EXHIBIT 1
EXHIBIT 1
EXHIBIT 1
EXHIBIT 2
EXHIBIT 2
EXHIBIT 2
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Silva Zeitlian
Hraztan Zeitlian
3324 Grand View Blvd. Los Angeles CA 90066 3324 Grand View Blvd. Los Angeles CA 90066 N/A
N/A
N/A
Struere 3324 Grand View Blvd., Los Angeles, CA, 90066
EXHIBIT 3
RFQ No. PWA 2025-003
110
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 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. Please disclose these persons’ names and business addresses.
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:
• 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
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
EXHIBIT 3
RFQ No. PWA 2025-003
111
• 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:
3324 Grand View Blvd, Los Angeles, CA 90066
310.748.7649 : [email protected]
Hraztan Zeitlian
November 2 25 Los Angeles
3 EXHIBIT 3
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
N/A
Westgroup Designs, Inc
EXHIBIT 4
31 RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
N/A
N/A
EXHIBIT 4
RFQ No. PWA 2025-003
111
• 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:
Shazad Ghanbari
3 November 1 25 Irvine
19900 MacArthur Blvd., Suite 1000, Irvine, CA 92612
949.250.0880 / [email protected]
EXHIBIT 4
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
EXHIBIT 5
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
EXHIBIT 5
RFQ No. PWA 2025-003
111
• 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:
EXHIBIT 5
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Albert Group Architects 1745 Berkely Street, Studio 4; Santa Monica, CA 90404 Stephen M. Albert
Laurie S. Albert
Richard Gill
1745 Berkely Street, Studio 4
1745 Berkely Street, Studio 4
1745 Berkely Street, Studio 4
Santa Monica CA 90404
Santa Monica CA 90404
Santa Monica CA 90404
EXHIBIT 6
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
x
More than 10% interest owner Stephen M. Albert
Laurie S. Albert
EXHIBIT 6
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
John Paul Youssef
John Paul Youssef
John Paul Youssef
John Paul Youssef
John Paul Youssef
John Paul Youssef and Isis Youssef
550 S. Hope St, Suite 1700
550 S. Hope St, Suite 1700
550 S. Hope St, Suite 1700
550 S. Hope St, Suite 1700
550 S. Hope St, Suite 1700
550 S. Hope St, Suite 1700
Los Angeles
Los Angeles
Los Angeles
Los Angeles
Los Angeles
Los Angeles
CA
CA
CA
CA
CA
CA
90071
90071
90071
90071
90071
90071
EXHIBIT 6
Nabih Youssef & Associates 550 S. Hope St, Ste 1700 Los Angeles, CA 90071 RFQ No. PWA 2025-003
111
• 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 October 23 25 Los Angeles
John Paul Youssef
550 S. Hope St, Suite 1700 Los Angeles, CA 90071
213.362.0707, [email protected]
EXHIBIT 6
Proposal for ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025 -003 City of Glendale – November 03, 2025
31 | Page
EXHIBIT 7
Proposal for ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025 -003 City of Glendale – November 03, 2025
32 | Page
EXHIBIT 7
Proposal for ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025 -003 City of Glendale – November 03, 2025
33 | Page
EXHIBIT 7
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THOMAS RIGGLE
2900 ADAMS ST., STUDIO A-400 RIVERSIDE CA 92504 EXHIBIT 8
