REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

More documents

Recommendations

Info

WARNING! A BID WILL NOT BE CONSIDERED UNLESS THIS AFFIDAVIT ISCOMPLETED AND EXECUTED, INCLUDING THE AFFIDAVIT OF THE NOTARYAND THE NOTARY SEALOn __________ before me, _______________________personally appeared__________________________[NOTARY SEAL]who proved to me on the basis of satisfactory evidence tobe the person(s) whose name(s) is/are subscribed in thewithin instrument and acknowledged to me that he/she/theyexecuted the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s) on the instrument theperson(s), or the entity upon behalf of which the person(s)acted, executed the instrument.I certify under PENALTY OF PERJURY under the laws ofthe State of California that the foregoing paragraph is trueand correct.WITNESS my hand and official seal.Signature: ____________________________My Commission Expires: __________________________________________________________________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Instructions to Applicants page 4 of 40
SCHEDULE C - NON-DISCRIMINATION CERTIFICATIONCERTIFICATION OF NON-DISCRIMINATIONTO BE EXECUTED BY PROPOSERAND SUBMITTED WITH ITS PROPOSALProposer hereby certifies that in performing work or providing services for the District, thereshall be no discrimination in its hiring or employment practices because of age, sex, race, color,ancestry, national origin, religious creed, physical handicap, medical condition, marital status, orsexual orientation, except as provided for in Section 12940 of the California Government Code.Proposer shall comply with applicable federal and California anti-discrimination laws, includingbut not limited to the California Fair Employment and Housing Act, beginning with Section12900 of the California Government Code.IN WITNESS WHEREOF, the undersigned has executed this Certificate of Non-Discriminationthis __________ day of ____________________, 2008.PROPOSER _________________________________________(Type or Print Complete Legal Name of Firm)By ______________________________________________(Signature)Name____________________________________________(Type or Print)Title _____________________________________________Address __________________________________________City ________________________ State _____ Zip __________________________________________________________________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Schedule C: Non-Discrimination Certification Page 1 of 1
Page 1 and 2: REQUEST FOR PRE-QUALIFICATIONS (RFQ
Page 3 and 4: Build-LACCD 915 Wilshire Blvd., 810
Page 5 and 6: LACCD’s Current Structured Cablin
Page 7 and 8: 1.7 Interested Parties.There is no
Page 9 and 10: 2.5 Financial Condition.There has b
Page 11 and 12: III, Exhibits 2&3 of the Prequalifi
Page 13 and 14: All addenda issued shall become par
Page 15 and 16: 4.16 New Information by Applicant.A
Page 17 and 18: 5. APPEAL5.1 ProtestsAny actual or
Page 19 and 20: Schedule A: Technical RequirementsL
Page 21: SCHEDULE B: NON COLLUSION AFFIDAVIT
Page 25 and 26: SCHEDULE E - INTENT TO RESPOND FORM
Page 27 and 28: . Address: ________________________
Page 29 and 30: a. If the Applicant is a joint vent
Page 31 and 32: owner? (If the Applicant is a Proje
Page 33 and 34: Yes No16. Is it true that at no tim
Page 35 and 36: III.FINANCIAL INFORMATIONA. General
Page 37 and 38: EXHIBIT 2: CERTIFICATE OF ACCOUNTAN
Page 39 and 40: EXHIBIT 4: AUTHORIZATION TO RELEASE

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

Create successful ePaper yourself

Delete template?

Save as template?