Or eJ. f S'J.., · 2017-05-31 · subcontractors, suppliers, and prime participation (continued)...

SUBCONTRACTORS, SUPPLIERS, AND PRIME PARTICIPATION

The Prime Contractor shall perform, with its own organization, Contract work amounting to at least 20 percent of the Base Bid Price, unless otherwise instructed.

PROJECT TITLE v / L /\..C)lJe"ISoJ1

BID.!!BJNAME OF FIRM) .e. he. CONTRACTOR'S LICENSE NO.

39{pZIl-EXPIRATION DATE YEARS IN

//-.30-/r BUSINESS 3 Type of Ownership: 0 Sole Ownership o Partnership

lX.Corporation o Joint Venture Is Bidder any of the following as defined in the Business Inclusion Program? Check all that apply.

MBE 0 WBE 0 SBE 0 EBE 0 DVBE 0 DOLLAR PARTICIPATION OF ALL SUBCONTRACTORS AND SUPPLIERS

List all subcontractors and suppliers who will do work on this project, regardless of the amount of money involved. (Ordinance No. 150,595. Los Angeles Administrative Code Section 10.14 "Provisions Pertaining to Listing of Subcontractors. "; Business Inclusion Prollram, 5 et seq.).

DESCRIPTION OF BAJE B% '!.IORK TO BE PROVIDE~IRECTL Y BY PRIME DOLLAR VALUE OF BASE BID TO BE PERFORMED BY PRIME BIDDER: ~ IllS!)' (i em Or tlf}"e. / ms) W/Jjf"jlJlZl; ~ tlehtg4~IHO~~ t:}~ c::"~I'~~Cc"h,..·

~ 1 ~1~ 4C~ ~s · t ;; ClIII"hoY' -I »?I . A?~~"!' I lh"d1i7l4 cae/i.. tfolPJ ~",11)Pp~ t'~"k" IZJt' 4 hlAc'- /:11& "t'r.d·d.he4 h/1'~~ C4'&"~"11 '1eneJ. l4iMr4 ~4" t $. f ;;<; ;;"'lJru, etk- h3eck ~ ,;,J,I-II"h,,, DJ":. ddc11..1. "" 5,1 S'J.., TS2 .---~M.. h?d'~J.~ ~C"~:1/'l ptA- 6?~f~1 ,,~/ I.'ar(f,·!...hv. d .sUi;( ... I '~"'" "-tAP. EiC,'/,1,td ,

SUBCONTRACTORS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES w DOLLAR VALUE OF OR SUPPLIERS LICENSE NO. TO BE PROVIDED w w w W IXI w SUBCONTRACTOR or IXI IXI IXI IXI 6 CD

NAME, ADDRESS, TELEPHONE NO. :;: ~ en w 0 SUPPLlIER (note if add/deduct item)

V~/fJe..(, Xl 0 13f{7~ Ac.ous..hcc.C ~ X ~ase: $ II~ 40'S' /.J/./'1I1(h~/ JH)lMb~ Tect-uYV\ ~lh~ ~dd's: $ ,

J4 9R-fJ Ihlh~ br. a l,Q ;.p Ded's: $,(J,l ~ (,j. ~ I hJJ1fa J1 Ct (!A _q'l. l3~~ ~

ph .0tlI-- _'fC![- ~ M - Z 6:Jw 0 0 Base: $ ~dd's: $ Ded's: $

(CONTINUED ON NEXT PAGE) PERCENTAGE OF MBE/WBE/SBE/EBElDVBE PARTICIPATION Total combined dollar value of MBEIWBElSBElEBE/DVBE subcontractors and suppliers portions of work. Do not include prime bidder's portion unless it is a Joint Venture, in which case the value of work to be performed by one of the Joint Venturer's who is an MBE, WBE, SBE, ESE or DVBE ma* pe included. TOTAL MBE'S AMOUNT: $ l, l.O I ,1 5~7. = ~~.~_%

TOTAL WBE's AMOUNT: $.4,:2-3S, 4'48. = iL- 7 _%

TOTALSBE'sAMOUNT: $11660, '2...7a = It;. I % F r ---- Signature of e on Completing Form

TOTAL EBE's AMOUNT: $,_-"0'--__

TOTAL DVBE's AMOUNT: $ __ 0 __ _

____ % 7Mb/drAt Title

05- 23 -2017 Date ____ %

BASE BID AMOUNT: IO, 93 Q. OOO r ,

Robertson ecreation Center (WO. El MUST BE SUBMITTED WITH THE BID 4B

~

In

SUBCONTRACTORS, SUPPLIERS, AND PRIME PARTICIPATION (Continued)

SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED

DOLLAR VALUE OF ~ ~ ~ ~ ~Cl> ~ SUBCONTRACTOR or ::lE en W SUPPLIIER (note if

IS ~llI').v~~ ~~M1W'l & D 2k;~03 b~.u¥J¥;,bl~ 1 ti"~;1 ~ Alh~\" ..... , A ~ . X X X

