REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

. Address: ________________________(Street)________________(City)_______(State)c. Phone: _________________________d. Fax: ___________________________ E-mail: _____________________e. Business Form: (check one) Corporation Partnership Individual/Sole Proprietor Joint Venture LLC Other _______ (Describe _______________)f. Length of time in business in California: _________________________________. (Ifnot continuous, state all start and end dates)g. Name, telephone and e-mail address of contact person _________________.3. Principal Managing Partner Information (Project Joint Ventures)If the Applicant is not a Project Joint Venture, then enter “not applicable.” “Project JointVenture” means a joint venture formed solely for the purpose of performing a contract orclassification of contracts for the District. “Principal Managing Partner” means the joint venturepartner primarily responsible for the day-to-day management of the business of the Project JointVenture and whose experience or financial condition is necessary to Applicant’s ability toprequalify for and perform of the contract(s) for which the Applicant seeks prequalification.a. Name of Project Managing Partner: _________________________b. Address: ________________________ ________________ _______(Street) (City) (State)c. Phone: _________________________d. Fax: ___________________________ E-mail: _____________e. Business Form: (check one) Corporation Partnership Individual/Sole Proprietor Joint Venture LLC Other _______ (Describe _______________)f. Length of time in business in California: ____________. (If not continuous, state allstart and end dates)g. Name, telephone and e-mail address of contact person _______________.B. Business Information1. Corporations:a. If the Applicant is a corporation, provide the following information for each officer of thecorporation and for owners of 10% or more of the corporate stock:Position Name and Social Security Number Years with Co. %_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 4 of 13