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6.D. - Page 95 of 170 <br />Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />F.PERFORMANCE HISTORY 1� <br />12. How many years has your firm been in business? Years. <br />13. Has your firm ever held any contracts with the City of Los Angeles or any of its departments? <br />❑ Yes [X No <br />If Yes, list on Attachment B, all contracts your firm has had with the City of Los Angeles for <br />the last 10 years. For each contract listed in response to this question, include: (a) entity <br />name; (b) purpose of contract; (c) total cost; (d) starting date; and (e) ending date. <br />14.List on Attachment B, all contracts your firm has had with any private or governmental <br />entity (other than the City of Los Angeles) over the last five years that are similar to the <br />work to be performed on the contract for which you are biding. For each contract listed in <br />response to this question, include: (a) entity name; (b) name of a contact and phone <br />number; (c) purpose of contract; (d) total cost; (e) starting date; and (f) ending date. <br />***** ❑ Check the box if you have not had any similar contracts in the last five years. <br />15.In the past five years, has a governmental or private entity or individual terminated your <br />firm's cont ct prior to completion of the contract? <br />❑Yes XNo <br />If Yes, explain on attachment B the circumstances surrounding each instance. <br />16. In the past five years, has your firm used any subcontractor to perform work on a <br />government contract when you knew that the subcontractor had been debarred by a <br />governmental entity? <br />❑Yes ONo <br />If Yes, explain on attachment B the circumstances surrounding each instance. <br />17. In the past five years, has your firm been debarred or determined to be a non -responsible <br />Bidder or contractor? <br />❑Yes 5�No <br />If Yes, explain on Attachment B the circumstances surrounding each instance. <br />G. DISPUTES <br />18. In the past five years, has your firm been the defendant in court on a matter related to any of the <br />following issues? For parts (a) and (b) below, check Yes even if the matter proceeded to arbitration <br />without court litigation. For part (c), check Yes only if the matter proceeded to court litigation. If you <br />answer Yes to any of the questions below, explain the circumstances surrounding each instance on <br />Attachment B. You must include the following in your response: the name of the plaintiffs in each court <br />case the specific causes of action in each case: the date each case was filed; and the <br />disposition/current status of each case. <br />a <br />PayipeyXto subcontractors? <br />Yes No <br />(h) Work g�rformance on a contract? <br />Yes No <br />Emp$00, <br />nt-related litigation brought by an employee? <br />Yes <br />Responsibility Questionnaire (Rev. 1/25/12) <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED <br />OUT) BY RFQ SUBMITTAL DEADLINE. 178 <br />Page 89 of 103 <br />