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/107 /122 /123 /104 /124 /102 /124 /107 /100 /104 /124 /125 /97 □ □□
/78 /27 □ /80 /23 /25 /26 /62 /60 □ /21 /60 □ /24 /25 /23 □ /26 /80 /21 /50 /23 /126 /27 /26 /59 /23 /58 □□/51 /21 /27 /24 /22 /26 /49 /24 /21 /22 □□/53 /61 /80 /49 /21 /27 /24 /22 /26 /49 /24 /21 /22 /120 □□ /128
□ /57 □ /26 /49 /118 /27 /21 /33 /62 /23 /58 /47 /23 □ /24 /25 /26 /24 □ /57 □ /25 /26 /50 /23 □ /26 □ /49 /21 /27 /24 /31 /27 /61 /31 /27 /47 □ /21 /80 /62 /31 /47 /26 /24 /31 /21 /27 □ /24 /21 □ /61 /44 /58 /26 /24 /23 □ /24 /25 /31 /32 □ /58 /31 /32 /49 /62 /21 /32 /61 /22 /23 □ /60 /21 /22 /59 □ /31 /60 □ /57 □ /32 /61 /80 /32 /24 /31 /24 /61 /24 /23 /129□ /21 /22 □ /31 /60 □ /57 □ /32 /23 /62 /23 /49 /24 □ /26 /58 /58 /31 /24 /31 /21 /27 /26 /62 /129□ /26 /22 /49 /25 /31 /24 /23 /49 /24 /32 /45 □ /58 /23 /32 /31 /47 /27 □ /44 /22 /21 /60 /23 /32 /32 /31 /21 /27 /26 /62 /32 /45 □ /49 /21 /27 /24 /22 /26 /49 /24 /21 /22 /32 /45 □ /21 /22 □ /32 /61 /80 /49 /21 /27 /24 /22 /26 /49 /24 /21 /22 /32 □ /33 /31 /24 /25 /31 /27 □ /24 /23 /27 □ /63 /28 /29 /64 □ /58 /26 /46 /32 □ /21 /60 □ /24 /25 /23 □ /32 /23 /62 /23 /49 /24 /31 /21 /27 □ /21 /22 □ /49 /25 /26 /27 /47 /23 /130 □ /26 /27 /58 □□
PAMELA FORBES RIGGLE VICTORIA AVE. RIVERSIDE CA 92504 X
EXHIBIT 8
/0 /1 /2 □ /4 /5 /6 □ /7 /8/9 □ /10 /11 /10 /12 /13 /11 /11 /14 □ □
/17 /17 /17 □
□
/19 □ /20 □ /21 /22 /23 /22 /24 /25 □ /26 /22 /23 /27 /28 /29 /25 □ /27 /21 /30 /27 /31 □ /32
□ /20 □ /21 /30 /33 /22 □ /28 /34 /22 /35 /27 /28 /29 /28 /22 /34 □ /30 /36 /36 □ /37 /22 /23 /38 /39 /35 /38 □ /29 /39 /23 □ /40 /21 /28 /26 /21 □ /27 /21 /22 □ /41 /23 /34 /28 /35 /30 /35 /26 /22 □ /23 /22 /42 /43 /28 /23 /22 /38 □ /34 /28 /38 /26 /36 /39 /38 /43 /23 /22 /44 □ /32 □ /45 /21 /22 □ /28 /35 /29 /39 /23 /46 /30 /27 /28 /39 /35 □ /28 /35 □ /27 /21 /28 /38 □ /34 /28 /38 /26 /36 /39 /38 /43 /23 /22 □ /29 /39 /23 /46 □ /47 /30 /35 /34 □ /30 /35 /25 □ /30 /27 /27 /30 /26 /21 /46 /22 /35 /27 □ /27 /39 □ /27 /21 /28 /38 □ /29 /39 /23 /46 /48 □ /28 /38 □ /27 /23 /43 /22 /49 □ /30 /26 /26 /43 /23 /30 /27 /22 /49 □ /26 /39 /23 /23 /22 /26 /27 /49 □ /30 /35 /34 □ /26 /39 /46 /37 /36 /22 /27 /22 /44 □ /30 /35 /34 □
/32 □ /20 □ /21 /30 /33 /22 □ /24 /22 /22 /35 □ /36 /22 /50 /30 /36 /36 /25 □ /30 /43 /27 /21 /39 /23 /28 /51 /22 /34 □ /27 /39 □ /38 /43 /24 /46 /28 /27 □ /27 /21 /28 /38 □ /34 /28 /38 /26 /36 /39 /38 /43 /23 /22 □ /29 /39 /23 /46 /52 □ □
/20 /35 □ /27 /39 /27 /30 /36 /49 □ /27 /21 /28 /38 □ /34 /28 /38 /26 /36 /39 /38 /43 /23 /22 □ /29 /39 /23 /46 □ /47 /28 /35 /26 /36 /43 /34 /28 /35 /50 □ /30 /27 /27 /30 /26 /21 /46 /22 /35 /27 /38 /48 □ /28 /38 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ /37 /30 /50 /22 /38 /52 □ □
/53 /54 /22 /26 /43 /27 /22 /34 □ /39 /35 /31 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ /49 □ /55 /56 □ □ □ □ □ □ □ □ □ □ /49 □ /30 /27 /31 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ /49 □ /57 /30 /36 /28 /29 /39 /23 /35 /28 /30 /52 □ □
/58 /28 /50 /35 /30 /27 /43 /23 /22 /31 □ □ □ □ □ /59 /23 /28 /35 /27 □ /60 /43 /36 /36 □ /61 /30 /46 /22 /31 □ □ □ □ □ □ □ □ □ □
□ □
/62 /34 /34 /23 /22 /38 /38 /31 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □
□
/59 /21 /39 /35 /22 □ /61 /43 /46 /24 /22 /23 /31 □ /53 /63 /46 /30 /28 /36 □ /62 /34 /34 /23 /22 /38 /38 /31 □ □□ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ 3 OCTOBER 30
