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Page 8 of 8 <br />EXHIBIT C <br />LEVINE ACT DISCLOSURE STATEMENT <br />California Government Code § 84308, commonly referred to as the “Levine Act,” prohibits any officer of a local <br />government agency from participating in the consideration or action related to a proceeding, including the award of <br />a contract, if he or she receives political contribution(s) totaling more than $500 within the preceding 12 months <br />while the proceeding is pending, and for 12 months following the date of the final decision in a proceeding or award <br />of a contract. This 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 committee. <br />A list of the members of the City Council can be located at: https://www.cityofpleasantonca.gov/our- <br />government/mayor-city-council/ <br />1.Have you or your company, or any agent on behalf of you or your company, made any political <br />contributions of more than $500 to any City officer in the 12 months preceding the date of the submission <br />of your proposals or the anticipated date of 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 />2.Do you, or your company, or any agent on behalf of you or you company, anticipate or plan to make any <br />political contributions of more than $500 to any City officer in the 12 months following any Council action <br />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 subsequent action <br />related to the item. It does, however, preclude the identified City officer from participating in any actions related to <br />such an item. <br />By signing below, you certify you also agree to disclose to the City any future contributions made to a City officer <br />by you or your agent(s) after the date of signing this disclosure form, and within 12 months following the approval, <br />renewal, or extension of the requested contract. <br />I HEREBY CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF <br />CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. <br />Signed: __________________________ Date: ________________ <br />Print Name: __________________________ Title: ________________ <br />Company: __________________________ <br />x <br />x <br />Karrie Mosca <br />Wood Rodgers, Inc. <br />9/28/26 <br />Vice President <br />Docusign Envelope ID: CB82D3E9-7D25-8FFA-813F-2066FFF9DBCB