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A0 opt, or grant agency approval of policies, standards, or C" YES <br />guidelines for the agency, or for any subdivision thereof? <br />C• NO <br />making a governmental decision as defined in Regulation 18702.2 or performs C YES <br />the same or substantially all the same duties for the agency that would other- (C NO <br />wise be performed by an individual holding a position specified in the agency's <br />Conflict of Interest Code under Government Section 87302. <br />DISCLOSURE DETERMINATION [Check one): <br />If you answered "yes" to any of the above, the consultant Is considered a "Consultant" pursuant to the Political Reform Act <br />and must file Statements of Economic Interest. <br />f Consultant is performing a specialized or general service for the city, and there is a substantial likelihood <br />that the Consultant's work product wl II be presented, either written or orally, for the purpose of influencing <br />a governmental decision. Asa result, Consultant shall be subject to Disclosure Category "1 "of the City's <br />Conflict of Interest Code. <br />If you answered "no" to all of the above, the consultant does not have to file Statements of Economic Interest. <br />{; Consultant is exempted from any disclosure requirement because Consultant does not meet the definition <br />of "Consultant" under the Political Reform Actor due to the extremely limited scope of duties under this <br />contract. <br />Department Director Signature (required) <br />Date Signed: May 26, 2015 <br />25B -39 <br />