25 RIVERSIDE
THOMAS RIGGLE
2900 ADAMS STREET, RIVERSIDE, CA 92504
(951) 742-7179 / [email protected]
EXHIBIT 8
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer
Chief Operating Officer
Chief Financial Officer
Board of Directors
Bowman Consulting Group Ltd. 3060 Saturn Street, Brea, CA 92821 Daniel G. Swayze
Gary P. Bowman
Bruce J. Labovitz
Raymond Vicks, Virginia Grebbien
James Laurito, Patricia Mulroy, Stephen Riddick,
12355 Sunrise Valley Dr., Ste 520
12355 Sunrise Valley Dr., Ste 520
12355 Sunrise Valley Dr., Ste 520
12355 Sunrise Valley Dr., Ste 520
12355 Sunrise Valley Dr., Ste 520
20191
20191
20191
20191
20191
VAReston
Reston
Reston
Reston
Reston VA
VA
VA
VA
James Laurito
1. FORMS
52 Bowman | City of Glendale On-Call Services for Facilities CIP Projects - Civil Engineering EXHIBIT 9
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
Gary P. Bowman 20191VA12355 Sunrise Valley Dr., Ste 520 Reston 23011 Moulton Pkwy, SuiteD7 Laguna Hills CA 92653
Parviz Azar
Parviz Azar
Parviz Azar
Parviz Azar
Parviz Azar
23011 Moulton Pkwy, Suite D7 Laguna Hills CA 92653
23011 Moulton Pkwy, Suite D7 Laguna Hills CA 92653
23011 Moulton Pkwy, Suite D7 Laguna Hills CA 92653
23011 Moulton Pkwy, Suite D7 Laguna Hills CA 92653
Parviz Azar 23011 Moulton Pkwy, Suite D7 Laguna Hills CA 92653 23011 Moulton Pkwy, Suite D7, Laguna Hills, CA 92653P.A. & Associates, Inc.
1. FORMS
53 Bowman | City of Glendale On-Call Services for Facilities CIP Projects - Civil Engineering EXHIBIT 9
RFQ No. PWA 2025-003
111
• 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:
3 Farzad Dorrani
October 30 25 Brea
3060 Saturn Street, Brea, CA 92821
714.940.0100 / [email protected]
1. FORMS
54 Bowman | City of Glendale On-Call Services for Facilities CIP Projects - Civil Engineering EXHIBIT 9
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
CWE 1561 E. Orangethorpe Avenue, Suite 240, Fullerton, CA 92831 Jason Pereira
Farooq Qureshi
Vik Bapna
Vik Bapna, Jason Pereira, Farooq Qureshi, Katie Harrel
1561 E. Orangethorpe Avenue, Suite 240
1561 E. Orangethorpe Avenue, Suite 240
1561 E. Orangethorpe Avenue, Suite 240
1561 E. Orangethorpe Avenue, Suite 240
Fullerton
Fullerton
Fullerton
Fullerton
CA
CA
CA
CA
92831
92831
92831
92831
Vik Bapna 1561 E. Orangethorpe Avenue, Suite 240 Fullerton CA 92831 EXHIBIT 10
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
Vik Bapna, Jason Pereira 1561 E. Orangethorpe Avenue, Suite 240 Fullerton CA 92831 N/A
N/A
EXHIBIT 10
RFQ No. PWA 2025-003
111
• 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:
3 October 31 25 Fullerton
Vik Bapna
1561 E. Orangethorpe Avenue, Suite 240, Fullerton, California 92831 (714) 526-7500 Ext. 212 / [email protected]
EXHIBIT 10
RFQ No. PWA 2025-003
109
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 Ma rch 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Bilyana Decker
Jennifer Saliba
303 North Glenn Oaks Blvd, Suite 200
303 North Glenn Oaks Blvd, Suite 200
Burbank
CA
CA
91502
91502
Burbank
EXHIBIT 11
RFQ No. PWA 2025-003
110
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 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 o wned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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.
