REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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SCHEDULE D – CONFIDENTIALITY AGREEMENTStructured Cabling Systems ContractorRequest for QualificationsStatement of Confidentiality:Confidentiality AgreementThe terms of this Request For Qualifications (RFQ) and all other information provided by LACCD inconnection with it, including any material relating to expenses, are strictly confidential andproprietary and are to be treated by your company as such. Such materials are to be used by yourcompany solely for the purpose of formulating a statement of qualifications to LACCD. Access shallnot be granted to third parties except upon prior written consent of LACCD and upon writtenagreement of the intended recipient to treat the same as confidential. We may request at any timethat any of our materials be returned or destroyed.I, [First & Last Name]____________________ of [Name of Company]______________, have read,understand, and hereby agree to the terms of confidentiality listed above, as well as in Section 1.6 ofthis document. I understand that any breach in confidentiality will cause my elimination from this andany future RFQ process (es), my company’s elimination from this and any future RFQ process (es), aswell as legal action in accordance with all applicable laws.Signed: _____________________________Date: ______________________Title: __________________________Please email your completed form to: Werner.wolf@Build-LACCD.org by May 7, 2010 @ 5:00 PM__________________________________________________________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 1 of 13
SCHEDULE E – INTENT TO RESPOND FORMLACCD Structured Cabling Systems ContractorsRequest for QualificationsSchedule EIntent To Respond FormRespondents Contact InformationFirm:Contact Name:Title:E-Mail Address:Telephone #:Address:Please consider the submittal of this form as (Company Name) _________________ formal writtenintent to respond to LACCD’s Request For Qualification for Structured Cabling Systems Contractors. It isour intent respond to the following services (please place an “X” in each appropriate block and attach toConfidentiality Agreement - Appendix B).Structured CablingSystems Contractors RFQ[Comments]Please email your completed form to: Werner.wolf@Build-LACCD.org by May 7, 2010 @ 5:00 PM_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 2 of 13
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 and 22: SCHEDULE B: NON COLLUSION AFFIDAVIT
Page 23: SCHEDULE C - NON-DISCRIMINATION CER
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

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