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HomeMy WebLinkAbout2009/03/03 Additional Information , !~ Chula Vista Home Upgrade - Carbon Downgrade Community Program DRAFT The Home UpgraderCarbon Down Gradel Community Program is a targeted, neighborhood energy and water efficiency approach to Climate Change Measure #5 that City Council adopted on April I, 2008. The Program would target parcels in areas with pre-title 24 residents for assistance with energy and water efficiency and renewable upgrades. The Program would place the highest priority on residential dwellings and the second highest priority on smaller adjacent commercial properties. The Program offers but does not mandate a comprehensive service that provides homeowners and businesses with a range of energy and water efficiency choices that will fit their consumption patterns] (Attachment A). The program provides consumer's with choices and a financing option to reduce or eliminate their monthly energy and water costs. The program provides a cost effective and consumer friendly opportunity for property owners to retrofit their home or business with improvements that reduce their energy and water consumption to meet or exceed the current water and energy efficiency standards and transition to renewable energy to power their home and business. The Home UpgraderCarbon DOVin Gradel Community Program would: I) Provide homeowners owners and small businesses with the opportunity to participate in a voluntary aggregation and assessment district to install and fund the initial capital costs for eligible water and energy efficiency upgrades and renewables, 2) Aggregate participants to harness their collective purchasing authority and maximize their potential installation efficiency and savings, 3) Utilize rebates, incentives and grants to further increase the value to participants, 4) Document the current energy and water consumption patterns of each participating structure to determine their annual energy and water baselines, reductions and savings, 5) Reduce the consumer's time and paperwork by aggregating the permitting, rebate application, reporting, product and service specifications and negotiation process to also minimize redundancy and maximize savings, 6) Identify pre-qualified contractors, establish and monitor minimum warranty and service requirements execute a competitive bid process and provide consumers with a standardized agreement format to implement the option of their choice, 7) Establish an economically and environmentally sustainable program that: a. funds partial repair and replacement of renewable products over time, b. reinforces local purchasing, service and product development, and c. supports local training and quality job development programs, 8) Measure, document and report the net reductions in energy and water savings, and greenhouse gas reductions to the consumer and appropriate agencies, 9) Provide Consumers with a Range of Choices: a. Implement only those energy and water efficiency upgrades that can be fully offset by savings on monthly energy and water bills, b. Implement as many upgrades as needed to meet current energy and water efficiency standards at the time, c. Install renewable energy options; Solar PV, Solar Hot Water and/or other renewabJes along with the upgrades needed to exceed current energy and water standards by 15% (10% commercial), 10) Provide the Consumer with the option to: a. participate in the aggregation program for cost efficiencies and self finance, or b. participate in the aggregation program and the voluntary assessment district with City coordinated bridge financing to place the initial capital costs on their bi-annual property tax assessments. " ,. The City's long standing commitment to Green House Gas reduction and its relationship to energy generation have made this project a cornerstone of their Council adopted Climate Change response. The City, Public Utilities Commission, and rate payers have invested in City managed programs over the past three years to meet the state "Loading Order Policy," which emphasizes conservation and to develop municipal expertise on the issue. Chula Vista is considered a model for such projects in the state, and the proposed project would develop a demonstration program for the state that the City and the homeowner or business will take great pride in, and be recognized by California energy agencies as a model of cooperation and success. This program would employ a neighborhood approach to educating consumers about the economic and environmental benefits of the program. Pre-qualified contractor's or contractor retailer teams would organize and sponsor block by block coffee or pizza parties (events) at the home of one of the voluntary participants. The Contractor teams will be assigned 5 or more blocks with approximately 20 homes per block based on a balance of socio-economic conditions and past performance. Contractors will be required to meet minimum service and successful program adoption standards to receive additional blocks. The contractors would be expected to establish Home UpgraderCarbon Down Gradel events on each block to provide face to face marketing and technical support to explain the product, service and contract options to participating home and business owners in their assigned areas. lThe City will use Department of Energy, US Environmental Protection Agency, California Public Utilities Commission, California Energy Commission, Department of Water Resources and California Center for Sustainable Energy, National Renewable Energy Laboratories and other qualified agencies to identify pre-qualified contractors, products and their energy or water efficiency ratings. '. it ~ ~ ,....