Common use of Conclusion Clause in Contracts

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ ☐physical presence, or ☐ ☐online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ ☐Personally Known; OR ☐ ☐Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: (Printed, typed Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or stamped commissioned name veracity of Notary Public) the information provided herein. FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ ☐physical presence, or ☐ ☐online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ ☐Personally Known; OR ☐ ☐Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.):

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No _ 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ ☐physical presence, or ☐ ☐online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… , e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ ☐Personally Known; OR ☐ ☐Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. For Staff Use Only: Specific Project Expenditure Report (Revised November 5, 2010) Initially submitted on_ _ For use as of March 1, 2011 Updated On Project Name (as filed) _ Case or Bid No. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresFor Staff Use Only: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPRRevised November 5, 2010) is a report required under Section 2-354(bInitially submitted on_ _ For use as of March 1, 2011 Updated On Project Name (as filed) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects _ Case or issues that will ultimately be decided by the Board of County Commissioners (BCC)Bid No. Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)Part II

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y22-117 –R2 RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y22-117 –R2 Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y22-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include117 –R2 Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of _, 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)AGENT AUTHORIZATION FORM

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: [NAME OF PARTY ON BEHALF OF . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y18-1046 -TA RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y18-1046 -TA Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y18-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include1046-TA Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) _, DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), _, TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y18- 1046-TA, UTILITIES SITE RESTORATIONS, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or stamped commissioned name Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20_ by _. He/she is personally known to me or has produced _ as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year _. _ Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: _ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes _ or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Unique Designs Professional Service Inc 000 Xxxxxx Xxxxxxxxx Xxxxxxx XX 00000 Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. 12/13/2022 Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: Xxxxxxxx Xxxxxxxxx Director of Business Development STATE OF FLORIDA ) ) ss: COUNTY OF Orange ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ ☐X online notarization, this 13 day of December , 20 2022, by Xxxxxxxx Xxxxxxxxx [NAME OF PERSON], as Officer [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for Unique Designs Professional Serv [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ ☐X Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article 05/29/2024 Xxxxx X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)Xxxxxxxx

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y22-107 -CH RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y22-107 -CH Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y22-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include107 -CH Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of _, 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/we, (print BIDDER, name) , do hereby authorize to act as my/our agent (print agent’s name), _, to execute any petitions or other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y22-107-CH, CONSTRUCTION SERVICES FOR THE SIDEWALK SAFETY IMPROVEMENT PROGRAM, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y20-102-RM RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y20-102-RM Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y20-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include102-RM Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) , DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), , TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y20- 102-RM, STORMWATER PIPE VIDEO INSPECTION, CLEANING, SEALING AND RELATED SERVICES, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or stamped commissioned name Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year . Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y18-169 -RM RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y18-169 -RM Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y18-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include169 -RM Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) _, DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), _, TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y18- 169-RM, INSTALLATION OF PAVEMENT MARKINGS, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or stamped commissioned name Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20 by . He/she is personally known to me or has produced _ as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year _. _ Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: _ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: (Printed, typed or stamped commissioned name Staff signature and date of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) receipt of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y20-195 -EB RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y20-195 -EB Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y20-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include195 -EB Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PRINT BIDDER, OFFEROR, QUOTER OR RESPONDENT NAME) , do hereby authorize to act as my/our agent (print agent’s name), , to execute any petitions or other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y20- 195-EB, MAINTENANCE, TESTING AND REPAIRS OF FUEL SYSTEMS, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or Respondent STATE OF FLORIDA ) COUNTY OF ) ) ss: The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus minimis costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y22-1033 -MB RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y22-1033 -MB Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y22-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include1033 -MB Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of _, 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/we, (print BIDDER, name) , do hereby authorize to act as my/our agent (print agent’s name), _, to execute any petitions or other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y22- 1033-MB, STORMWATER POND AND PRIMARY CANAL CLEANING AND RESTORATION SERVICES, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y20-140 -EB RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y20-140 -EB Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y20-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include140 -EB Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) , do hereby authorize to act as my/our agent (print agent’s name), , to execute any petitions or stamped commissioned name other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y20- 140-EB, COUNTY WIDE ROOF MAINTENANCE AND REPAIRS, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year . Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y18-148 -CH RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y18-148 -CH Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y18-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include148 -CH Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) _, do hereby authorize to act as my/our agent (print agent’s name), _, to execute any petitions or stamped commissioned name other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y18- 148-CH, CONSTRUCTION SERVICES FOR THE SIDEWALK IMPROVEMENT PROGRAM, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this _ day of , 20 by . He/she is personally known to me or has produced _ as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year _. _ Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: _ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. ‌ We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Form:‌‌ Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: ‌ List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) necessary.)‌ 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ Part II Expenditures: Expenditures:‌ For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; Statutes;‌ ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent Agent‌ (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: ss:‌ COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. STAT.‌ §117.05] Notary Public Public‌‌ My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) Public)‌ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE THE‌ SPECIFIC PROJECT EXPENDITURE REPORT REPORT‌ Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? SPR)?‌ A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y19-1046 -EB RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y19-1046 -EB Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y19-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include1046 -EB Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) , do hereby authorize to act as my/our agent (print agent’s name), , to execute any petitions or stamped commissioned name other documents necessary to affect the CONTRACT approval PROCESS more specifically described as follows, IFB NO. Y19- 1046-EB, STORMWATER POND AND CANAL CLEANING SERVICES, and to appear on my/our behalf before any administrative or legislative body in the county considering this CONTRACT and to act in all respects as our agent in matters pertaining TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year . Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus minimum costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ ☐physical presence, or ☐ ☐online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ ☐Personally Known; OR ☐ ☐Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.):

