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<br /> <br /> <br />EXHIBIT C <br />LEVINE ACT DISCLOSURE STATEMENT <br />California Government Code § 84308, commonly referred to as the “Levine Act,” prohibits any <br />officer of a local government agency from participating in the consideration or action related to a <br />proceeding, including the award of a contract, if he or she receives political contribution(s) <br />totaling more than $500 within the preceding 12 months while the proceeding is pending, and for <br />12 months following the date of the final decision in a proceeding or award of a contract. This <br />prohibition applies when an officer accepts, solicits, or directs contributions on the officer’s own <br />behalf, on behalf of another officer, on behalf of any candidate for office, or on behalf of any <br />committee. <br />A list of the members of the City Council can be located at: <br />https://www.cityofpleasantonca.gov/our-government/mayor-city-council/ <br />1. Have you or your company, or any agent on behalf of you or your company, made any <br />political contributions of more than $500 to any City officer in the 12 months preceding the date <br />of the submission of your proposals or the anticipated date of any Council action related to this <br />contract? <br />□ YES □ NO <br />If YES, please identify the person(s) or agent(s) making the contribution: <br />____________________________________________________________ <br />If YES, please identify the officer receiving the contribution: <br />____________________________________________________________ <br />2. Do you, or your company, or any agent on behalf of you or you company, anticipate or plan to <br />make any political contributions of more than $500 to any City officer in the 12 months <br />following any Council action related to this contract? <br />□ YES □ NO <br />If YES, please identify the person(s) or agent(s) making the contribution: <br />____________________________________________________________ <br />If YES, please identify the officer receiving the contribution: <br />____________________________________________________________ <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 />Docusign Envelope ID: 12D38450-126F-85C2-806D-B77CACC97D2B