City of Glendale PUBLIC OUTREACH FOR REGULATORY COMPLIANCE RFP PF: IV- DISCLOSURE - CAMPAIGN FINANCE ORDINANCE - CONSULTANTS AND SUBCONSULTANTS 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 Consultant® (including a subConsultant**) — who has a contract with the City of Glendale ("City"), Glendale Successor Agency or Glendale Redevelopment Agency ("GSA"), or the Housing Authority of the City of Glendale ("HA") and that contract is subject to approval by the City Council, GSA, or HA— from making a contribution to a City Council 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 Consultant or subConsultant who has provided a campaign contribution.
I he provisions of the Ordinance restricing Council members from voting on matters affecting campaign contrbutors applies to a Consultant whose contract requires the City Council's, GSA's, or HA's approval, and specified subConsultants. 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 Consultant receiving the City Contract, and specified subConsultant(s) working under the City Contract Information that must be disclosed: • Name of the person, entity, or organization (i.e., the Consultant or SubConsultant) • 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:
Consultant(s)°:
Name Address
CV Strategies 73700 Dinah Shore Drive, Ste 402 Palm Desert, CA 92211 Full Name Title Business Address City State
Chairperson
Erin LaCombe Chief Executive Officer / Preside 3700 Dinah Shore Drive, Ste 40 Palm Desert CA 92211 Beatrice Eslamboly Chief Operating Officer 3700 Dinah Shore Drive, Ste 40 Palm Desert CA | 92211 Jude Johnson Chief Financial Officer 73700 Dinah Shore Drive, Ste 402 Palm Desert CA 92211 Erin LaCombe Board of Directors 73700 Dinah Shore Drive, Ste 402 Palm Desert CA 82211 Erin LaCombe More than 10% interest owner 73700 Dinah Shore Drive, Ste 402 Palm Desert CA 92211 "Consultant" 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 erson, or entity, the Consultant must also disclose the name(s) of that person's, entity's, or organization's Board of Directors, its Chairperson, Chief Executive Office Campain com ofte that is oWneraor confiled by hat person, anity, orshia interest of mase distose phese persons name and business a reganization, and any City of Glendale PUBLIC OUTREACH FOR REGULATORY COMPLIANCE RFP SubConsultants)*: NA
Name Address
Full Name Title Business Address | City State Zip
Chairperson
Chief Executive Officer / Preside
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
'SubConsultant" 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 v architect, design professional, engineer, or general or prime contract, usually by a general or prime Consultant. You must also disclose the names of the SubConsultar ard of Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten perce )%) in that person, entity, or organization, and any campaign committee that is owned or controlled by that person, entity, or organization. Above please disclose the Campaign Committee owned or controlled by:
Title Business Address City State Zip
CERTIFICATION
On behalf of the above-named * Consultant • SubConsultant:
I acknowledge that I have a continuing obligation to update this disclosure form if I substitute— or if I select additional— architects, desig ofessionals, Consultants, or subConsultants within ten (10) days of the selection or change; an • 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: July 19 _ 20_24 _. at:73700 Dinah Shore Drive Ste 402, Palm Desert, California.
Givin la Combe
Signature: _ Print Full Name: Erin LaCombe
Address: 73700 Dinah Shore Drive Ste 402, Palm Desert, CA Phone Number:_ 760-776-1766 E-mail Address: [email protected]