Campai
gn 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 substitute ― or if I select additional― architects, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and
Jose Chacon
1401 21st Street, Suite 12995
Sacramento
CA
95811
EXHIBIT 11
RFQ No. PWA 2025-003
111
• 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:
3 25
Glendale
November 2
Bilyana Decker
303 N. Glenoaks Blvd. Suite 200, Burbank, CA 91502
818-434-5598: [email protected]
EXHIBIT 11
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer
Chief Operating Officer
Chief Financial Officer
President
Southstar Engineering & Consulting, Inc. (Southstar | DCCM) 1945 Chicago Ave Unit C-2 Riverside, CA 92507
1945 Chicago Ave Unit C-2
1945 Chicago Ave Unit C-2
1945 Chicago Ave Unit C-2
1945 Chicago Ave Unit C-2
Riverside
Riverside
Riverside
Riverside
CA
CA
CA
CA
92507
92507
92507
92507
Yvette Kirrin, PE
Jason Bennecke, PE, MBA, PMP
Amr Abuelhassan, PE, MS, QSD
Jason Bennecke - CEO
EXHIBIT 12
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
Zach Siviglia, PE
Kim Post
Chad Caldwell
Zach Siviglia, Matt Brogan, Sasha
Dansky, Shawn O'Keefe, Dave Moritz,
Aaron Silva, Alyson Watson, Cindy
Milrany
516 Gibson Drive, Suite 230
516 Gibson Drive, Suite 230
701 University Avenue, Suite 200
2833 Junction Avenue, Suite 110
Various
Roseville
Roseville
Sacramento
Zach Siviglia
Various
CA
CA
CA
CA
CA
95678
95678
95825
95134
Various
None
X
None
Mark Thomas & Company, Inc.
EXHIBIT 12
RFQ No. PWA 2025-003
111
• 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:
3 October 29 25 Irvine
Pat Somerville, PE
3200 El Camino Real, Suite 290, Irvine, CA 92602
(949) 477-9000 | [email protected]
EXHIBIT 12
24 CITY OF GLENDALE
QUALIFICATIONS FOR ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
N/A
EXHIBIT 13
25 CITY OF GLENDALE
QUALIFICATIONS FOR ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
N/A
EXHIBIT 13
26 CITY OF GLENDALE
QUALIFICATIONS FOR ON-CALL SERVICES FOR FACILITIES CAPITAL IMPROVEMENT PROJECTS RFQ No. PWA 2025-003
111
• 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:
0 Riverside
P: 951.248.4279 | [email protected]
Brian Knoll
3788 McCray Street, Riverside, CA 92506
November 3 25
EXHIBIT 13
26 RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Matthew Lysne Board of Directors 234 N. El Molino Ave Pasadena CA 91101 Rachel Adams / Architecture for
Education
Board of Directors 41 N. Fair Oaks Ave Pasadena CA 91103 John Olivier/Fuscoe Board of Directors 15535 Sand Canyon Ave, Suite 1000 Irvine CA 92618 Stephen Carroll
Scott Horsley
Daniel Hoon
101 N. Indian Hill Blvd, C2-200
101 N. Indian Hill Blvd, C2-200
14988 Sand Canyon Ave, Studio 8
Claremont
Claremont
Irvine
CA
CA
CA
91711
91711
92618
EPTDESIGN 234 N. El Molino Avenue, Suite 100, Pasadena, CA 91101 EXHIBIT 14
27 RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
N/A
N/A, no subcontractors for this contract.
N/A
X
EXHIBIT 14
28 RFQ No. PWA 2025-003
111
• 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:
3 October 20 25 Pasadena
Matthew Lysne
234 N. El Molino Avenue, Suite 100, Pasadena, CA 91101
(626) 795-2008 / [email protected]
EXHIBIT 14
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Craig Crowley
Matthew Hubbard
Mark Aden
Jeff Brink
Roger Heeringa 1700 7th Street, Suite 1700 Seattle WA 98101 CA 94105135 Main Street, Suite 1800 San Francisco
523 W 6th Street, Suite 616 Los Angeles CA 90014
1060 Fowler Avenue, Suite 202 Bozeman MT 59718
707 W 2nd Avenue Spokane WA 99201
EXHIBIT 15
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
EXHIBIT 15
RFQ No. PWA 2025-003
111
• 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 October 27 Los Angeles25
Mark Aden
523 W 6th Street, Suite 616 Los Angeles, CA 90014
[email protected]
EXHIBIT 15
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
John A. Martin & Associates, Inc.