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged enco uraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No _ 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y19-1046 -EB RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y19-1046 -EB Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y19-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include1046 -EB Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) , DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), , TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y19- 1046-EB, STORMWATER POND AND CANAL CLEANING SERVICES, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or stamped commissioned name Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year . Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y20-1099 -RM RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y20-1099 -RM Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y20-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include1099 -RM Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of _, 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PRINT BIDDER, NAME) , DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), _, TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y20- 1099-RM, ROADBASE, ASPHALT, CURB, GUTTER AND MISCELLANEOUS CONCRETE REPAIRS, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure FormSPR. Please be informed that if in the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosuresspecific project expenditure reports, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant a principal, his/her authorized agent, or any other outside party. Accordingly, if after reading this FAQ the applicant principal, his/her authorized agent or an outside party has any questions after reading this FAQquestions, he/she is encouraged to contact his/her own legal counsel. ORANGE Attachment F FAQS For Staff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, 2010) Date Updated For use after March 1, 2011 Bid Number Y17-100 -RM RELATIONSHIP DISCLOSURE FORM FOR USE WITH PROCUREMENT ITEMS, EXCEPT THOSE WHERE THE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure IS THE PRINCIPAL OR PRIMARY APPLICANT For procurement items that will come before the Board of County Commissioners for final approval, this form shall be completed in full and filed with all application submittals. This form shall remain cumulative by the bidder, offerer, quoter or respondent and shall be filed with submitted to the department processing your applicationProcurement Division by the bidder, offerer, quoter or respondent. Forms signed In the event any information provided on this form should change, the applicant must file an amended form on or before the date the item is considered by a principal’s authorized agent shall include an executed the appropriate board or body. Part I INFORMATION ON APPLICANT (BIDDER, OFFEROR, QUOTER, PROPOSER, OR RESPONDENT): Legal Name of Applicant: Business Address (Street/P.O. Box, City and Zip Code): Business Phone ( ) Facsimile ( ) INFORMATION ON APPLICANT’S AUTHORIZED AGENT, IF APPLICABLE: (Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Part I Please complete all Form also required to be attached) Name of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of PrincipalApplicant’s Authorized Agent: Business Address (Street/P.O. Box, if applicableCity and Zip Code): Business Phone ( ) Facsimile ( ) ATTACHMENT G PAGE 1 OF 3 For Staff Use Only: List the name and address of all lobbyistsOC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, Contractors2010) Date Updated For use after March 1, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity2011 Bid Number Y17-100 -RM Company Name: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II ExpendituresIS THE APPLICANT A RELATIVE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO IS THE MAYOR OR ANY MEMBER OF THE BCC THE APPLICANT’S EMPLOYEE? YES NO IS THE APPLICANT OR ANY PERSON WITH A DIRECT BENEFICIAL INTEREST IN THE OUTCOME OF THIS MATTER A BUSINESS ASSOCIATE OF THE MAYOR OR ANY MEMBER OF THE BCC? YES NO If you responded “YES” to any of the above questions, please state with whom and explain the relationship: (Use additional sheets of paper if necessary) ATTACHMENT G PAGE 2 OF 3 For this reportStaff Use Only: OC CE FORM 2P Date Submitted FOR PROCUREMENT-RELATED ITEMS (November 5, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying2010) Date Updated For use after March 1, as defined in section 22011 Bid Number Y17-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include100 -RM Company Name: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required ORIGINAL SIGNATURE AND NOTARIZATION REQUIRED I hereby certify that information provided in this specific project expenditure report relationship disclosure form is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement If any of section 2-354this information changes, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements amend this relationship disclosure form prior to file any meeting at which the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my above-referenced project or item, any associated costs for which I shall is scheduled to be held responsibleheard. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Date: Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Applicant Print Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The : I certify that the foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 by . He/she is personally known to me or has produced as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]in the year . ☐ Personally Known; OR ☐ Produced Identification. Type Signature of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public (Notary Seal) Notary Public for the State of My Commission Expires: Staff signature and date of receipt of form Staff reviews as to form and does not attest to the accuracy or veracity of the information provided herein. ATTACHMENT G PAGE 3 OF 3 AGENT AUTHORIZATION FORM FOR PROCUREMENTS IN ORANGE COUNTY, FLORIDA I/WE, (PrintedPRINT BIDDER, typed OFFEROR, QUOTER OR RESPONDENT NAME) _, DO HEREBY AUTHORIZE TO ACT AS MY/OUR AGENT (PRINT AGENT’S NAME), _, TO EXECUTE ANY PETITIONS OR OTHER DOCUMENTS NECESSARY TO AFFECT THE CONTRACT APPROVAL PROCESS MORE SPECIFICALLY DESCRIBED AS FOLLOWS, IFB NO. Y17- 100-RM, STORMWATER SYSTEM VIDEO, CLEANING, SEALING, VOID DETECTION AND FILLING, AND TO APPEAR ON MY/OUR BEHALF BEFORE ANY ADMINISTRATIVE OR LEGISLATIVE BODY IN THE COUNTY CONSIDERING THIS CONTRACT AND TO ACT IN ALL RESPECTS AS OUR AGENT IN MATTERS PERTAINING TO THIS CONTRACT. Date: Signature of Bidder, Offeror, Quoter or stamped commissioned name Respondent STATE OF : COUNTY OF : I certify that the foregoing instrument was acknowledged before me this _ day of , 20 by . He/she is personally known to me or has produced _ as identification and did/did not take an oath. Witness my hand and official seal in the county and state stated above on the day of , in the year _. _ Signature of Notary PublicPublic (Notary Seal) Notary Public for the State of My Commission Expires: _ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT RELATIONSHIP DISCLOSURE FORM Updated 36-128-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT THE RELATIONSHIP DISCLOSURE FORM? The Relationship Disclosure Form (SPR)? A Specific Project Expenditure Report (SPRform OC CE 2D and form OC CE 2P) is a report required under Section 2-354(b) form created pursuant to the County’s Local Code of the Orange County Lobbying OrdinanceEthics, codified at Article X XIII of Chapter 2 of the Orange County Code, reflecting to ensure that all lobbying expenditures incurred by a principal development-related items and their authorized agent(s) procurement items presented to or filed with the County include information as to the relationship, if any, between the applicant and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects County Mayor or issues that will ultimately be decided by any member of the Board of County Commissioners (BCC). Matters specifically exempt from The form will be a part of the SPR requirement are ministerial backup information for the applicant’s item. WHY ARE THERE TWO RELATIONSHIP DISCLOSURE FORMS? Form OC CE 2D is used only for development-related items, resolutions, agreements in settlement of litigation matters in which and form OC CE 2P is used only for procurement-related items. The applicant needs to complete and file the County form that is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal applicable to his/her lobbyist for case. WHO NEEDS TO FILE THE RELATIONSHIP DISCLOSURE FORM? Form OC CE 2D should be completed and filed by the purpose owner of lobbying need not record, contract purchaser, or authorized agent. Form OC CE 2P should be disclosed completed and filed by the bidder, offeror, quoter, or respondent, and, if applicable, their authorized agent. In all cases, the person completing the form must sign the form and warrant that the information provided on this formthe form is true and correct. (See Section 2-354(b)WHAT INFORMATION NEEDS TO BE DISCLOSED ON THE RELATIONSHIP DISCLOSURE FORM? The relationship disclosure form needs to disclose pertinent background information about the applicant and the relationship, Orange County Codeif any, between, on the one hand, the applicant and, if applicable, any person involved with the item, and on the other hand, the Mayor or any member of the BCC.)