I-A. ~ ._q(i.~

~~~/I,,~,t.I?I~vor D 2.h1180 ,~J.i"l~~L.~..-_/ ,({h,.j X Ii ,(')d'M~ ~. ~Z3esJ 4hJ7n'c:,.i-u-'" s?nf~ ~ RA..(~cr.2J1f.. /JfA..L "I e j;;,yJ,h,,/c ~

l ~d~~CA.(n;" C~ . ?1J7Z,l,. 'M~'\~ t TheiL.

)(

VIO - :17"'; " v~ I~

(DUPLICATE AS NEEDED)

I

Robertson ecreation Center (W.O. El MUST BE SUBMITTED WITH THE BID

add/deduct item)

Base: $~hf'. ~) Add's: $ I

Oed's: $ __

Base: $ll3gSJ""O Add's: $ ,

Oed's: $' ___ 1

Base: $ ___ 1

Add's: $ ___ 1

Oed's: $ __ 1

Base:$_S'i Q/St8 ~dd's : $ ___ 1

Oed's: $' ___ 1

~ase: $ __ Add's: $ ___ 1

Oed's: $ ___ 1

Base: OLJ I ~3 ~~ 6S Add's: $ / Oed's: t' II / II _.> .,

X Base: $~SdJ ~dd's : $ ___ 1

Ded's: $' ___ 1

X Base: $ /£ .'n:A -~dd's: $ ___ 1

Oed's: $ ___ 1

4C


SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED

DOLLAR VALUE OF ~ ~ ~ ~ ~ ~ SUBCONTRACTOR or ::::E :5: <n UJ C) 0 SUPPLlIER (nole if

,,4FT1'11.U t'e nc.. ~11-~ )gj 0 It:lg /.J" oShA ~ ...... -v~"' ~ ~ rJ'" J ·ht:---; i', J''-':S ~ Q/ ~ ~J

I/R/; : R.iJ-4~3~ '

..

Robertson ecreation Center (W.O. E1

;1: ~\l1J': ~.:~:!"_.

'!


MUST BE SUBMITTED WITH THE BID

add/deduct item)

IX Base: $19"7 i P Add's: $ ,

Oed's: $' ___ 1

Base: $290 1'J1~ Add's: $ ,

Ded's: $' ___ 1

Base: $ 3.:>GV "-Add's: $' ___ 1

Oed's: $' ___ 1

Base: $ ~0k0~ IAdd's: $. __ _ Oed's: $' ___ 1

~-Base: $ . 17 .)

~_) ~dd's: $' ___ 1

I'- Oed's: $ ___ 1

170 /00C .:.- .. , Base: $;~Mtl-~dd's: $ ~ Oed's: $' ___ 1

-:"'-"---~

1../ Base: $lf7 0, 0 t?O V\ ~dd's: $ __ _

Oed's: $' ___ 1

4C


SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES w DOLLAR VALUE OF NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED w w w UJ <Xl ~ SUBCONTRACTOR or <Xl co co co 5 :::;: ~ en w 0 SUPPLlIER (note if

add/deduct item)

~h"i~~ 7b/A~/..'- ~. IA O .f92Sh; IhA.I(~L2.. E/ 1#1, ' .. /t , Base: $ 2f(~ Q~ 0-' l~/.AJ ('" L~w~j. / ,5;, ~

I-. A 0 /\ ~~ .A/i/~ ' ~i' X ~ Add's: $ I

d .,." .h~..."., f1 4j 12b I, ' , - ~/

Oed's: $ 1 7:.u~~ a-~ (-: /l~

.~

1Z t J ~u.'"{ ~~c...'1'1 ~Qtj 0 K~"'t. V ... c.. ... R ... e(.'7 X f. Base: $3 Sgt \ R~ H 6 ,£1 y1~n"f'eNS ~Lf~ Yfb'rA l. tt ~~E;el>1' , 6~f; \Z.cM~ ~e.cI,.(.""fI~S

Add's: $ Tl,,,~~ C Ift(l.E: ~'"'~.,. .. ,~, V,.c. ~--I Oed's: $ CA Q7.708 (,t~4 r17 ... 6~· :2..

~" ~',.. ." ~ I'M. 1i G ht:.rrrlJr I, ~ 0 -UJ-I ALL\.E:a...a.,-rt,eJ:;.( U~ L '\ li L .t

Base: $-; ~~ Y"Lyt Av';/ \. iA l~ .,,- .'\. 'Sc,r; I

Ad~;t \l1~~MwIO C 1\ lZ3 l ~IN V~A&~ 4- L r-~ l 1\ L 1- ~ r-- r-- Oed' . $

qf)f4. 't'}'D '- - 'V'1 0 6 ." C~ALA~ / L'--. / --V~~P ~~c,.. ~ 0 ~ 1'CE:tS,..Tt. s.~ rx Base: $ , 71/ 12 6 V. (). 150" 'Z..~T1 1-:&.,,,_"17,, ... .( ~

3\7 ~dd's: $ f'Ju-rltt-'t-\ () C A. q, 7 ~ I Oed's: $ qoq- M"3 - 3656

.' .... . r

I ~'ST"I"""'I 'gflC7'1"'ffeiC:' ~ D/ I~ !-lvA C / "~ - I~ 17

K-~ .... ,. I ' ,.. / L :-i I-- ~ " IAdd's:$ / ~"VII I e" s,Lf 7 ,I'