-,. , ,..,' ~ , Draft Building Efficiency Resource Options Tier 1: Minimum Requirements Notes , Insulation, Envelope Sealing/Duct Sealing/Duct Design, Ventilation (Attic Fan, Weatherization* $7,000 House Fan, Ceiling Fans), Doors Attic Insulation $80 $0.99 per square foot Star Energy Refrigerator (<550kWh) $1,500 Low Flow Faucets/Showers $30 $10 faucet, $20 showerhead Dual/Low Flow Toilets $250 $250 per unit Programmable Thermostat $50 Waterless Urinal $350 Variable Frequency or Dual Speed Pool Motor $250 Indoor CFL or LED Equivalent $40 Outdoor CFL or LED Equivalent $40 Irrigation Controls - Smart Emitters $200 Total $9,790 Tier 2: Conditional Options Notes Dual Paned Windows (lower) $5,000 Dishwasher $700 Front Load Clothes Washer $900 SEER 19 or above HVAC $5,000 Recirculating Water Pump $300 EvapoTranspiration (ET) Water Controller $300 Tankless Water Heater $900 Turf Removal/NatureScape $5,000 Total $18,100 1'ie.r3: J~eng)NaJ;!I~~!jn~Ji:()6~":, . PV Domestic Solar Water Heater Wind (Electrict ) Rebates & bulk discounts included 2kW system $5000 + Inverter and Labor Total *Federal Weatherization Assistance Program $2750 avg Based on 2500 sq foot residence, 2.5 bathrooms '..1,. . - Chula Vista Home Upgrade - Carbon Downgrade Community Program DRAFT The Home UpgradeiCarbon Down Gradel Community Program is a targeted, neighborhood energy and water efficiency approach to Climate Change Measure #5 that City Council adopted on April 1, 2008. The Program would target parcels in areas with pre-title 24 residents for assistance with energy and water efficiency and renewable upgrades. The Program would place the highest priority on residential dwellings and the second highest priority on smaller adjacent commercial properties. The Program offers but does not mandate a comprehensive service that provides homeowners and businesses with a range of energy and water efficiency choices that will fit their consumption patterns! (Attachment A). The program provides consumer's with choices and a financing option to reduce or eliminate their monthly energy and water costs. The program provides a cost effective and consumer friendly opportunity for property owners to retrofit their home or business with improvements that reduce their energy and water consumption to meet or exceed the current water and energy efficiency standards and transition to renewable energy to power their home and business. The Home UpgradeiCarbon Down Gradel Community Program would: 1) Provide homeowners owners and small businesses with the opportunity to participate in a voluntary aggregation and assessment district to install and fund the initial capital costs for eligible water and energy efficiency upgrades and renewables, 2) Aggregate participants to harness their collective purchasing authority and maximize their potential installation efficiency and savings, 3) Utilize rebates, incentives and grants to further increase the value to participants, 4) Document the current energy and water consumption patterns of each participating structure to determine their annual energy and water baselines, reductions and savings, 5) Reduce the consumer's time and paperwork by aggregating the permitting, rebate application, reporting, product and service specifications and negotiation process to also minimize redundancy and maximize savings, 6) Identify pre-qualified contractors, establish and monitor minimum warranty and service requirements execute a competitive bid process and provide consumers with a standardized agreement format to implement the option of their choice, 7) Establish an economically and environmentally sustainable program that: a. funds partial repair and replacement ofrenewable products over time, b. reinforces local purchasing, service and product development, and c. supports local training and quality job development programs, 8) Measure, document and report the net reductions in energy and water savings, and greenhouse gas reductions to the consumer and appropriate agencies, 9) Provide Consumers with a Range of Choices: a. Implement only those energy and water efficiency upgrades that can be fully offset by savings on monthly energy and water bills, b. Implement as many upgrades as needed to meet current energy and water efficiency standards at the time, c. Install renewable energy options; Solar PV, Solar Hot Water and/or other renewables along with the upgrades needed to exceed current energy and water standards by 15% (10% commercial), 10) Provide the Consumer with the option to: a. participate in the aggregation program for cost efficiencies and self finance, or b. participate in the aggregation program and the voluntary assessment district with City coordinated bridge financing to place the initial capital costs on their bi-annual property tax assessments. h ., ..