Filing Designation. The City Department Director will designate each individual who will be providing services to the City pursuant to the Agreement as full disclosure, limited disclosure, or excluded from disclosure, based on an analysis of the services the Contractor/Service Provider will provide. Notwithstanding this designation or anything in the Agreement, the Contractor/Service Provider is ultimately responsible for complying with FPPC regulations and filing requirements. If you have any questions regarding filing requirements, please do not hesitate to contact the City Clerk at (▇▇▇)▇▇▇-▇▇▇▇, or the FPPC at ▇-▇▇▇-▇▇▇-▇▇▇▇, or (866) 275- 3772 *2. (Category descriptions available at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇-▇▇▇▇▇/▇▇▇▇▇▇▇▇-▇▇-▇▇▇▇▇▇▇▇-▇▇▇▇.) Name Email Address Applicable Designation ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which Contractor/Service Provider shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☒ C. Excluded from Disclosure Enter Name Enter email address ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which Contractor/Service Provider shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure Pursuant to the duly adopted City of Chula Vista Conflict of Interest Code, this document shall serve as the written determination of the Contractor/Service Provider’s requirement to comply with the disclosure requirements set forth in the Code.
Appears in 1 contract
Sources: Services Agreement
Filing Designation. The City Department Director will designate each individual who will be providing services to the City pursuant to the Agreement as full disclosure, limited disclosure, or excluded from disclosure, based on an analysis of the services the Contractor/Service Provider Consultant will provide. Notwithstanding this designation or anything in the Agreement, the Contractor/Service Provider Consultant is ultimately responsible for complying with FPPC regulations and filing requirements. If you have any questions regarding filing requirements, please do not hesitate to contact the City Clerk at (▇▇▇)▇▇▇-▇▇▇▇, or the FPPC at ▇-▇▇▇-▇▇▇-▇▇▇▇, or (866▇▇▇) 275- 3772 ▇▇▇-▇▇▇▇ *2. APPLICABLE DESIGNATIONS FOR INDIVIDUAL(S) ASSIGNED TO PROVIDE SERVICES (Category descriptions available at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇-▇▇▇▇▇/▇▇▇▇▇▇▇▇-▇▇- interest-▇▇▇▇▇▇▇▇-▇▇▇▇code.) Name Email Address Applicable Designation Enter Name ▇▇▇▇▇ ▇▇▇▇▇▇ Enter email address ▇▇▇ ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ ☐ X A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the above categories under which Contractor/Service Provider shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☒ C. Excluded from Disclosure Enter Name Enter email address ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which Contractor/Service Provider consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure Enter Name Enter email address ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the above categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure Completed by: Enter Name (Add additional pages, as needed.) 3 Cal. Gov. Code §§53234, et seq. Pursuant to the duly adopted City of Chula Vista Conflict of Interest Code, this document shall serve as the written determination of the Contractor/Service Providerconsultant’s requirement to comply with the disclosure requirements set forth in the Code.
Appears in 1 contract
Sources: Three Party Agreement