disclosures: 03b339233bb781cb881721c56e1eb43aa94bf6bfd57c9e5304e200711980e004
This data as json
| id | filename | year | name | title | agency | content | |
|---|---|---|---|---|---|---|---|
| 03b339233bb781cb881721c56e1eb43aa94bf6bfd57c9e5304e200711980e004 | 2022/Schletzbaum_Lisa_1.19.2022.pdf | 2022 | Lisa Schletzbaum | MassDOT Highway Division | DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. C. 268A, § 6 STATE ETHICS RECEIVED COMMISSION STATE EMPLOYEE INFORMATION Name: Lisa Schletzbaum 2022 JAN 19 AM #: 33 Title or Position: Assistant State Traffic Engineer State Agency: MassDOT Highway Division Agency Address: 10 Park Plaza, 7ᵗʰ Floor, Boston, MA 02116 Office Phone: 857-368-9634 Office E-mail: Lisa.schletzbaum@dot.state.ma.us My duties require me to participate in a particular matter, and I may not participate because of a financial interest that I am disclosing here. I request a determination from my appointing authority about how I should proceed. PARTICULAR MATTER Particular matter E.g., a judicial or other As an employee of the Traffic and Safety Engineering Section, I was asked to serve as a proceeding, application, member of the selection committee to select the Design/Build Team for the MassDOT submission, request for a ruling or other Project - Charlton-Oxford Route 20 Roadway Reconstruction (approximately $81 million) determination, contract, to redesign and reconstruct the corridor of Route 20 in Charlton and Oxford. claim, controversy, charge, accusation, arrest, decision, determination, or finding. Your required participation in the particular matter: Review Project Team RFP/Q, evaluate and score the proposals. If needed, conduct interviews with the proposing project teams, evaluate and score the interviews. E.g., approval, disapproval, decision, recommendation, rendering advice, investigation, other. FINANCIAL INTEREST IN THE PARTICULAR MATTER Write an X by all that apply. I have a financial interest in the matter. My immediate family member has a financial interest in the matter. My business partner has a financial interest in the matter. I am an officer, director, trustee, partner or employee of a business organization, and the business organization has a financial interest in the matter. I am negotiating or have made an arrangement concerning future employment with a person or organization, and the person or organization has a financial interest in the matter. Financial interest I own <1% of publicly traded stock in Tetra Tech, a company who may be a member in one of the in the matter DB teams. Employee signature: Date: December 8, 2021 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing Carrie Lavallee, P.E. Authority: Title or Position: Chief Engineer Agency/Department: MassDOT Highway Division Agency Address: 10 Park Plaza, Boston, MA 02116 Office Phone: 617-366-6232 Office E-mail Carrie.Lavallee@dot.state.ma.us DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, § 6, I have reviewed the particular matter and the appointing authority: financial interest identified above by a state employee. I am assigning the particular matter to another employee, or Write an X by your selection. I am assuming responsibility for the particular matter, or I have determined that the financial interest is not so substantial as to be deemed likely to affect the integrity of the services which the Commonwealth may expect from the employee. Appointing Authority signature: Cause Jarallee Date: 12/29/2021 Comment: Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 | 2022/Schletzbaum_Lisa_1.19.2022.pdf |