Kal Benuska, SE
Kurt Clandening, SE
Katie Rosen, MBA
N/A
950 South Grand Avenue, Suite 400
950 South Grand Avenue, Suite 400
950 South Grand Avenue, Suite 400, Los Angeles, CA 90015 Los Angeles
Los Angeles
CA
CA
90015
90015
1901 Harrison Street, Suite 1570 Oakland CA 94612
Shane Fitzgerald, SE, DBIA 950 South Grand Avenue, Suite 400 Los Angeles CA 90015 RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Kim Pacheco, SE 2505 2nd Avenue, Suite 520 Seattle WA 98121 John Nissen, SE 950 South Grand Avenue, Suite 400 Los Angeles CA 90015 Matt Timmers, SE 950 South Grand Avenue, Suite 400 Los Angeles CA 90015 EXHIBIT 16
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th 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. Please disclose these persons’ names and business addresses.
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:
• 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
Barry Schindler, SE 950 South Grand Avenue, Suite 400 Los Angeles CA 90015 ✓
EXHIBIT 16
EXHIBIT 16
37 REQUEST FOR QUALIFICATIONS (RFQ) ON-CALL SERVICES FOR FACILITIES CIP ELECTRICAL ENGINEERING SERVICES - NOVEMBER 3, 2025
RF
Q No.
PWA
2025
-00
3 109
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 appro val by the
City Council, GSA, or HA― from making a contribution to a City Council member, GSA member, HA member, City Clerk, or City Tre asurer;
and (2) Council members, GSA members, and HA members from voting on matters concerning a contract affecting a co ntractor 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 b idder.
To assist members of the City Council, GSA, and HA before they vote on a matter regarding a City Contract, the Ordinance requ ires 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
●
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
Full Name
Title
Business Address
City
State
Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Budlong & Associates, inc.
700 N. Central Ave. #520 Glendale, CA 91203
Sunil Patel
Glendale
CA
91203
700 N. Central Ave. #520
Felix Gomez
700 N. Central Ave. #520
Glendale
CA
91203
Debbie Ludwig
700 N. Central Ave. #520
Glendale
CA
91203
8. Qualifications Forms
EXHIBIT 17
38 REQUEST FOR QUALIFICATIONS (RFQ) ON-CALL SERVICES FOR FACILITIES CIP ELECTRICAL ENGINEERING SERVICES - NOVEMBER 3, 2025
RF
Q No.
PWA
2025
-00
3 110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an
ownership interest of more than ten percent (10%) in that person, entity, or organization
, and any campaign commit
tee that is owned
or controlled by that
person, entity, or organization
. Please disclose these persons’
names
and business
addresses
.
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 porti on of the work
undertaken under an agreement with an architect, design professional, engineer, or general or prime contract, usuall y 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 d isclose 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, design professionals, contractors, or subcontractors within ten (10) days of the selection or change; and
8. Qualifications Forms
EXHIBIT 17
39 REQUEST FOR QUALIFICATIONS (RFQ) ON-CALL SERVICES FOR FACILITIES CIP ELECTRICAL ENGINEERING SERVICES - NOVEMBER 3, 2025
RF
Q No.
PWA
2025
-00
3 111
•
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:
3 October 30
25 Glendale
Sunil Patel
700 N. Central Ave. #520 Glendale, CA 91203
C: 909-215-3969 / E: [email protected]
None
8. Qualifications Forms
EXHIBIT 17
BUREAU VERITAS 600 N. Rosemead Blvd #205 | Pasadena, CA 91107 P. 916.725.4200 | F. 916.725.8242 | www.bvna.com
29 EXHIBIT 18 - QUALIFICATION FORMS
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Renato Catrib
Gus Guerrero
Hilarie Fournier
N/A
N/A
16800 Greenspoint Park Dr suite 300 s
16800 Greenspoint Park Dr suite 300 s
16800 Greenspoint Park Dr suite 300 s
Houston
Houston
Houston
77060
77060
77060
TX
TX
TX
EXHIBIT 18
BUREAU VERITAS 600 N. Rosemead Blvd #205 | Pasadena, CA 91107 P. 916.725.4200 | F. 916.725.8242 | www.bvna.com
30 EXHIBIT 18 - QUALIFICATION FORMS
RFQ No. PWA 2025-003
110
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 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. Please disclose these persons’ names and business addresses.