- U The City's long standing commitment to Green House Gas reduction and its relationship to energy generation have made this project a cornerstone of their Council adopted Climate Change response. The City, Public Utilities Commission, and rate payers have invested in City managed programs over the past three years to meet the state "Loading Order Policy," which emphasizes conservation and to develop municipal expertise on the issue. Chula Vista is considered a model for such projects in the state, and the proposed project would develop a demonstration program for the state that the City and the homeowner or business will take great pride in, and be recognized by California energy agencies as a model of cooperation and success. This program would employ a neighborhood approach to educating consumers about the economic and environmental benefits ofthe program. Pre-qualified contractor's or contractor retailer teams would organize and sponsor block by block coffee or pizza parties (events) at the home of one of the voluntary participants. The Contractor teams will be assigned 5 or more blocks with approximately 20 homes per block based on a balance of socio-economic conditions and past performance. Contractors will be required to meet minimum service and successful program adoption standards to receive additional blocks. The contractors would be expected to establish Home UpgradejCarbon Down Gradel events on each block to provide face to face marketing and technical support to explain the product, service and contract options to participating home and business ovmers in their assigned areas. lThe City will use Department of Energy, US Environmental Protection Agency, California Public Utilities Commission, California Energy Commission, Department of Water Resources and California Center for Sustainable Energy, National Renewable Energy Laboratories and other qualified agencies to identify pre-qualified contractors, products and their energy or water efficiency ratings. :... " .~ ':"'." - " . J " Draft Building Efficiency Resource Options Tier 1: Minimum Requirements Notes Insulation, Envelope Sealing/Duct Sealing/Duct Design, Ventilation (Attic Fan, Weatherization* $7,000 House Fan, Ceiling Fans), Doors Attic Insulation $80 $0 99 per square foot Star Energv Refrigerator (<550kWh) $1,500 Low Flow Faucets/Showers $30 $10 faucet, $20 showerhead Dual/Low Flow Toilets $250 $250 per unit Programmable Thermostat $50 Waterless Urinal $350 Variable Frequency or Dual Speed Pool Motor $250 Indoor CFL or LED Equivalent $40 Outdoor CFL or LED Equivalent $40 I rrigation Controls - Smart Emitters $200 Total $9,790 Tier 2: Conditional Options Notes Dual Paned Windows (lower) $5,000 Dishwasher $700 Front Load Clothes Washer $900 SEER 19 or above HVAC $5,000 Recirculating Water Pump $300 EvapoTranspiration (ET) Water Controller $300 Tankless Water Heater $900 Turf Removal/NatureScape $5,000 Total $18,100 Lm;;....." ,.f'::::"..",,:"....:: ,', .>"..; '.}::,: ",',:,..:,,:,:./..,.,....,:u ..;1'" PV $42,000 Domestic Solar Water Heater $6,500 Rebates & bulk discounts included Wind (Electrictv) $8,000 2kW system $5000 + Inverter and Labor Total $56,500 *Federal Weatherization Assistance Program $2750 avg Based on 2500 sq foot residence, 25 bathrooms MEMO ~u~ ~ ~~ ~~ CITY OF CHULA VISTA Office of Council member Pamela Bensoussan DATE: Tuesday, March 03, 2009 TO: Mayor and City Council /J .~ ~ .r~~'-<-</~ FROM: Councilmember Pamela Bensoussan CC: City Manager Jim Sandoval SUBJECT: Proposed Outline for Establishment of an Independent Advisory Board aka: Prop A Advisory Committee or (PAAC) . . Note: This topic will be discussed at a Public Meeting hosted by Pamela Bensoussan in Council Chambers on Thursday, 4 pm, March 12, 2009 Background After declaring the city in a state of fiscal emergency, Chula Yista's City Council decided to conduct a special mail election on May 5, 2009, for voters to decide whether to enact a 1 % ten-year sales tax increase. A unique aspect of the City Council's ballot measure was to install an independent oversight/advisory board to guarantee that monies resulting from the tax increase would be spent as promised and to issue reports and recommendations to Council. Several years ago, when the City Council approved the Redevelopment Corporation (CYRC), it took . almost a year to decide on the process for establishing a citizen's review board or "Redevelopment Advisory Committee" (RAe). This proposal addresses the purpose and logistics of setting up an Independent Advisory Board, in order to have a vehicle in place to facilitate and expedite its creation, In the event that voters approve the sales tax measure. An open meeting will be hosted by Councilwoman Pamela Bensoussan to converse with the public on this outline and to receive comments and suggestions. Purpose The Prop A Advisory Committee (PAAC) will be tasked with overseeing allocation of funds received from the sales tax increase (Prop A) assuring that these funds are spent according to the stated intent of the May 5 ballot measure and to make recommendations and regular reports to City Council. Additionally, the Committee will report annually on the overall effectiveness of Prop A in addressing the following goals in stages throughout the lO-year period of the assessment: . Maintaining important public services that would otherwise be at risk (such as public safety, libraries, after school programs, park & recreation services, etc. as stated in the ballot measure - stage 1) . Slowly rebuilding the city's budget reserves (stage 2). . Meeting infrastructure maintenance needs in Western Chula Yista and other areas where deferred maintenance has created serious problems (stage 3). 