Conclusion. We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. _____________ This is the initial Form: This is a Subsequent Form: Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No Part II Expenditures: For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. §117.05] Notary Public My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.):

Conclusion. ‌ We hope you find this FAQ useful to your understanding of the Relationship Disclosure Form. Please be informed that if the event of a conflict or inconsistency between this FAQ and the requirements of the applicable ordinance or law governing relationship disclosures, the ordinance or law controls. Also, please be informed that the County Attorney’s Office is not permitted to render legal advice to an applicant or any other outside party. Accordingly, if the applicant or an outside party has any questions after reading this FAQ, he/she is encouraged to contact his/her own legal counsel. ORANGE COUNTY SPECIFIC PROJECT EXPENDITURE REPORT This lobbying expenditure form shall be completed in full and filed with all application submittals. This form shall remain cumulative and shall be filed with the department processing your application. Forms signed by a principal’s authorized agent shall include an executed Agent Authorization Form. This is the initial Form: This is a Subsequent Form: Form:‌‌ Part I Please complete all of the following: Name and Address of Principal (legal name of entity or owner per Orange County tax rolls): Name and Address of Principal’s Authorized Agent, if applicable: ‌ List the name and address of all lobbyists, Contractors, contractors, subcontractors, individuals or business entities who will assist with obtaining approval for this project. (Additional forms may be used as necessary.) necessary.)‌ 1. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 2. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 3. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 4. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 5. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 6. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 7. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ 8. Name and address of individual or business entity: Are they registered Lobbyist? Yes or No ‌ Part II Expenditures: Expenditures:‌ For this report, an "expenditure" means money or anything of value given by the principal and/or his/her lobbyist for the purpose of lobbying, as defined in section 2-351, Orange County Code. This may include public relations expenditures including, but not limited to, petitions, fliers, purchase of media time, cost of print and distribution of publications. However, the term "expenditure" does not include: ●Contributions or expenditures reported pursuant to chapter 106, Florida Statutes; Statutes;‌ ●Federal election law, campaign-related personal services provided without compensation by individuals volunteering their time; ●Any other contribution or expenditure made by or to a political party; ●Any other contribution or expenditure made by an organization that is exempt from taxation under 26 U.S.C. s. 527 or s. 501(c)(4), in accordance with s.112.3215, Florida Statutes; and/or ●Professional fees paid to registered lobbyists associated with the project or item. The following is a complete list of all lobbying expenditures and activities (including those of lobbyists, contractors, Contractors, etc.) incurred by the principal or his/her authorized agent and expended in connection with the above-referenced project or issue. You need not include de minimus costs (under $50) for producing or reproducing graphics, aerial photographs, photocopies, surveys, studies or other documents related to this project. Date of Expenditure Name of Party Incurring Expenditure Description of Activity Amount Paid TOTAL EXPENDED THIS REPORT $ Part III Original signature and notarization required I hereby certify that information provided in this specific project expenditure report is true and correct based on my knowledge and belief. I acknowledge and agree to comply with the requirement of section 2-354, of the Orange County code, to amend this specific project expenditure report for any additional expenditure(s) incurred relating to this project prior to the scheduled Board of County Commissioner meeting. I further acknowledge and agree that failure to comply with these requirements to file the specific expenditure report and all associated amendments may result in the delay of approval by the Board of County Commissioners for my project or item, any associated costs for which I shall be held responsible. In accordance with s. 837.06, Florida Statutes, I understand and acknowledge that whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor in the second degree, punishable as provided in s. 775.082 or s. 775.083, Florida Statutes. Date Signature of ⌂ Principal or ⌂ Principal’s Authorized Agent Agent‌ (check appropriate box) Printed Name and Title of Person completing this form: STATE OF FLORIDA ) )‌ ) ss: COUNTY OF ) The foregoing instrument was acknowledged before me by means of ☐ physical presence, or ☐ online notarization, this day of , 20 , by [NAME OF PERSON], as [TYPE OF AUTHORITY,… e.g. officer, trustee, etc.)] for [NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED]. ☐ Personally Known; OR ☐ Produced Identification. Type of identification produced: . [CHECK APPLICABLE BOX TO SATISFY IDENTIFICATION REQUIREMENT OF FLA. STAT. STAT.‌ §117.05] Notary Public Public‌‌ My Commission Expires: (Printed, typed or stamped commissioned name of Notary Public) Public)‌ FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE THE‌‌ SPECIFIC PROJECT EXPENDITURE REPORT Updated 3-1-11 WHAT IS A SPECIFIC PROJECT EXPENDITURE REPORT (SPR)? SPR)?‌ A Specific Project Expenditure Report (SPR) is a report required under Section 2-354(b) of the Orange County Lobbying Ordinance, codified at Article X of Chapter 2 of the Orange County Code, reflecting all lobbying expenditures incurred by a principal and their authorized agent(s) and the principal’s lobbyist(s), contractor(s), subcontractor(s), and Contractor(s), if applicable, for certain projects or issues that will ultimately be decided by the Board of County Commissioners (BCC). Matters specifically exempt from the SPR requirement are ministerial items, resolutions, agreements in settlement of litigation matters in which the County is a party, ordinances initiated by County staff, and some procurement items, as more fully described in 2.20 of the Administrative Regulations. Professional fees paid by the principal to his/her lobbyist for the purpose of lobbying need not be disclosed on this form. (See Section 2-354(b), Orange County Code.)