Subcontractor(s)**: Bureau Veritas will provide our services 100%.
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:
• 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
X
N/A
N/A
EXHIBIT 18
BUREAU VERITAS 600 N. Rosemead Blvd #205 | Pasadena, CA 91107 P. 916.725.4200 | F. 916.725.8242 | www.bvna.com
31 EXHIBIT 18 - QUALIFICATION FORMS
RFQ No. PWA 2025-003
111
• 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:
Craig Baptista
P: 916-514-4516 | E: [email protected]
3 October 24 25 Pasadena
600 N Rosemead Blvd #205, Pasadena, CA 91107
EXHIBIT 18
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Cumming Management Group, Inc.
Cumming Management Group, Inc. 350 South Grand Avenue, Los Angeles, CA 90071 Gavin Middleton
Anas Al Jajeh
Derek Hutchison
Anas Al Jajeh
N/A
276 Post Road West, 2nd Floor Westport CT 06880
900 3rd Avenue, 6th Floor New York NY 10022
276 Post Road West, 2nd Floor Westport CT 06880
276 Post Road West, 2nd Floor Westport CT 06880
cumming-group.com 31 City of Glendale RFQ #PWA 2025-003 EXHIBIT 19
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
x
N/A
N/A
EXHIBIT 19
RFQ No. PWA 2025-003
111
• 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:
Anthony Sanchez
350 South Grand Avenue, Suite 1900, Los Angeles, CA 90071 (323) 855-4710 / [email protected]
October 22 25 Los Angeles
3 EXHIBIT 19
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Citadel CPM, Inc. 482 S. Arroyo Parkway, Suite 230, Pasadena, California 91105 Fadi R. Rassam 482 S. Arroyo Parkway, Suite 230 Pasadena CA 91105 EXHIBIT 20
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
Not Applicable
Not Applicable
X
EXHIBIT 20
RFQ No. PWA 2025-003
111
• 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:
3 November 3 2025
Fadi R. Rassam
482 S. Arroyo Parkway, Suite 230, Pasadena, California 91105 626.796.7926 [email protected]
EXHIBIT 20
RFP No. PWA 2025-001
74 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
● 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
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 Contra ctor must also disclose the name(s) of that pe rson’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 cont rolled by that person, entity, or organization. Please disclo se these persons’ name and business address.
EXHIBIT 21
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Z&K Consultants, Inc. 17130 Van Buren Blvd, Suite 122, Riverside, CA 92504 17130 Van Buren Blvd, Suite 122 Riverside CA 92504 17130 Van Buren Blvd, Suite 122 Riverside CA 92504 Crystal Fraire
Zack Faqih
EXHIBIT 22
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
NOT APPLICABLE.
X
EXHIBIT 22
RFQ No. PWA 2025-003
111
• 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:
3 November 3 25 Riverside
[email protected]
17130 Van Buren Blvd, Suite 122, Riverside, CA, 92504
Crystal Fraire
EXHIBIT 22
RFQ No. PWA 2025-003
109
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 co ntractor 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
● 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
Full Name Title Business Address City State Zip
Chairperson
Chief Executive Officer / President
Chief Operating Officer
Chief Financial Officer
Board of Directors
Michael Darquea
25350 Magic Mountain Pkwy., Suite 300
Valencia
CA
91355
CLMI GROUP, LLC
25350 Magic Mountain Pkwy., Suite 300, Valencia, CA 91355 EXHIBIT 23
RFQ No. PWA 2025-003
110
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 Directors, its Chairperson, Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, any person wi th an ownership interest of more than ten percent (10%) in that person, entity, or organization, and any campaign commit tee that is owned or controlled by that person, entity, or organization. Please disclose these persons’ names and business addresses.
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:
• 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
NA
EXHIBIT 23
RFQ No. PWA 2025-003
111
• 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:
25350 Magic Mountain Pkwy., Suite 300, Valencia, CA 91355 Michael Darquea
November 3
25 Valencia
213.248.1531 [email protected]
EXHIBIT 23