Thousand Oaks City Council
August 25, 2026




 





















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!!!!!!!!!!!!!!!!!!!!!!!!!!!Saeid Boraei Nezhad – CEO !!!!!!!!!!!!!!!!!Pico Construction!!!!!!!!!!!!03/12/2026
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FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
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CAO:650-90/tmn/Legal Files\Levine Act - Applications
2/20/2026 Jeffery Coss president Real Estate Consulting and Services Inc _____________________________________________ __________________________________ ____ FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months following the date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your proposal/application, the date you completed this form, or the anticipated date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount N/A
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
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CAO:650-90/tmn/Legal Files\Levine Act - Applications
Smith Mechanical-Electrical-PlumbingDane Austin, Vice PresidentApril 20, 2026 _____________________
N/A
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

X
X

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign  contributions of more than $  (aggregated) to any City Council member  in the 12 months following any City Council action related to this  proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
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CAO:650-90/tmn/Legal Files\Levine Act - Applications
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

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3/26/2026 Wesley Sobel / Owner Sobel Construction
1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

X
X
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

x
x
NONE
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

x
NONE
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
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4/20/2026 Fatih Senel Valor Construction, Inc.
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FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

X
X

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
127(
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FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

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Ardalan Construction Company, Inc.Mozafar Ardalan, President03/27/2026 _______________________________________ __________________________ _______________________________________ ____________________________________________________ _______________________ _ gnaturuuuuuuuuuuuuuuuuuuuuruuuuuuuuuuuuuuuuruuuuuuuruuuru e 1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid c ontracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount X
X
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign  contributions of more than $  (aggregated) to any City Council member  in the 12 months following any City Council action related to this  proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
127(
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CAO:650-90/tmn/Legal Files\Levine Act - Applications
4/21/2026 Joe Williams, Vice President of Operations A-Tech Consulting, Inc.

X
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

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FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount ✔
✔
FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount



FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
127(
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FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your proposal/application, the date you completed this form, or the anticipated date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
127(
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1 CAO:650-90/tmn/Legal Files\Levine Act - Applications

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 (excluding labor or competitively bid contracts) if the Council member receives a campaign contribution totaling more than $  (aggregated ) from the party to the
contract, agreement or franchise agreement, their agents, or any financially interested participant who actively supports or opposes the matter within the previous twelve (12) months.

Council members must also disclose any eligible campaign contribution received on the record of the proceeding.

Council members are prohibited from accepting, soliciting, or directing a campaign contribution of more than $ (aggregated) from a party, their agent/representative, or a financially interested participant during a proceeding and for 12 months followingthe date a final decision is made. In addition, a party, their agent/representative, or a financially interested participant is prohibited from contributing more than $  (aggregated) to a Council member during a proceeding and for 12 months following the date a final decision is made.

The Levine Act also requires parties to certain contracts, agreements, or franchise agreements to disclose any campaign contribution over $  (aggregated) within the preceding twelve (12) months by the party to the agreement, contract, or franchise agreement and their agents. The Levine Act does not apply to competitively bid, labor, or personal employment contracts.

The Levine Act (Gov Code § 84308) DOES NOT apply to this proposal/application The Levine Act (Gov Code § 84308) DOES apply to this proposal/application 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 $ (aggregated) to any council member in the 12 months preceding the date you submitted your  proposal/application, the date you completed this form, or the anticipated  date of any Council action related to this proposal/application? YES
NO
Council Member Name Payee Name Payment Date Payment Amount FIN:201-10\jr\H:\COMMON\Council\2026\Facilities\08252026CCMtg\08 25 26 On-Call Agreements Attach 2 Levine Acts.pdf

2. Do you or your organization, or any agency or representative on behalf of you or your organization, anticipate or plan to make any campaign contributions of more than $  (aggregated) to any City Council member in the 12 months following any City Council action related to this proposal/application? ** 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
Council Member Name Payee Name Payment Date Payment Amount Answering “YES” to either question above does not preclude the City of Thousand Oaks from entering into or taking any subsequent action related to this proposal/application. However, it may preclude the identified Council member(s) from participating in any actions/decisions related to this proposal/application.
____________ ______________________________ _______________________ Date Printed Name/Title of Authorized Name of Business/Legal Representative Entity
____________________________________________________________________________ Signature
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3/27/2026 Jay Glick, President Maxum Energy Inc
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