276 .Fourth Avenue, Chula Vista, CA 91910 www.chulavistaca.gov (619) 691-5044 I Fax (619) 691-5379 Termination of Tax Measure At any time, in the event of sufficient economic recovery, whereby the Committee determines that these Prop A funds are no longer critical to the organization, the Committee will recommend to Council that the Proposition A I % sales tax be terminated. When Proposition A is ended the Committee will be dissolved. Committee Makeup/Appointments In order for the P AAC to be truly independent and broadly represent the interests of the people of Chula Vista, the appointment process should be largely "bottom up" as opposed to the political (mayoral/council) "top down" appointment process. Wide representation from interest groups and geographical areas is desired, as well as some skill sets such as familiarity with city planning, infrastructure, financing and the budget process. To accomplish this goal it is recommended that delegates to the P AAC be nominated from various interests groups, with the addition of several "at large" members who would be self-nominated. The "interest group" delegates could be drawn from such categories as local business, community, educational, professional, and worker organizations to widely reflect the stakeholder interests in the City. A list of "member organizations" would be determined by publicizing the intent to form the Committee and requesting submittal of applications of interest. Upon determination of a balanced list of member organizations, each would then appoint their delegate to become a "member" or "alternate member" to the P AAC. Additionally, one delegate each could be appointed from the following volunteer citizen commissions: GMOC, Planning Commission, and Resource Conservation Commission. Members of these commissions would already have familiarity with the city's planning, budget, and infrastructure needs. Finally, members representing the four major geographical areas of Chula Vista (Northwest, Southwest, Southeast, and Northeast) would be invited to apply. These "at large" applications would be reviewed and applicant interviews conducted in public by the City Council. As with the case of other Chula Vista commissions, all members would be required to be registered voters in Chula Vista. Such matters as terms, meeting venues, and frequency would need to be determined. Thus, the Committee could be formed of: . three members from each broad category of interest groups selected (one delegate per group) . one delegate appointed by each of the three commissions mentioned above o four "at large" members from the city's major geographical areas Committee Meetings and Format All meetings would be noticed, held in public, and subject to the Brown Act requirements. Meetings should take place often enough (monthly, quarterly?) in order for the Committee to be able to operate pro-actively and effectively. The committee would work with the office of the City Manager and the Department of Finance to develop an effective method of monitoring. The developed procedure should allow for pro-active participation by the committee in the allocation of Prop A funds. ~76 Fourth Avenue. Chula Vista, CA 91910 w.ww.chu lavistaca.gov (619) 691-5044 I Fax (619) 691-5379 MEMO ~u?- --..-- ~-~~ ~~ .I CITY OF (HULA VISTA Department of Public Works DATE: February 27,2009 TO: VIA: The Honorable Mayor and City Council Jim Sandoval, City Manage~ Scott Tulloch, AssIstant CI~iC~ager S r R. A. Hop"". "i""" ofPob!i, w"" ~ Emergency Storm Drain and Slope Repair at 1526 Grand Teton Court FROM: SUBJECT: On Thursday, February 19, 2009, Public Works received a call from Mr. Han Su Taik, the owner of the single-family residence at 1526 Grand Teton Court, that a large hole appeared at the rear yard of his property, adjacent to a swimming pool. Pubhc Works staff responded immediately to secure the affected area and to evaluate the situation. During the evaluation of the site, staff confirmed the presence of a T-wide by T-Iong by 10'-deep s1l1khole and that it was directly over an eXIsting publicly owned 18" reinforced concrete pipe (RCP) storm drain. Public Works staff immediately stabihzed the site by placing temporary backfill and installing safety barricades around the perimeter of the sinkhole. The home is currently vacant. The 18" RCP extends from the curb line on Grand Teton Court through the side yard of the property and it outlets at the toe of slope adjacent to an SDG&E transmission easement, as'shown on the attached plat. At this point, it is not known what caused the sinkhole. A geotechnical consultant (Ninyo & Moore) is studying the problem and will identify