VILLAGE OF TAOS SKI VALLEY
REQUEST FOR PROPOSALS TO
MANUFACTURE & DELIVER REDI-ROCK RETAINING WALL BLOCKS
FOR THE TAOS MOUNTAIN LODGE
BID DUE DATE WILL BE WEDNESDAY, AUGUST 8, 2018
AT 3:00 P.M. (MST)
CAMPAIGN CONTRIBUTION DISCLOSURE FORM
Pursuant to Chapter 81, Laws of 2006, any prospective Contractor seeking to enter into a contract with any state agency or local public body must file this form with the state agency or local public body. The prospective must disclose whether they, a family member or a representative of the prospective has made a campaign contribution to an applicable public official of the state or a local public body during the two years prior to the date on which the submits a proposal or, in the case of a sole source or small purchase contract, the two years prior to the date the signs the contract, if the aggregate total of contributions given by the prospective, a family member or representative of the prospective to the public official exceeds two hundred and fifty dollars ($250) over the two year period.
THIS FORM MUST BE FILED BY THE PROSPECTIVE RESPONDENT WHETHER OR NOT THEY, THEIR FAMILY MEMBER, OR THEIR REPRESENTATIVE HAVE MADE ANY CONTRIBUTIONS SUBJECT TO DISCLOSURE.
The following definitions apply:
“Applicable public official” means a person elected to an office or a person appointed to complete a term of an elected office, who has the authority to award or influence the award of the contract for which the prospective is submitting a competitive sealed proposal or who has the authority to negotiate a sole source or small purchase contract that may be awarded without submission of a sealed competitive proposal.
“Campaign contribution” means a gift, subscription, loan, advance or deposit of money or other thing of value, including the estimated value of an in-kind contribution, that is made to or received by an applicable public official or any person authorized to raise, collect or expend contributions on that official’s behalf for the purpose of electing the official to either statewide or local office.
“Campaign Contribution” includes the payment of a debt incurred in an election campaign, but does not include the value of services provided without compensation or un-reimbursed travel or other personal expenses of individuals who volunteer a portion or all of their time on behalf of a candidate or political committee, nor does it include the administrative or solicitation expenses of a political committee that are paid by an organization that sponsors the committee.
“Contract” means any agreement for the procurement of items of tangible personal property, services, professional services or construction
“Family member” means spouse, father, mother, child, father-in-law, mother-in-law, daughter-in-law or son-in-law.
“Tendency of the procurement process” means the time period commencing with the public notice of the request for proposals and ending with the award of the contract or the cancellation of the request for proposals.
“Person” means any corporation, partnership, individual, joint venture association or any other private legal entity.
“Prospective” means a person who is subject to the competitive sealed proposal process set forth in the Procurement Code or is not required to submit a competitive sealed proposal because that person qualifies for a sole source or a small purchase contract.
“Representative of a prospective” means an officer or director of a corporation, a member or manager of a limited liability corporation, a partner of a partnership or a trustee of a trust of the prospective.
DISCLOSURE OF CONTRIBUTIONS applies to contributions made to the following Public Officials:
Christof Brownell, Mayor
Thomas P. Wittman, Mayor Pro Tem
Jeff Kern, Councilor
Roger Pattison, Councilor
Chris Stagg, Councilor
Contributions made by:_________________________________________________________
Relation to Prospective:_________________________________________________________
Name of Applicable Public Official:_______________________________________________
Date Contribution (s) made:______________________________________________________
Amounts (s) of Contributions (s)__________________________________________________
Nature of Contributions (s)______________________________________________________
Purpose of Contributions (s)_____________________________________________________
NO CONTRIBUTIONS IN THE AFFREGATE TOTAL OVER TWO HUNDRED FIFTY DOLLARS ($250) WERE MADE to an applicable official by me, a family member or representative.