REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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_five (5) years. For each such Public Contract listed state: (a) the project name; (b) a generaldescription of the Applicant’s scope of performance required under the contract; (c) the totaldollar amount of the contract; (d) the name, address and telephone number of a representative forthe project owner who may be contacted as a reference; (e) the date of actual completion of thecontract and (f) whether the contract was completed within the contractual time and the budgetor price provided for in the contract.<strong>LACCD</strong> Structured Cabling System ContractorRequest for QualificationsProject ReferencesPlease provide five (5) references using the format below.Project Name: Project Location: Year Completed: Structured CablingSolution:Contact Name,Number & e-mail:Project Description: Please describe project scope, size and warranty provided.References for: [Contractor Name]Did this installation meet 10G Specifications?Y/N_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 11 of 13
III.FINANCIAL IN<strong>FOR</strong>MATIONA. General InformationThe general financial information requested in this Part A of Section III must be provided by theApplicant (or, if the Applicant is a Project Joint Venture, its Principal Managing Partner).Although this information is required, the responses provided will not be included in the scoringof the Applicant’s Prequalification Submittal.1. Accounting2. Banka. Name of Accounting firm: ________________ Phone:______ ____ Fax: __________b. How many years has this firm prepared financial statements for the Applicant? _____c. How many years has this firm prepared tax returns for the Applicant? ______d. Applicant’s fiscal year end: _______________e. Are all Applicant’s current taxes obligations fully paid?: Yes No. If no,explain reasons________________________.f. Accounting Method: Cash Accrual Other (Explain: ________________________)g. Method of Reporting Income: Completed Contracts % of Completion Other (Explain: _________)h. Do the methods used in preparing the Statement of Financial Condition or independentaccountant’s report conform to the methods of accounting and reporting of income usedby the person or entity audited for the year audited? Yes No if no, explain reason: ______________.a. Name of Bank______________________ Account Manager_______________b. Address___________________________ Phone Number (___) ____________c. Account Numbers:________________________________________________d. Amount of line of credit $___________ Amount in use $_________How secured: _______________________Expiration date: __________B. Minimum Financial Ability RequirementsThe questions appearing under this Part B constitute minimum requirements in order for theApplicant to prequalify. Evaluation is on a pass/fail basis and failure to meet any of these_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 12 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 and 30: a. If the Applicant is a joint vent
Page 31 and 32: owner? (If the Applicant is a Proje
Page 33: Yes No16. Is it true that at no tim
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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