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AgdaPkt 2019-01-28 Joint SA PFA
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AgdaPkt 2019-01-28 Joint SA PFA
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Last modified
10/2/2020 10:35:29 AM
Creation date
1/24/2019 4:28:15 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
1/28/2019
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6.D. - Page 73 of 170 <br />Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />i 2913 t-Ange;es Ctty Charb- g 47i]icj(12) Rage 3 w 3 <br />LOS awes hlurklpel Co®e SS 49_7.35MX3j (4) <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 67 of 103 <br />156 <br />20M N ii wi �' Shwessiore <br />-2 <br />CFtyr lia[I —fi IFttuor <br />Mybill Hh Flt <br />ILos Angehm-, CA90012 AWA <br />E Fo m 5550 <br />Iziay s�i�o <br />PRINUPALS OF 'SUBCONTRACTORS <br />Please identify the marries and Wes of all principals for each subcontractor identified on page 2 (attach <br />additional sheets if necessary). 'Principals include a subcontractor's board chair, president* chief <br />executive ;officer chief operating officer, and individuals who serve in the functional equiaralent of one <br />or more of those positfons_ Principals also include individuals who Mild an irii4rership inilmmst in Ilia <br />subcontractor of at least 20 percent and err,ployees of the subcontractor of m are authorized by the bid <br />or proposal to represent the subcontractor before the City_ <br />Naris, Title: <br />Address: <br />Subcontractor <br />Marne:: Title: <br />Address: <br />Subcontractor_ <br />Naive: True: <br />Address: <br />Subcontractor_ <br />Mamie: Tine_ <br />Address: <br />Subcontractor <br />Narrue: Title: <br />Address: <br />Subcontract <br />® Of the subcontractors identified on page 2, the folkmnring are individuals and no tuner principals <br />exist i(allach additional sheets if necessaryY <br />Sub cordrac or <br />Subcontractor <br />adkiitbonal sheets are attached. Bidder has no subcontractars an this bbd or proposal <br />ufiose sub ontrad s are Ywadh $1:0D;DDD or more_ <br />CERTLFICATION <br />.t cerW that t undemhand, wide comply wis5h, and have nofffied my principars and subconfrachwa of tyre <br />rieequfminnerds and r+ea datfons in Loa Angeles City Gharter seelfon 470(c)(12) and any related ordinances. l <br />undierstand Mat mustamend Ibis form within fen business dayrsWthe ieafiwMation above cha igen. t certffy <br />under penWbr ad,pedury minder fire laws of time City of Los Angekes and the spate of 4:affib via ttrat ttre <br />Jnftranalianrro is true and cam Bete. <br />➢ crSigrtatune_ <br />/above <br />Date- L� <br />Flame: N A L Es t. k-AFMAA <br />Tine: P R E-51 D eN j <br />(Mderros }IngeFes GWyCharfff § +TJ'(31fc)(t2), Inds for is i.rrsY be sr trcrrtded to dire axe�d�ingau�U�ax�i'y ala yrc�uriv crrprnpms�- <br />A bid arprapoad that does riot km*x e a aongileled Farm 55 m7be deeaned <br />i 2913 t-Ange;es Ctty Charb- g 47i]icj(12) Rage 3 w 3 <br />LOS awes hlurklpel Co®e SS 49_7.35MX3j (4) <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 67 of 103 <br />156 <br />
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