"'~ IIILfO ~~"1'C"". \ {..~ ~ IS:- '" / Oed's:$ /

Ktt.~ Lot.A-.. . CI~ ~W '151- 61-'2:t't7 ~ """"

/'

AM &u..-z. I 1-1 (r {o'> .eJ l .o ~ /tl-uM 'I--(VI'I ~rz€~/'zD&'1

f Base: $'31'5 • '-I 50 \7103 j,...",~u. A. ~1iZ'A.I(,.. IAhuI'2)w5 iJ~ !Add's: $ I 1 ('~\"t'OC; (/It Q()701 75,Q . ~1!5L vf..,n~" 5 Oed's: $

~"t.~ - tgg - Lf~~ 187 ':". ~~l"'-.

. A-' 'E:L~c..11'l'1. tz) 0 Af.;L. £t-Ec.,. "1 CA l "I Base: $ 7q~-(Jb 0 '-t2DLf S. 5.;:O ..... L\J~ 15. v'· 7/l-f ~ \.JrJ rz.k. (-'LV.,'"? (-,,-v (A QS1

Add's: $ Oed's: $

)10- ZoLf -~O77 .:;: :::a

- A,. .. f" ... ..., !'IE<II";'"hCA/ 0, "1l\I 0 ~ Ik AA ~ ~ lohz" If 1\ If~'~ ~ '5 i"ito Eo" L..I V' .. ~ .. " "2.ot!. / \N" /- \ II ~d~J "' - AN~\..~It'1 fh '\ I' / \ I"'V Oed's: $

7 4- l.l'6...~h 5"16 ~v " / " ~ (DUPLICATE AS NEEDED)

Robertson ecreation Center (WO. E1 MUST BE SUBMITTED WITH THE BID 4C


SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES LU DOLLAR VALUE OF

NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED w w LU w en LU SUBCONTRACTOR or en ~ en <Xl > en ::;: (/J w 0 0 SUPPLlIER (note if add/deduct item)

I C~mS,'A'" ~TH~~ jl 0 4qq H"_\l_"-C Base: $ 3f)Z I 9 ~ HI t7 Jo,. Lot.ll"'- r I-t ,

r

e,t; f - '56, -ZZL(7 t;47 Add's: $

Oed's: $

I

0 0 Base: $ Add's: $

Oed's: $

~-- ~_:-.. ~:IJ

0 0 Base: $ Add's: $ Oed's: $

0 0 Base: $ Add's: $ Ded's: $

-.:;

0 0 Base: $ ~dd's: $ iDed's: $

0 0 Base: $

f4.dd's: $ Oed's: $

,~;~

D 0 Base: $

Add's: $ Oed's: $

D 0 Base: $

~dd's: $ Oed's: $


Robertson ecreation Center (W.O. El MUST BE SUBMITTED WITH THE BID 4C


SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES w DOLLAR VALUE OF NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED w w w w w SUBCONTRACTOR or co co co co !Xl !Xl

~ ~ (f) w 5 0 SUPPLlIER (note if add/deduct item)

0 0 Base: $

Add's: $

Oed's: $

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0 D Base: $ Add's: $ Oed's: $

0 0 Base: $

~dd's: $ Oed's: $


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Robertson ecreation Center (W.O. E1 MUST BE SUBMITTED WITH THE BID 4C


SUBCONTRACTORS OR SUPPLIERS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES w DOLLAR VALUE OF NAME, ADDRESS, TELEPHONE NO. LICENSE NO. TO BE PROVIDED w w w w w

(Xl (Xl (Xl (Xl (Xl (Xl SUBCONTRACTOR or

~ 3: (/) w > 0 D SUPPLlIER (note if add/deduct item)

0 0 Base: $

Add's: $

Oed's: $

'-"


"

0 0 Base: $

Add's: $ Oed's: $

0 0 Base: $

Add's: $ Oed's: $

. ~ ~

0 0 Base: $

Add's: $ Oed's: $

0 0 Base: $

!Add's: $ Oed's: $

:':. -~; . ~.,' 'L

0 0 Base: $ ~dd's : $

Ded's: $

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0 0 Base: $ !Add's: $ Ded's: $


Robertson ecreation Center (W.O. E1 MUST BE SUBMITTED WITH THE BID 4C

Or eJ. f S'J.., · 2017-05-31 · subcontractors, suppliers, and prime participation (continued)...

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