12.07.2015 Views

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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Yes No9. Is it true that neither the Applicant nor any Applicant Member has ever beenfound in violation of Labor Code sections 1777 [violation of payroll requirements], 1777.5[apprenticeship requirements], 1778 [unlawful kickbacks], 1779 [charging a fee forregistering], or 1780 [charging a fee to obtain employment]? (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 No10. Is it true that within the last five (5) years CAL OSHA has not cited and assessedpenalties against either the Applicant or an Applicant Member for any “willful” violations of itssafety or health regulations in connection with performance of a Category 1 and 3 PublicContract? (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 No11. Is it true that within the last five (5) years has CAL OSHA has not cited andassessed penalties against either the Applicant or an Applicant Member for more than one (1)“serious” violations of its safety or health regulations in connection with a Category 1 and 3Public Contract? (If the Applicant is a Project Joint Venture, then answer on the basis of theexperience of the Principal Managing Partner of the Project Joint Venture) Yes No12. Is it true that the Applicant’s “Experience Modification Rate (EMR)” (asestablished by the Workers’ Compensation Insurance Rating Bureau) is not greater than 1.00 ?(If the Applicant is a Project Joint Venture, then answer on the basis of the experience of thePrincipal Managing Partner of the Project Joint Venture) Yes No13. Is it true that the Applicant has established an Injury and Illness PreventionProgram in accordance with California Code of Regulations, Title 8, Sections 1509 and 3203?[ Yes No14. Is it true that within the last five (5) years no contractor license held by theApplicant or any Applicant Member been revoked or suspended? (If the Applicant is a ProjectJoint Venture, then answer on the basis of the experience of the Principal Managing Partner ofthe Project Joint Venture) Yes No15. Is it true that neither the Applicant nor any Applicant Member has ever beendenied an award of a Category 3 Public Contract based on a finding by a public agency that theywere not a responsible bidder?_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 9 of 13

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