Quote
Date
3/31/2025
Estimate #
33346
Name / Address
City of Thousand Oaks
Attn: Accounting Dept.
1993 Rancho Conejo Bl.
Thousand Oaks, CA 91320
Ship To
City of Thousand Oaks
1993 Rancho Conejo Bl.
Thousand Oaks, CA 91320
PLU
MBERS DEPOT INC.
3921 W. 139th Street
Hawthorne, CA 90250
Rep
Jose
Serial #
Fax #
(310)355-1711
Total
Subtotal
Sales Tax (7.25%)
Item Description Qty Price Total
MC-1510 Gap Vax MC Series Combination Jet/Vacuum Machine 2 859,488.94 1,718,977.88T Disc-Sourcewell-... Sourcewell Discount for GapVax Truck -12,451.78 -24,903.56 FRT-
001 Freight 2 12,000.00 24,000.00
Sourcewell Contract # 101221-GPV
$12,451.78 Sourcewell Discount per Truck
$1,842,700.22
$1,718,074.32
$124,625.90
ATTACHMENT #1
2 DPW: 370-35\ev\Council\2025\070825\Purchase of Vehicles Att 1.pdf
LEVINE ACT DISCLOSURE FORM
California Government Code section 84308 (Levine Act) prohibits any Thousand Oaks City Council member from participating in any action related to a contract, agreement, or franchise agreement if the councilmember receives a campaign contribution totaling more than $500 (aggregated) from the party to the contract, agreement, or franchise agreement, an agent of the party, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months. Councilmembers must also disclose any eligible campaign contribution received on the record of the proceeding.
Councilmembers are also prohibited from soliciting, accepting or directing campaign contributions totaling more than $500 (aggregated) from the applicant or party, an agent of the applicant/party, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months, and for twelve (12) months following the date a final decision on the contract/agreement is made.
The Levine Act also requires parties to a contract, agreement, or franchise agreement to disclose any campaign contribution over $500 (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement. The Levine Act does not apply to contracts under $50,000, competitively bid, labor, or personal employment contracts. An agent to the Party/Consultant/Service Provider is prohibited from making any contributions whatsoever during this time period.
The Levine Act (Gov Code § 84308) DOES NOT apply to this Agreement/Contract The Levine Act (Gov Code § 84308) DOES apply to this Agreement/Contract and the required disclosure is set forth below:
1. Have you or your company, or any agent on behalf of you or your company, made campaign contributions totaling more than $500 (aggregated) to any council member in the 12 months preceding the date you submitted your proposal, the date you completed this form, or the anticipated date of any Council action related to this Agreement/Contract?
YES
NO
Counci l M ember Name Pay ee Name Pay ment Date Payment A mount
2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to mak e any campaign contributions of more than $500 (aggregated) to any City Council member in
the 12 months following any City Council ac tion related to this A
greement/Contract? ** There may be legal restrictions on making contributions during the 12 months following City Council Action. It is recommended that you consult with your own legal counsel regarding the requirements of law.
YES
NO
Counci l M ember Name Pay ee Name Pay ment Date Payment A mount Answ
ering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this Agreement/Contract. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this Agreement/Contract.
____________ ______________________________ _______________________
Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
*** You must submit a supplemental form if you make any new reportable contribution(s) while the Agreement/Contract is being considered ***
** “Aggregated” contributions, as described in FPPC Regulation §18438.5, include the following types of contributions made during a 12-month period: (1) all contributions made by the party or participant; (2) all contributions made by an agent of the party or participant; and (3) all contributions made by an individual or entity required to be aggregated with the party or participant, and any agent of the party or participant.