12.07.2015 Views

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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Schedule A: Technical Requirements<strong>LACCD</strong> Structured Cabling Systems ContractorRequest for QualificationsCompany:Respondent ContactInformationStatement of QualificationsName: Phone: E-mail:1. List all BICSI Registered Communications Distribution Designer’s (RCDD’s) on staff and attachcopies of certificates.NameCertification Number2. List all BICSI (or other credentialed program) certified Copper/Fiber Installers on staff andattach certificates.Name:Certification Number3. List all applicable Industry Affiliations.Organization:Membership Status:4. Fill in the table below for each of the specified manufacturer programs and attach copies ofcertificates.20+ YearExtendedManufacturer and Certified?Manufacturer Contact Manufacture ContactWarrantyCertification Program Y/NNamee-mailProvider?Y/NADC- Preferred VARAMP – ND&IBelden –CertifiedSystem VendorBerk-Tek/Ortronics-OASIS CertifiedCommScope –Systimax AuthorizedBusiness PartnerPanGen-CertifiedSiemon- Certified__________________________________________________________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Schedule B: Non-Collusion Affidavit Page 1 of 4

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