CITY OF RIALTO
LEVINE ACT DISCLOSURE STATEMENT
California Government Code § 84308, commonly referred to as the "Levine Act," precludes an Officer of a local government agency from participating in the award of a license, permit, or other entitlement for use, including all contracts except as specified in the Levine Act, if he or she receives any political contributions totaling more than $500 in the 12 months preceding the pendency of the award of the license, permit, other entitlement for use, or contract, and for 12 months following the final decision, from the person or company awarded the license, permit, other entitlement, or contract. This prohibition applies to contributions to the Officer, or received by the Officer on behalf of any other Officer, or on behalf of any candidate for office or on behalf of any committee. The Levine Act also requires disclosure of such contributions by a party to be awarded a specified contract. Please refer to the Attachment "A" for the complete statutory language.
Current members of the City of Rialto City Council are:
Joe Baca, Mayor
Ed Scott, Mayor Pro Tem
Andy Carrizales
Karla Perez
Edward Montoya, Jr.
1. Have you or your company, or any agent on behalf of you or your company, made any political contributions of more than $500 to any Rialto City Council Member(s) in the 12 months preceding the submittal of any application relating to the matter for which you are seeking or requesting approval of a license, permit, other entitlement for use, or a contract?
_ YES X NO
If yes, please identify the Council Member(s):
2. Do you or your company, or any agency on behalf of you or your company, anticipate or plan to make any political contributions of more than $500 to any Rialto City Council Member(s) in the 12 months following the award of the license, permit, other entitlement for use, or a contract? YES NO
If yes, please identify the Council Members):
Answering yes to either of the two questions above does not preclude the City Council from awarding a license, permit, other entitlement for use, or a contract to your firm. It does, however, preclude the identified Council Member(s) from participating in the award process for this license, permit, other entitlement for use, or contract. 6/26/25
Date:
(SIGNATURE OF AUTHORIZED OFFICIAL)
And'a Verduso Projent Manager
(TYPE OR WRITE NAME AND TITLE)
ADC Rialto BFR
(TYPE OR WRITE NAME OF COMPANY)
ATTACHMENT "A"
(7) "Pending" in a proceeding involving a license, permit, or other entitlement for use means either of the following:
(A) For an officer, when either of the following occurs:
(i) An item involving the license, permit, or other entitlement for use is placed on the agenda for discussion or decision at a public meeting of the body of which the officer is a member.
(ii) The officer knows a proceeding involving a license, permit, or other entitlement for use is within the jurisdiction of the officer's agency for its decision or other action, and it is reasonably foreseeable that the decision will come before the officer in the officer's decisionmaking capacity.
(B) For a party or party's agent, or a participant or participant's agent, when an application is filed with an agency, or, if the proceeding process does not require an application, when the proceeding is before the agency for its decision or other action. (b) (1) While a proceeding involving a license, permit, or other entitlement for use is pending, and for 12 months following the date a final decision is rendered in the proceeding, an officer of an agency shall not accept, solicit, or direct a contribution of more than five hundred dollars ($500) from any party or a party's agent, or from any participant or a participant's agent if the officer knows or has other officer, or on behalf of any candidate for office or on behalf of any committee. (2) With respect to elected officers, paragraph (1) applies only if the elected officer or the body of which they are a member has the authority to make any decision or recommendation in the proceeding. (c) (1) Before rendering any decision in a proceeding involving a license, permit, or other entitlement for use, each officer of the agency who received a contribution within the preceding 12 months in an amount of more than five hundred dollars ($500) from a party or from any participant shall disclose that fact on the record of the proceeding. An officer of an agency shall not make, participate in making, or in any way attempt to use the officer's official position to influence the decision in a proceeding involving a license, permit, or other entitlement for use if the officer has willfully or knowingly received a contribution in an amount of more than five hundred dollars ($500) within the preceding 12 months from a party or a party's agent, or from any participant or a participant's agent if the officer knows or has reason to know that the participant has a financial interest in the decision, as that term is described with respect to public officials in Article 1 (commencing with Section 87100) of Chapter 7.
(2) With respect to elected officers, paragraph (1) applies only if the elected officer or the body of which they are a member has the authority to make any decision or recommendation in the proceeding. (d) (1) If an officer receives a contribution that would otherwise require disqualification under this section, and returns the contribution within 30 days from the time the officer makes any decision, or knows, or should have known, about the contribution and the proceeding involving a license, permit, or other entitlement for use, whichever comes last, the officer shall be permitted to participate in the proceeding.
(2) (A) Subject to subparagraph (B), if an officer accepts, solicits, or directs a contribution of more than soliciting, or directing the contribution, whichever comes latest.
ATTACHMENT "A"
(i) (1) Except as provided in paragraph (2), the provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application. (2) Subdivision (g) is not severable from paragraph (3) of subdivision (e) if paragraph (3) of subdivision (e) is held invalid in a final decision of a court of competent jurisdiction. If that occurs, subdivision (g) shall become inoperative on the date of that final decision.
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
0089830839909800809-808089808:8005360889880E0808908898 08080803080800880808:80800883990808 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of _ San Bernardino
on March 5th Andra Aric Verdugo Notary Public
2025
before me,
Date Here Insert Name and Title of the Officer
Stere Landis
personally appeared
Name(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
ANDREW ARIC VERDUGO paragraph is true and correct.
Notary Public - California
San Bernardino County WITNESS my hand and official seal.
Commission # 2437994
My Comm. Expires Feb 12, 2027
Signature,
Place Notary Seal and/or Stamp Above Signature of Notary Public
OPTIONAL
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