Engineer of Record Declarations - 2157 Tustin AvenueTo: General Manager, Alternate District Engineer
From: District Engineer
Re: Declaration of Conflict of Interest, Recusal and Referral to Alternate District
Engineer: [Description of Property/Project/Clients]
Please be advised that I have been retained to do private engineering work for the property at
2157 Tustin Avenue, CM, which is owned / developed by W. Custom Homes. I have reason to
believe that this project or those persons involved in that project may have the need for District
engineering approvals in the future. I have been retained by W. Custom Homes (Matt White)
and will be reporting this relationship as a source of income on my FPPC Statement of Economic
Interests Form 700 next year.
Pursuant to state law, District Operations Code Section 3.01.045, and my contract with the
District:
1. I hereby notify you of this source of income or other relationship that causes me a
conflict in approving any matters in my official capacity pertaining to this property and
these persons.
2. I request that the General Manager alert the Alternate District Engineer that he is to
provide all engineering approvals on behalf of the District with respect to these persons
or that property.
3. That the Alternate District Engineer shall report directly to the General Manager and
submit his bills for services directly to the General Manager.
4. That if any plans are required to be approved, that those shall show my seal and signature
as private engineer of record, and the Alternate District Engineer shall provide his
approval by signing as Alternate District Engineer. That these separate approvals shall be
given on the same page and in a manner that clearly shows the separate capacities of each
engineer in providing their respective approvals.
5. 1 request that the District Clerk maintain a copy of this Declaration of Conflict of Interest,
Recusal and Referral to Alternate District Engineer as a permanent record of the District
or for as long as required under the District's record retention schedule.
I understand that this procedure does not allow me to enter into or influence the awarding of
contracts in my official capacity in which I have a financial interest, which is a separate
prohibition. (Gov. Code § 1090.)
If I can provide further information about the identity of my source of income or about the scope
of my assignment, please advise, and I will elaborate as necessary.
Robin Hamers
District Engineer