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CC_12102024_Exhibit_1_2

Glendale City Council
December 10, 2024

Document
CC_12102024_Exhibit_1_2
Meeting
December 10, 2024
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Glendale City Council
Original file
198 KB
Text extracted from the city's file for reading and search. Open the original on glendaleca.primegov.com. That file is the official record.

CAMPAIGN FINANCE ORDINANCE EXHIBIT A
City of Glendale

DISCLOSURE - CAMPAIGN FINANCE ORDINANCE
5768, which became effective on March 15, 2012 and Ordinance No. 5885, which became effective on November 3, 2016 ("the Ordinance"). The Ordinance prohibits: (1) A contractor* The City Council adopted Ordinance No. 5744, "Campaign Finance Ordinance," which became effective on September 9, 2011, and subsequently amended it with Ordinance No. is subject to approval by the City Council, SA, or HAu from making a contribution to a City Council member, SA member, HA member, City Clerk, or City Treasurer; and (2) Council (including a subcontractor**)u who has a contract with the City of Glendale ("City"), the Successor Agency ("SA"), or the Housing Authority of the City of Glendale ("HA") and that contract members, SA members, and HA members from voting on matters concerning a contract with a person who has provided a campaign contribution.

The Ordinance applies to a contractor whose contract requires the City Council's, SA's, or HA's approval. A contract with the City, SA, or HA is known as a "City Contract." The Ordinance also applies to a subcontractor who has a subcontract through a City Contract. The Ordinance excludes a competitively bid contract awarded to the lowest responsible bidder.

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 • 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:

Contractors)*:

Name
Address
Badger Meter, Inc. 4545 W. Brown Deer Road, Milwaukee, WI 53224 Full Name Title Business Address
City State Zip
Kenneth C. Brockhorst Chairperson 4545 W. Brown Deer Road Milwaukee Kenneth C. Brockhorst Chief Executive Officer / President WI 53224 4545 W. Brown Deer Road Milwaukee WI 53224
Daniel R. Weltzien Chief Operating Officer 4545 W. Brown Deer Road Robert A. Wrocklage Chief Financial Officer Milwaukee WI 53224 4545 W. Brown Deer Road Milwaukee WI 53224
SEE ATTACHED 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, 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

PROPOSAL FORMS

EXHIBIT I - DISCLOSURE - CAMPAIGN FINANCE ORDINANCE
PF-28
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
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. 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 Subcontractor:
• sukontrage within ten 1 days or the solectin or to ange; a this disclosure form if l substitute or if I select aditionalu architects, design professionals ate;, • 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.

Executed on: September 10 _, 2024 _ at: Milwaukee, Wisconsin Signature: William R Burgum
Print Full Name: William Bergum
Address: 4545 W. Brown Deer Road, Milwaukee, WI 53224
Phone Number: (414) 371-5707 E-mail Address: [email protected]

PROPOSAL FORMS

EXHIBIT I - DISCLOSURE - CAMPAIGN FINANCE ORDINANCE
PF-29
Badger Meter, Inc. - Board of Directors

1. Kenneth C. Brockhorst
Chairman, President & Chief Executive Officer
Badger Meter, Inc.

2. Todd A. Adams
Chairman, President & Chief Executive Officer
Zurn Elkay Water Solutions

3. Henry F. Brooks
President - Power & Controls
Collins Aerospace (Raytheon Technologies Corporation)

4. Melanie K. Cook
Retired Executive
GE Appliances

5. Xia Liu
Executive Vice President & Chief Financial Officer
WEC Energy Group

6. James W. McGill
Retired Executive
Eaton Corporation

7. Tessa M. Myers
Senior Vice President - Intelligent Devices
Rockwell Automation

8. James F. Stern
Executive Vice President. General Counsel & Secretary
A.O. Smith Corporation

9. Glen E. Tellock
Retired Executive
Lakeside Foods
City of Glendale CA - Campaign Finance
Disclosure - Sole Source - FINAL
Final Audit Report 2024-09-10
Created: 2024-09-10
By: Cate Snow ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAAKjqWUOooCc8Eg1QptiWdPm00D8eh86W6 "City of Glendale CA - Campaign Finance Disclosure - Sole Sour ce - FINAL" History
Document created by Cate Snow ([email protected])
2024-09-10 - 5:30:33 PM GMT- IP address: 4.14.169.185
= Document emailed to Bill Bergum ([email protected]) for signature 2024-09-10 - 5:31:12 PM GMT
• Email viewed by Bill Bergum ([email protected]) 2024-09-10 - 5:59:48 PM GMT- IP address: 4.14.169.138
Oo Document e-signed by Bill Bergum ([email protected]) Signature Date: 2024-09-10 - 6:00:08 PM GMT - Time Source: server- IP address: 4.14.169.138 • Agreement completed.
2024-09-10 - 6:00:08 PM GMT
& Adobe Acrobat Sign

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