Rialto City Council
January 24, 2023

CITY OF RIAL TO

DISCLOSURES REQUIRED BY PERSONS OR ENTITIES
CONTRACTING WITH THE CITY OF RIAL TO*
Pursuant to City of Rialto Code of Ordinances Section 2.48.145, 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 Code of Ordinances Section 2.48.140 ( attached here).

For the purpose of helping the City understand whether City personnel might have a conflict of interest in you or your organization, please disclose below whether you or any of your members, employees, paid or unpaid officers, paid or unpaid directors, or owners are ( or are related to) a City elected or appointed official, a City officer, or a City employee or consultant.

Name of Your Organization's Name of City Elected or Relationship Between the Affected Member, Employee, Appointed Official, City Two Paid or Unpaid Officer, Paid or Officer, a City Employee Unpaid Director, or Owner or Consultant
Nff
By submitting [this application/proposal], or supplying any goods or services to the city, the [applicant/vendor/contractor/consultant] hereby attests under penalty of pe1jury, personally and/or on behalf of the entity [ submitting this application/proposal or supplying any goods or services to the city] that no City of Rialto elected or appointed official, employee or consultant has a financial or non-financial interest, as such terms are defined in California Government Code Sections 1090 and 87100 and in City of Rialto Code of Ordinances Section 2.48.145, in the [applicant/vendor/contractor/consultant], except as specifically disclosed herein.

Name of Person/Entity: Ortiz Enterprises Inc.,
Title: Presi�
Signa
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Ordinance 1655 must be attached
F01m Date: 06/09/2021
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Data current as of 1/10/2023 3:49:02 PM
Home | Online Services | License Details
Contractor's License Detail for License # 467088
DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations.

Business Information

ORTIZ ENTERPRISES INCORPORATED
6 CUSHING STE 200
IRVINE, CA 92618
Business Phone Number:(949) 753-1414
Entity Corporation
Issue Date 12/17/1984
Expire Date 12/31/2024
License Status
This license is current and active.

All information below should be reviewed.

Classifications
Certifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with BERKLEY INSURANCE COMPANY.

Bond Number: 0180490
Bond Amount: $25,000
Eective Date: 01/01/2023
Contractor's Bond History
Bond of Qualifying Individual
The qualifying individual PATRICK ALLEN ORTIZ certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required.

Eective Date: 12/17/1984
Workers' Compensation
This license has workers compensation insurance with the TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy Number:UB2R8182652226G
Eective Date: 10/01/2022
Expire Date: 10/01/2023
Workers' Compensation History
CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure click on link that will appear below for more information. Click here for a definition of disclosable actions. 
Only construction related civil judgments reported to CSLB are disclosed (B&P 7071.17). Arbitrations are not listed unless the contractor fails to comply with the terms. Due to workload, there may be relevant information that has not yet been entered into the board's license database. B - GENERAL BUILDING
A - GENERAL ENGINEERING
HAZ - HAZARDOUS SUBSTANCES REMOVAL
2 1/10/23, 3:50 PM Registrations
https://cadir.secure.force.com/ContractorSearch/registrationSearchDetails?id=a1Rt00000048oDREAY 1/2 Contractor Information
Legal Entity Name

ORTIZ ENTERPRISES INC
Legal Entity Type
Corporation
Status
Active
Registration Number
1000003766
Registration effective date
07/01/22
Registration expiration date
06/30/25
Mailing Address
6 CUSHING SUITE 200  IRVINE 92618 CA United Stat…
Physical Address
6 CUSHING SUITE 200  IRVINE 92618 CA United Stat…
Email Address
[email protected]
Trade Name/DBA

ORTIZ ENTERPRISES INC
License Number (s)
CSLB:467088
Registration History
Effective Date    Expiration Date
06/13/18 06/30/19
06/13/17 06/30/18
06/21/16 06/30/17
06/02/15 06/30/16
12/11/14 06/30/15
07/01/19 06/30/22
07/01/22 06/30/25
Legal Entity Information
Corporation Entity Number: C1223977
Federal Employment Identification Number: 953387686
President Name: Patrick Ortiz
Vice President Name:

Treasurer Name: Dave Byrnes
Secretary Name: Jeff Ortiz
CEO Name:

Agency for Service:

Agent of Service Name: Dave Byrnes
Agent of Service Mailing Address: 6 Cushing   Irvine 92618 CA United States Worker's Compensation
Do you lease employees through Professional Employer Organization (PEO)?: No Please provide your current worker's compensation insurance information below:

PEO Information
PEO
Name
PEO
Phone
PEO
Email
1/10/23, 3:50 PM Registrations
https://cadir.secure.force.com/ContractorSearch/registrationSearchDetails?id=a1Rt00000048oDREAY 2/2 Insured by Carrier
Policy Holder Name: ORTIZ EN
Insurance Carrier: Travelers I
Policy Number: UB2R8182
Inception date: 10/01/21
Expiration Date: 10/01/22