Exhibit 7
D. CAMPAIGN FINANCE DISCLOSURE - NV5
RFP No. PWA 2024-018
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**) — who has a subcontractor who has provided a campaign contribution.
The ciry counts, s 05, or l saproval, an opened scot actors. a mala mice al, i or is kon as a co contracto The or one rear., a competitively bid contract awarded to the lowest responsible bidder. 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 repo nich discloses certain information about: the contractor receiving the City Contract, and specified subcontractor(s) working under the City Contrac 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
NV5, Inc.
Full Name Title Business Address Zip
Dickerson Wright. Director Chairperson 200 South Park Road. Suite 350 Hollywood FL 33021 Alexander A. Hockman, Director Chief Executive Officer / President 200 South Park Road, Suite 350 Hollywood FL 33021 Todd George, Jeffrey M. Cooper Chief Operating Officer 200 South Park Road, Suite 350 Hollywood FL 33021 Edward H. Codispoti Chief Financial Officer 200 South Park Road, Suite 350 Hollywood Fl 33021 Richard Tong and noted above Board of Directors 200 South Park Road, Suite 350 Hollywood Fl 33021 LNV5 Global, Inc. More than 10% interest owner 200 South Park Road, Suite 350 Hollywood FL | 33021 * "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 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, 104
City of Glendale | Engineering Design Services for North Verdugo Road Multimodal Improvements NV5 | 23 Exhibit 7
D. CAMPAIGN FINANCE DISCLOSURE - NV5
RFP No. PWA 2024-018
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.
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
i an antic, is thin especial, organ, that or pined intact, saty ty a grora or pral copation fou must as dial enter as or e. ubcontractor's Board of Directors, its Chairperson, Chief Executive Officer, Chief Financial Otficer, Chief Operating Officer, any person with an ownership interest c nore 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:
• I acknowledge that I have a continuing obligation to update this disclosure form if I substitute— or if I select additional— architects, desigr professionals, contractors, or subcontractors within ten (10) days of the selection or change; anc • I hereby certify that:
• I have identified all persons for which the Ordinance requires disclosure; : i have been legally authorized ta submit this disclosure form. The information in this disclosure form (and any attachment to this form) is true, accurate, correct, and complete; and In total, this disclosure form (including attachments) is _ 2 _ pages.
Executed on: June 17 _, 20_24 _, at: _ Irvine , California.
Signature: _ Print Full Name: Jeffrey M. Cooper, PE
Address: 133 Technology Drive, Suite 200, Irvine, CA 92618 Phone Number: 949.585.0477 E-mail Address: [email protected] 105
City of Glendale | Engineering Design Services for North Verdugo Road Multimodal Improvements NV5 | 24 Exhibit 7
E. CAMPAIGN FINANCE DISCLOSURE - THE SIERRA GROUP
RFP No. PWA 2024-018
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**) - 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 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: • 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
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 Office
Chief Financial Officer
Board of Directors
More than 10% interest owner
104
City of Glendale | Engineering Design Services for North Verdugo Road Multimodal Improvements NV5 | 25 Exhibit 7
E. CAMPAIGN FINANCE DISCLOSURE — THE SIERRA GROUP
RFP No. PWA 2024-018
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.
Subcontractors)**:
The Sierra Came Address
Full Name Title Business Address City | State Zip
Chairperson
Rebecca Barrantes Chief Executive Officer / President 16787 Beach Bld #522 Huntington Beach, CA 92647 Chief Operating Officer
Chief Financial Officer
Board of Directors
Rebecca Barrantes More than 10% interest owner 16787 Beach Blvd #522 Huntington Beach.|CA 92647 * an orchiet, is them erson snid, organi, or that or pied intact usual or a great or oral orario more are dice derange nee sure than ter percent of %) torst person, erty, or organization, and any am in commite that is overt or oftened by ta person erie or are d Above please disclose these persons' name and business address.
Campaign Committee owned or controlled by:
Title Business Address City State Zip
Not Applicable
CERTIFICATION
On behalf of the above-named • Contractor & Subcontractor:
• I acknowledge that I have a continuing obligation to update this disclosure form if 1 substitute— or if I select additional— architects, design rofessionals, 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: _ June 25th ,20_24 _ at:_ Huntington Beach _ California.
Signature: Print Full Name: Rebecca Barrantes
16787 Beach Bivd #522 Huntington Beach, CA 92647
Address:
Phone Number: 562 322 2072 E-mail Address: [email protected] 105
City of Glendale | Engineering Design Services for North Verdugo Road Multimodal Improvements NV5 | 26