ATTACHMENT L
CAMPAIGN FINANCE ORDINANCE DISCLOSURE
City of Glendale
Disclosure - Campaign Finance Ordinance
In August 2011, City Council adopted Ordinance No. 5744, Campaign Finance Ordinance, which became effective on September 9, 2011 and amended it with Ordinance No. 5768 in February 2011. The Ordinance prohibits campaign contributions from parties who contract/subcontract with the City of Glendale (City), Glendale Redevelopment Agency (GRA), or the Housing Authority (HA} of the City of Glendale and prohibits Council Members from voting on matters pertaining to contracts with persons who have provided campaign contributions.
The Ordinance requires disclosure in staff reports providing the following information for the contractor and it's subcontractor(s) receiving a contract, or a series or combination of contracts, from the City with a total value of $50,000 or more and $25,000 or more, respectively, in a fiscal year (July 1-June 30), excluding competitively bid contracts awarded to the lowest responsible Proposer:
• Name of the entity
• Name of the Chief Executive Officer/President
• Chief Operating Officer
• Chief Financial Officer
• Chairperson
• Any member of the board of directors
• Any person or entity that owns more than 10% of the contracting party or any subcontractor • Name of any campaign committee controlled or sponsored by the contracting party Please complete the following Information for contractors & subcontractors (including Consultants & Sub-consultants):
Contractor(s) *
Title
Chairperson
Chief Executive Officer I President
Design Build of the Fire Systems Improvements at Various City Facilities Project Specifications No. 3961
Campaign Finance Ordinance Disclosure
Att L 33
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
* For purposes of the Ordinance, the Contractor is any "person" who is the party or prospective party to the contract with the City, GRA or HA or any member of that party's Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the name and addresses of these persons above.
Subcontractor(s) **
Name Address
Title
Chairperson
Chief Executive Officer/President
Chief Operating Officer
Chief Financial Officer
Board of Directors
More than 10% interest owner
**"Subcontractor" means a person who 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. For purposes of the "subcontractor", "Person· includes the subcontracting party as well as any member of that party's Board of Directors, its Chairperson, Chief Executive Office, Chief Financial Officer, Chief Operating Officer, any person with an ownership interest of more than ten percent (10%) in the party, and any campaign committee, that is sponsored or controlled by the party. Please disclose the names and addresses of these persons above.
Campaign Committee Controlled/Sponsored by _________ ___ _ I Title I Business Address I City I State I Zip I
Design Build of the Fire Systems Improvements at Various City Facilities Project Specifications No. 3961
Campaign Finance Ordinance Disclosure
Att L 34
Certification
I hereby certify, on behalf of the above-named contractor, that the names of all "person" of the contractor and subcontractor under the contract are fully set forth above.
I further acknowledge that the applicant has a continuing obligation to update this disclosure form if the applicant selects additional or substitute architects, design professionals, contractor or subcontractors within ten (10) days of the selection or change. I hereby certify that I have been legally authorized by the contractor to submit this disclosure form and certify to the content hereof.
Executed on 7 /30!26 _ __ _
Contractors Signature ~
at Glendale , California
, Print Applicants' Full Name __ T_r_;;o;...iy_D;;;;....;;;.;a;_;_v..;_;;is;...__ __________ _ Contractor's Address 6657 Sn Fernando Road, Glendale, Ca 91201 Contractor's Contact Phone Number 818-244-34 73
Design Build of the Fire Systems Improvements at Various City Facilities Project Specifications No. 3961
Contractors' E-mail Address [email protected] Campaign Finance Ordinance Disclosure
Att L 35