Laserfiche WebLink
Page 9 of 9 <br /> <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 /> <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 /> <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 /> <br />Signed: ________________________ Date: ________________ <br /> <br />Print Name: Valerie Phillips Title: President <br /> <br />Company: Bob Murray & Associates <br /> <br />          <br /> <br /> <br />Docusign Envelope ID: 33DD6030-E12D-8B89-826E-364D640F8EFD