the cause of the s1l1khole and provide detailed recommendations/plans to restore the storm drain, slope, and property. Restoration work will be implemented as soon as possible. Ninyo & Moore's recommcndations will assist the City and the City's Contractor to determine the repair area and associated costs. City staff has taken all possible precautlOns to ensure the temporary safety for the property and its reSidents during thiS pre-repair period. However, because we are still in the rainy season, staff believes that if the repair is not performed as soon as possible, the property could sustain additional and unnecessary damage. Therefore, the Public Works Department believes it is important to complete all repair and restoration work immediately. Staff lIltends to enter lIlto an emergency repair contract in accordance with the emergency prOVision of Section 1009 of the City Charter based upon the necessity to preserve life, health, and property. Upon receiving and concurring with Ninyo & Moore's recommendations, City staff will solicit three bids from responsiblc Contractors that have prevlOusly worked for the City and have performed similar type work satisfactorily. The preliminary, estimated cost for this repair is $150,000. ThiS estimate includes the geotechl1lcal recommcndations report, construction repairs, and City staff costs. Staff will be uSing the General Fund Reserves to undertake this work as no other funding sources are available at this tllne. Staff will return to Council with a full report as soon as the repair has been completed. Attachment M :\Engincer\AGENDA \Information ltems\Emergcncy repair] 526 Grand Teton Ccdoc o :':i.::;,...~:I'~" c o - Q) r- '~.,""I "C C ell ... C) <.0 N It) ...... ,..i.: " ;':, " '( "~~:)~~;,/:, "1. , ~', ,.'~:'t,,_.. ": . I ".'.' f;:?j);;;;:;::, ,;;~iit:i:; r" · I,:':::~,;',), !":',, ':,':. "7" "I ....;\" - ::.'..,::s{':\.. t... ., 'i\t,~:;,~tJd(;- ~v10~ l '<;::'8;':;;11. , !,t~:,,;, ~''': . '.' .r,~~,1 '~",~...' .~::, : '. ' .<'.> ,',: ,:. l/i ~ \ ft.. -.- ..~~ CllY OF (HUlA VISTA February 27, 2009 TO: FROM: The Honorable Mayor and City Council Jim Sandoval, City Manage~ Scott Tulloch, Assistant City Manager S 7 VIA: SUBJECT: Cricket Amphitheater Season 2009 Concert Tickets The Fair Political Practices Commission (FPPC) has recently adopted Regulation #18944.1 regarding the distribution of tickets for entertainment or recreational events. The new regulations require the agency to determine whether a ticket distributed to a city official should be treated as income or as a gift to that official and mandates that an FPPC form identifying each ticket recipient be posted on the City's website, along with the City's written policy regarding distribution of these tickets. To make the City's policy consistent with the new FPPC regulations, a revised City policy is currently under review by the City Attorney's office. We expect to bring this new policy to the City Council for consideration on or after March 17, 2009. Meanwhile, the concert season begins March 13, 2009, prior to a new policy being adopted by City Council. We plan to distribute all 24 tickets (12 box seat packages and 12 regular seat tickets) to any concert prior to adoption of the new policy. The City Manager will oversee the distribution of these tickets. The tickets will be distributed in a manner that accomplishes one or more of the following public purposes: 1. to promote the City of Chula Vista as a good place to live, work, do business and recreate; 2. to recognize exceptional City employees and community leaders for their contributions to the well-being of the City; or 3. to support local, and locally active, non-profit organizations, and their programs, which are dedicated to charitable, educational, cultural and social service activities. Because we are now required by the FPPC to post completed forms (attachment 1) on our website for each of the 24 ticket recipients for each event (showing recipient's name, event name, date of event, cost of admission, purpose for distribution, etc.), this effort will require considerable staff coordination. A complete staff report and recommendation regarding the new FPPC regulation will be forthcoming. Attachment Tickets Provided by Agency Report 1. Agency Name A Public Document TICKETS PROVIDED BY AGENCY REPORT Date Stamp For Official Use Only Division, Department, or Region (if applicable) Street Address Area Code/Phone Number E-mail o Amendment (Must explain In Pad 5) Agency Contact (name and tit/e) Date of Original Filing: (month. day, year) 2. Event For Which Tickets Were Distributed Date(s) of Event ~~_ Description of Event ~~_ Face Value of Ticket $ Agency Event DYes D No (Identify source of tickets below.) Name of Outside Source of Ticket(s) Provided to Agency: Number of Tickets Received: Ticket(s) Provided to Agency: D Gratuitously D Pursuant to Contract 3. Agency Official(s) Receiving Ticket(s) (use a continuation sheet for additional names) Name of Official Number State Whether the Distribution is Income to the Official or (Last, First) ofTickets Describe the Public Purpose for the Distribution .' 