REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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minimum requirements shall result in automatic disqualification. There is no separate scoring ofthe Applicant’s responses.1. Within the last ten (10) years has the Applicant or any Applicant Member either: (1)declared bankruptcy; (2) had filed against it a petition for involuntary bankruptcy; (3) beenplaced in receivership; or (4) entered into an assignment of substantially all of its assets for thebenefit of its creditors? (If the Applicant is a Project Joint Venture, then answer on the basis ofthe experience of the Principal Managing Partner of the Project Joint Venture) Yes No2. If the Applicant is not a Project Joint Venture (as described in Paragraph 4.4 of theInstruction to Applicants), is the estimated total amount of the contract for which prequalificationis required herein of $1,000,000 Qualification required for projects regardless of size/costexceeded by either: (a) the product of ten (10) times the Applicant’s working capital (currentassets); or (b) the product of four (4) times the Applicant’s net worth* (assets less liabilities)?[Note: An answer to the preceding question that “Applicant is a Project Joint Venture” shall notresult in disqualification unless the answer to the next Question No. 3 is “No”.] Yes No Not Applicable-Applicant is a Project Joint Venture3. If the Applicant is a Project Joint Venture (as described in Paragraph 4.4 of the Instructionsto Applicants), is the estimated total amount of the contract for which prequalification is requiredherein of $1,500,000 Same as above exceeded by either: (1) the product of ten (10) times theworking capital (current assets) of the Principal Managing Partner; or (2) the product of four (4)times the net worth* (assets less liabilities) of the Principal Managing Partner? [Note: An answerto the preceding question that “Applicant is not a joint Project Joint Venture” shall not result indisqualification unless the answer to the preceding Question No. 2 is other than “Yes”.] Yes No Not Applicable-Applicant is not a Project Joint Venture* If the Applicant is submitting Supplemental Financial Resources in the form of a letter ofcredit, the amount of the letter credit shall be deemed an additional asset of the Applicant forpurposes of determining the Applicant’s “net worth” and “working capital.”C. Statement of Financial ConditionThe following Statement of Financial Condition and Certificate of Accountant, or anindependent accountant’s report, is required in order to verify that the Applicant has met theminimum financial requirements for prequalification.STATEMENT OF FINANCIAL CONDITIONCURRENT ASSETS . . . . . . . . . . . . . . . . . $_______CURRENT LIABILITIES. . . . . . . . . . . . . . . $________________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 1: Prequalification Questionnaire: Page 13 of 13
EXHIBIT 2: CERTIFICATE OF ACCOUNTANT (AUDIT)I (We) have audited the Statement of Financial Condition of _________________ (“Company”)as of ____________________. The Statement of Financial Condition is the responsibility of theCompany. My (our) responsibility is to express an opinion on the Statement of FinancialCondition.My (our) audit was made in accordance with generally accepted auditing standards, andaccordingly included such tests of the accounting records and such other auditing procedures as I(we) considered necessary in the circumstances.In my (our) opinion, the accompanying financial statement included on pages ___ to ___,inclusive, sets forth fairly the financial condition of _________________________ as of____________________, in conformity with generally accepted accounting principles.________________________(Print Name of CPA)__________________________(Name of CPA Firm)__________________________(Address of CPA)________________________________(CPA to sign here)________________________________(Date signed)_______________________________(CPA License No.)__________________________(CPA Telephone No.)_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 2: Certificate of Accountant (Audit): Page 1 of 1
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 and 34: Yes No16. Is it true that at no tim
Page 35: III.FINANCIAL INFORMATIONA. General
Page 39 and 40: EXHIBIT 4: AUTHORIZATION TO RELEASE

REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

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