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6.D. - Page 100 of 170 Request for Qualifications: General Park Building Construction, Retrofit, Maintenance, and/or Repairs ATTACHMENT C: GOVERNMENTAL ENTITIES FOR QUESTION NO. 21 Check Yes in response to Question No. 21 if your firm or any of its owners, partners or officers, have ever been investigated, cited, assessed any penalties, or found to have violated any laws, rules, or regulations enforced or administered, by any of the governmental entities listed below (or any of its subdivisions), including but not limited to those examples specified below. The term "owner" does not include owners of stock in your firm if your firm is a publicly traded corporation. If you answerers Yes, provide an explanation on Attachment B of the circumstances surrounding each instance, including the entity involved, the dates of such instances, and the outcome_ FEDERAL ENTITIES Federal Department of Labor • American with Disabilities Act • immigration Reform and Control Act • Family Medical Leave Act • Fair Labor Standards Act • Davis -Bacon and laws covering wage requirements for federal government contract workers • Migrant and Seasonal Agricultural Workers Protection Act • Immigration and Naturalization Act • Occupational Safety and Health Act • anti -discrimination provisions applicable to government contractors and subcontractors • whistleblower protection laws Federal Department of Justice • Civil Rights Act • American with Disabilities Act • Immigration Reform and Control Act of 1986 • bankruptcy fraud and abuse Federal Department of Housing and Urban Development (HUD) • anti -discrimination provisions in federally subsidizedfassistedlsponsored housing programs • prevailing wage requirements applicable to HUD related programs Federal Environmental Protection Agency • Environmental Protection Act National Labor Relations Board • National Labor Relations Act Federal Equal Employment Opportunity Commission • Civil Rights Act • Equal Pay Act Age Discrimination in Employment Act • Rehabilitation Act • Americans with Disabilities Act Responsibility Questionnaire (Rev. 1/25/12) STATE ENTITIES California's Department of Industrial Relations • wage and labor standards, and licensing and registration • occupational safety and health standards • workers° compensation selr insurance plans • Workers' Compensation Act • wage, hour, and working standards for apprentices • any provision of the California Labor Code California's Department of Fair Employment and Housing • California Fair Employment and Housing Act • Unruh Civil Rights Act • Ralph Civil Rights Act California Department of Consumer Affairs licensing, registration, and certification requirements occupational licensing requirements administered anddor enforced by any of the Department's boards, including the Contractor's State Licensing Board California's Department of Justice LOCAL ENTRIES City of Los Angeles or any of its subdivisions for violations of any law, ordinance, code, rule, or regulation administered anddor enforced by the City, including any letters of warning or sanctions issued by the City of Los Angeles for an unauthorized substitution of subcontractors, or unauthorized reductions in dollar amounts subcontracted_ OTHERS Any other federal, state, local governmental entity for violation of any other federal, state, or local law or regulation relating to wages, labor, or other terms and conditions of employment. FORM A - I INDEX IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ SUBMITTAL DEADLINE. 183 Page 94 of 103