4. Individual or Organization Receiving Ticket(s) (Provided at the behest of an agency officiaL) Name of Behesting Agency Official: Name of Individual or Organization. Number of Tickets: Description of Organization: Address of Organization: Number and Street City Stale Zip Code Purpose for Distribution: (Describe the public purpose for the distribution to the organizatio~.) 5. Verification I have determined that the distribution of tickets set forth above is in accordance with the provisions of FPPC Regulation t 8944. t Signature of Agency Head or Designee Print Name Title (month, day, year) Comment (Use this space or an attachment for any additional information Including amendment explanation) FPPC Form 802 (Feb/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FEB 2 5 2009 Tickets Provided by Agency Report Galifornia ~"8' 0' '2~" ',;t;,F-orrri:~;' t, ," ".' A Public Document This form is for use by all state and local government agencies to disclose the distribution of tickets or passes that allow admission to facilities, events, shows, or performances for entertainment, amusement, recreational, or similar purposes, The agency must complete Form 802 identifying agency officials who receive tickets or passes from the agency as well as other individuals and organizations that receive tickets or passes at the behest of agency officials, Form 802 must be posted in a prominent fashion on the agency's website, Gifts of Tickets or Passes to Public Officials FPPC Regulation 18944,1 sets out the circumstances under which an agency's distribution of tickets or passes to or at the behest of an official in the agency does not result in a gift to the official. (Regulation 18944,1 is available on the FPPC website at www.fpPc.ca.gov.) Even though the distribution of tickets or passes to a public official under the regulation is not a gift to the official, the agency must disclose the distribution on Form 802, The official does not have to disclose tickets or passes received or distributed under the regulation on his or her Statement of Economic Interests (Form 700), but tickets or passes received or distributed by the official that do not fall under the regulation may be subject to disclosure on the official's Form 700 and subject to gift limits, Posting Form 802 The Form 802 must be posted on the agency's website within 30 days after the distribution, If the agency does not maintain a website, the form must be maintained by the agency as a public record, be available for public inspection and copying, and be forwarded to the FPPC for posting on its website, Part 1. Agency Identification List the agency's name, address and the name of an agency contact. Mark the amendment box if changing any Information on a previously filed form and include the date of the original filing, Part 2, Event For Which Tickets Were Distributed Provide the date(s) of the event, a description of the event, and the face value (Le, the cost to the public) of the ticket or pass, Check the box indicating whether the event was an "agency event" (such as a county fair, or an event for which the agency purchased tickets), If the agency received the tickets from an outside source, identify the source, the number of tickets received, and check the box to identify whether the tickets or passes were provided to the agency: Gratuitously; or Pursuant to a contract. Part 3. Agency Official(s) Receiving Ticket(s) Disclose the name of each agency official that received a ticket or pass and the number of tickets or passes the official received, Also state whether the distribution is income to the official or describe the public purpose for which the official received the tickets or passes, Part 4. Individual or Organization Receiving Ticket(s) If tickets or passes were distributed to an individual or organization outside the agency, at the behest of an official of the agency, provide the name of the official. Disclose the name(s) of the individuals(s) who received the tickets or passes and the number of tickets or passes provided, If the tickets or passes were provided to an organization, the agency may post the name, address, a description of the organization, and the number of tickets or passes provided to the organization in lieu of posting the name of each individual that received a ticket or pass, Also, describe the public purpose for the distribution to the individual or organization, Part 5. Verification The agency head or his or her designee must sign the form. Priva,cy Information Notice Information requested on all FPPC forms is used by the FPPC to administer and enforce the Political Reform Act (Government Code Sections 81000-91014 and California Code of Regulations Sections 18109-18997), All information required by these forms is mandated by the Political Reform Act. Failure to provide all of the information required by the Act is a violation subject to administrative, criminal, or civil prosecution. All reports and statements provided are public records open for public inspection and reproduction. If you have any questions regarding this Privacy Act Notice, please contact the FPPC. General Counsel Fair Political Practices Commission 428 J Street, Suite 620 Sacramento, CA 95814 (916) 322-5660 FPPC Form 802 (Feb/09) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) FEB Z 5 2009