomas F. Tait Chief Executive Officer 701 N. Parkcenter Dr. Santa Ana CA 92705
K. Richard Tait President 701 N. Parkcenter Dr. Santa Ana CA 92705 Trevor Tait Managing Director 701 N. Parkcenter Dr. Santa Ana CA 92705 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. Subcontractor includes any member of that person's, entity's, or organization'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: N/A
Title Business Address City
State | Zip
CERTIFICATION
On behalf of the above-named • Contractor X 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, correct, and complete; and I have been legally authorized to submit this disclosure form.
In total, this disclosure form (including attachments) is 1 _ pages.
Executed on: MAY 18 _. 20_24, at:. SANTA ANA
_, California.
Signature: Print Full Name: JACOB VANDERVIS
Address: 701 N. FARKCONTDR DE, SANTA ANA, CA 92105
Phone Number: 714 560-8677 E-mail Address: JALOBV @TAIT.COm WS Pipeline - Chilton/Kenneth Phase I Project PROPOSAL FORMS RFP No. 3938 EXHIBIT I - DISCLOSURE - CAMPAIGN FINANCE ORDINANCE PF-30