REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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7. Name of Qualifying Individual(s):___________________________________________________________________________________________________________8. Has the Applicant ever been licensed under a different name or license number (otherthan the license number(s) described above)? Yes NoIf yes, give name(s), license number(s), state(s) where licensed and date(s) of expiration:_______________________.II.PUBLIC CONTRACTS EXPERIENCEThe questions in this Section II concern the Applicant’s and Applicant Members’ experience inpublic contracting. The term “Public Contracts” as used herein include the following:Category 1: A Category 1 Public Contract includes a contract for the furnishing, sale or lease ofequipment, materials or supplies to any state or local authority, agency, department or specialdistrict (including, without limitation, any school district or community college district).Category 2: A Category 2 Public Contract includes a contract for the furnishing of services,other than construction services, to any state or local authority, agency, department or specialdistrict (including, without limitation, any school district or community college district).Category 3: A Category 3 Public Contract includes a contract for the construction,reconstruction, erection, alteration, renovation, improvement, demolition, or repair (other thanroutine and recurring maintenance, such as minor painting, landscape maintenance, maintenanceto keep, operate and maintain water, power or waste disposal systems and resurfacing of streetsat less than one inch) of any plant, building, structure, ground facility or utility system that isowned or operated by any state or local authority, agency, department or special district(including, without limitation, any school district or community college district).The Category of Public Contract for which prequalification is being sought by the District is aCategory 1 and 3 Public Contract; however, questions may ask for information concerning anyor all the above listed Categories of Public Contracts.A. General RequirementsThe questions appearing under this Part A of Section II constitute minimum requirements inorder for the Applicant to prequalify. Evaluation is on a pass/fail basis. A “no” answer to anyquestion shall result in automatic disqualification.1. Is it true that the Applicant currently holds the following license(s)? C-7 LowVoltage Systems Contractor. Yes No2. Is it true that within the last ten (10) years a surety firm has not had to complete,or pay for completion of, a Category 1 and 3 Public Contract on behalf of Applicant or anyApplicant Member because the Applicant or Applicant Member was terminated by the project_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 7 of 13
owner? (If the Applicant is a Project Joint Venture, then answer on the basis of the experience ofthe Principal Managing Partner of the Project Joint Venture) Yes No3. Is it true that within the last five (5) years neither the Applicant nor any ApplicantMember has failed, due to a default by the Applicant or an Applicant Member, to complete aPublic Category 1 and 3 Public Contract? (If the Applicant is a Project Joint Venture, thenanswer on the basis of the experience of the Principal Managing Partner of the Project JointVenture) Yes No4. Is it true that within the last five (5) years neither the Applicant nor any ApplicantMember has been debarred from contracting with a state or local authority, agency, departmentor special district (including, without limitation, any school district or community collegedistrict)? (If the Applicant is a Project Joint Venture, then answer on the basis of the experienceof the Principal Managing Partner of the Project Joint Venture) Yes No5. Is it true that no owner, officer, director or managing officer of the Applicant oran Applicant Member or responsible managing employee on the Applicant’s contractor’s licensehas ever been indicted or convicted (including, without limitation, a plea of guilty or nolocontendre) of a felony crime? (If the Applicant is a Project Joint Venture, then answer on thebasis of the experience of the Principal Managing Partner of the Project Joint Venture) Yes No6. Is it true that neither the Applicant nor any Applicant Member has ever beenindicted or convicted (including, without limitation, a plea of guilty or nolo contendre) of a crime(including a felony or misdemeanor) relating to the bidding, awarding or performance of acontract with a state or local authority, agency, department or special district (including, withoutlimitation, any school district or community college district)? (If the Applicant is a Project JointVenture, then answer on the basis of the experience of the Principal Managing Partner of theProject Joint Venture) Yes No7. Is it true that neither the Applicant nor any Applicant Member has ever beendetermined by a public agency, public authority or court of law to have submitted a false claim toa state or local authority, agency, department or special district (including, without limitation,any school district or community college district)? (If the Applicant is a Project Joint Venture,then answer on the basis of the experience of the Principal Managing Partner of the Project JointVenture) Yes No8. Is it true that neither the Applicant nor any Applicant Member has ever hadpenalties assessed against it pursuant to Labor Code sections 1777.1 [violation of prevailingwage or related requirements]? (If the Applicant is a Project Joint Venture, then answer on thebasis of the experience of the Principal Managing Partner of the Project Joint Venture)_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 8 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 and 24: SCHEDULE C - NON-DISCRIMINATION CER
Page 25 and 26: SCHEDULE E - INTENT TO RESPOND FORM
Page 27 and 28: . Address: ________________________
Page 29: a. If the Applicant is a joint vent
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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