BALTO CHEE
CITY OF RIALTO
DISCLOSURES REQUIRED BY PERSONS OR ENTITIES
CONTRACTING WITH THE CITY OF RIALTO*
Pursuant to City of Rialto Municipal Code Section 2.48.510, all persons or business entities supplying any goods or services to the city, or seeking a loan or grant awarded by the city, whether through an application or proposal, shall disclose in such application or proposal whether any city officer, employee, or consultant may have a financial or non-financial interest in the person or business entity, or in any member, employee, owner, or officer of the business entity.
• A financial interest shall mean any interest that is prohibited under state law, including California Government Code Sections 1090 and 87100, and California Code of Regulation Section 18700 et seq. • A non-financial interest shall mean any interest that is prohibited by City of Rialto Municipal Code Section
2.48.450.
To assist the City in determining whether your item presents a conflict of interest under California Law or the Rialto Municipal Code please fully complete the table below. For any category that is not-applicable please print "N/A" in each box. A conflict may arise if you, or any person in your organization (like an employee, or board member), are also an employee, officer or elected official of the City or if you or any person in your organization is a close family relation to an employee, officer or elected official with the City. If either of these is the case you need to supply the full names of the persons in the first and second boxes and then describe their relationship in the third box. Please use additional sheets if necessary.
Relationship Between the
Name of Your Organization's Name of City Elected or Two Affected Member, Employee, Appointed Official, City
Paid or Unpaid Officer, Paid or Officer, a City Employee or Unpaid Director, or Owner Consultant
N/A
By submitting the corresponding application, bid, or proposal by which a contract may be entered into with the Ordinances Section 2.48.450, with the person or entity identified below, except as specifically disclosed herein.
Name of Person/Entiy: Abel Awa
Title: Duer
Signature: Date: 11-21-22
ForryDate 9/1/2022