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6.D. - Page 20 of 170 Request for Qualifications: General Park Building Construction, Retrofit, Maintenance, and/or Repairs Directors authorizing such person to execute the documents on behalf of the corporation. This certified copy must be certified by the Secretary or Assistant Secretary of the Corporation and the signature of the Secretary or Assistant Secretary must be affirmed by a notary jurat. LICENSE INFORMATION Respondent shall provide on page 5 of this RFQ the number of his/her qualifying professional license procured under the provisions of Article 5, Chapter 9, Division III of the Business and Professions Code of the State of California. AFFIDAVIT OF NON -COLLUSION Each Response must have thereon, or attached thereto, the Non -Collusion Affidavit verifying that such Response is genuine, and not sham or collusive, or made in the interest or on behalf of any person not therein named; and that the Respondent has not directly, or indirectly, induced or solicited any other Respondent to put in a sham Response, or any other person, firm or corporation to refrain from Responding; and that the Respondent has not in any manner sought, by collusion, to secure for himself an advantage over any other Respondents. Any Response not accompanied by, or which is made without such affidavit, or in violation thereof, will not be considered. If the Respondent is a corporation, said affidavit shall be signed by a duly authorized officer of the corporation. Any Respondent making a false affidavit may be excluded from future bidding. -These terms and conditions shall apply to the full three (3) year term of this contract. LIVING WAGE ORDINANCE/SERVICE CONTRACTOR WORKER RETENTION ORDINANCE Unless approved for an exemption, contractors under contracts primarily for the furnishing of services to or for the City and that involve an expenditure in excess of Twenty -Five Thousand Dollars ($25,000.00) and a contract term of at least three (3) months, lessees and licensees of City property, and certain recipients of City financial assistance, shall comply with the provisions of Los Angeles Administrative Code Sections 10.37 et seq., Living Wage Ordinance (LWO) and 10.36 et seq., Service Contractor Worker Retention Ordinance (SCWRO). Bidders/Responders shall refer to the Living Wage Ordinance and Service Contractor Worker Retention Ordinance for further information regarding the City's requirements. Bidders/Responders who believe that they meet the qualifications for one (1) of the exemptions described in the LWO List of Statutory Exemptions shall apply for exemption from the Ordinance by submitting with their response the Bidder/Responder's Application for Non -Coverage or Exemption (Form OCC/LW-10), the Non-Profit/One-Person Contractor Certification of Exemption (Form OCC/LW-13), or the Small Business Exemption Application (Form OCC/LW- 26A). These exemption forms are available on the Bureau of Contract Administration website at http://bca.laciiy.org index.cfm. The List of Statutory Exemptions is included in the Attachment/Appendix. (LWO/SCWRO RFQ/RFQ/RFQ Language, Rev. 08/12) LOS ANGELES MUNICIPAL LOBBYING ORDINANCE AND FORMS In accordance with Section 48.09(H)(1) of the Municipal Lobbying Ordinance: "Any bidder for a contract, as those terms are defined in Los Angeles Administrative Code Section 10.40.1, shall submit with its bid a certification, on a form prescribed by the City Ethics Commission, that the bidder acknowledges and agrees to comply with the disclosure requirements and prohibitions established in the Los Angeles Municipal Lobbying Ordinance if the bidder qualifies as a lobbying entity under Section 48.02 of this article. The exemptions contained in Section 48.03 of this article and Los Angeles Administrative Code Section 10.40.4 shall not apply to this subsection." The Bidder Certification CEC Form 50 is the aforementioned certification form prescribed by the City Ethics Commission. In addition to CEC Form 50, CEC Form 55 (Prohibited Contributors form) must be submitted. Respondents must download and complete both fillable forms and include the requisite two (2) originals of each form in Response to this RFQ. Please refer to the Los Angeles Municipal Lobbying Ordinance for information regarding the City's requirements. IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ SUBMITTAL DEADLINE. Page 15 of 103 103