REQUEST FOR PRE-QUALIFICATIONS (RFQ) - Build LACCD

EXHIBIT 4: AUTHORIZATION TO RELEASE INFORMATIONThe undersigned Applicant hereby authorizes and consents to the District obtaining informationfrom third parties, including, but not limited to any individual(s) or individual representative(s)of any firm(s), entity(ies) or organization(s) listed in the Applicant’s Prequalification Submittal,for the purpose of verifying the information provided by the Applicant or for any other purposerelated to the evaluation of Applicant’s qualifications. Applicant recognizes that to ensure theeffectiveness of the prequalification process, such individuals must be able to speak frankly andopenly. Accordingly, Applicant hereby fully and unconditionally releases and discharges thethird party individuals and the firms, entities and organizations they represent, from any claim orliability relating to information provided by it/him/her/them to the District in connection with theprocessing, investigation and evaluation by District of the Applicant’s PrequalificationSubmittal.______________________________Name of Applicant______________________________Signature______________________________Title______________________________Date_________________________915 Wilshire Boulevard, Suite 810, Los Angeles, California 90017Exhibit 4: Authorization to Release Information: Page 1 of 1