CITY OF RED BLUFF
Measure S Citizens Oversight Committee
Application for Appointment
Thank you for your interest in serving on the City of Red Bluff Measure S Citizens Oversight Committee.
The Measure S Citizens Oversight Committee was established by the voters of the City of Red Bluff through Measure S. The Committee provides independent public oversight of Measure S revenues and expenditures by reviewing annual independent fiscal audits, monitoring implementation of the Measure S Expenditure Plan, issuing an annual report to the citizens of Red Bluff regarding compliance with Measure S, and making recommendations to the Red Bluff City Council.
The Committee serves in an advisory capacity and is not a policy-making body.
Applicant Information
Applicant Name: ___________________________________________________________________ Residence Address: ________________________________________________________________ City _____________________ State ______ Zip __________
Mailing Address (if different): ________________________________________________________ City _____________________ State ______ Zip __________
Primary Phone: _____________________________________________________________________ Email Address: _____________________________________________________________________ Eligibility Requirements
Pursuant to Measure S, members of the Citizens Oversight Committee must be residents, business owners, or property owners within the City of Red Bluff. The Committee must always include at least one resident, one business owner, and one property owner.
I qualify as a (you may select more than one.):
☐ Resident of the City of Red Bluff
☐ Business Owner within the City of Red Bluff
☐ Property Owner within the City of Red Bluff
If you are a resident:
Length of residency in Red Bluff: _______ years _______ months If you are a business owner:
Business Name: _____________________________________________________________________ Business Address: ___________________________________________________________________ City of Red Bluff Business License: ☐ Yes ☐ No
If you are a property owner:
Property Address or Assessor Parcel Number: _________________________________________ Qualifications
Please describe your education, employment history, volunteer activities, or professional experience that would assist you in serving on the Measure S Citizens Oversight Committee.
Please indicate your experience (check all that apply) in any of the following areas:
☐ Accounting ☐ Budget Development ☐ Public Works
☐ Auditing ☐ Construction ☐ Engineering
☐ Finance ☐ Transportation Planning ☐ Project Management ☐ Government ☐ Business Management ☐ Community Organizations ☐ Other _______________________________________
Statement of Interest
Why are you interested in serving on the Measure S Citizens Oversight Committee? What skills or experience would you bring to the Committee? Describe your understanding of the purpose of the Measure S Citizens Oversight Committee.
Availability
Can you attend meetings (check all that apply): ☐ Monthly ☐ Quarterly ☐ As Needed Are you available to attend evening meetings? ☐ Yes ☐ No Potential Conflicts of Interest
Do you have any financial interest, contractual relationship, or business relationship that could present a conflict regarding Measure S-funded projects? ☐ Yes ☐ No If yes, please explain: ________________________________________________________________ Do you currently serve on any City commission? ☐ Yes ☐ No If yes, which Commission: ______________________________________________ References
Reference #1 Reference #2
Name _________________________________ Name _________________________________ Phone ________________________________ Phone ________________________________ Professional/Personal _________________ Professional/Personal ________________ Applicant Acknowledgment
I acknowledge that I have read and understand the purpose and responsibilities of the City of Red Bluff Measure S Citizens Oversight Committee.
If appointed, I understand and agree that:
• The Citizens Oversight Committee serves solely in an advisory capacity to the Red Bluff City Council.
• The Committee's responsibilities are limited to those established by Measure S and any implementing policies or procedures adopted by the City that are consistent with Measure S.
• The Committee is responsible for reviewing the annual independent fiscal audit of Measure S revenues and expenditures, monitoring implementation of the Measure S Expenditure Plan, issuing an annual report regarding compliance with Measure S, and making recommendations to the Red Bluff City Council. • The Committee does not have the authority to direct City staff, approve expenditures, award contracts, select projects, supervise construction, or establish City policy.
• I agree to comply with the provisions of the California Brown Act, the California Public Records Act, the Political Reform Act, any applicable conflict-of-interest requirements, and all City policies governing advisory bodies.
I further certify that I meet the eligibility requirements established by Measure S and that the information provided in this application is true and correct to the best of my knowledge.
Applicant Signature
__________________________________________
Date _____________________________________
CITY OF RED BLUFF
Measure S Citizens Oversight Committee
Eligibility Affidavit and Declaration
Applicant Name: _______________________________________________ I hereby declare and certify that I have applied for appointment to the City of Red Bluff Measure S Citizens Oversight Committee and that I meet the eligibility requirements established by Measure S.
Please initial each statement below.
Initials Statement
______ I am at least eighteen (18) years of age.
______
I qualify as at least one of the following (check all that apply below): Resident ☐ Business Owner ☐ Property Owner ☐ within the City of Red Bluff. ______ I am not currently a member of the Red Bluff City Council. ______ I am not currently a member of the Tehama County Board of Supervisors. ______ I am not currently employed by the City of Red Bluff. ______ I am not currently employed by the County of Tehama. ______
I understand that if I become ineligible to serve during my appointment, I will immediately notify the City Clerk in writing.
______
I understand that the Citizens Oversight Committee serves in an advisory capacity only and has only those duties and responsibilities established by Measure S and any implementing policies adopted by the City that are consistent with Measure S. ______
I understand that I will be required to complete ethics training, file annual Form 700 with the Fair Political Practices Commission, and comply with the California Brown Act, Public Records Act, Political Reform Act, and all other applicable laws and City policies.
______
I certify that all information contained in my application is true, complete, and accurate to the best of my knowledge.
Declaration
I declare under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct.
I understand that any material misrepresentation or omission may result in my disqualification from appointment or removal from the Measure S Citizens Oversight Committee if appointed.
Executed on this ______ day of ___________________, 2026, at Red Bluff, California.
Applicant Signature:
________________________________________