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Page 11 of 11 <br />Answering YES does not preclude the City of Pleasanton from awarding a contract or taking <br />subsequent action related to the item. It does, however, preclude the identified City officer from <br />participating in any actions related to such an item. <br />By signing below, you certify you also agree to disclose to the City any future contributions <br />made to a City officer by you or your agent(s) after the date of signing this disclosure form, and <br />within 12 months following the approval, renewal, or extension of the requested contract. <br />I HEREBY CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE <br />STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. <br />Signed: __________________________ <br />Print Name: __________________________ <br />Date: _____________________ <br />Title: _____________________ <br />Company: __________________________ <br />Michelle Ferguson <br />Raftelis Financial Consultants, Inc. <br />June 9, 2026 <br />Executive Vice President <br />Docusign Envelope ID: 3D0D61CF-F18A-8C30-8062-AC9A9F0304B0