Boards-KonicaC554e-20180510141810...SCHEDULE "A" SUBCONTRACTORS AND SUPPLIERS The Prime Contractor shall perform, with its own organization, Contract work amounting to at least 30

SCHEDULE "A" SUBCONTRACTORS AND SUPPLIERS

The Prime Contractor shall perform, with its own organization, Contract work amounting to at least 30 percent of the Base Bid Price, unless otherwise instructed.

PROJECT TITLE . W.O. No./PRJ No. I NAME OF PERSON COMPLETING THIS FORM Potrero Canyon Park - Grading E1907428 Aaron O'Brien

BIDDER (NAME OF FIRM) ADDRESS I CITY I ST ATE I ZIP CODE Los Angeles Engineering, Inc. 633 N. Barranca Ave, Covina, CA 91723

CONTRACTOR'S LICENSE NO. LICENSE CATEGORIES EXPIRATION DATE YEARS IN TELEPHONE No. 626-454-5222d 591176 A,B,C10,C27 ,HAZ 03/31/2020 BUSINESS 32

FAX No. 626-454-5226

Type of Ownership: 0 Sole Ownership IX] Corporation Is Bidder any of the following as defined in the Business Inclusion Program? 0 Partnership 0 Joint Venture Check all that apply.

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

List~ subcontractors and suppliers who will do work on this project, regardless of the amount of money involved. (Ordinance No. 150,595. Los Anqeles Administrative Code Section 10.14 "Provisions Pertaininq to Listinq of Subcontractors."; Business Inclusion Proqram, Paqe 15 et seq.).

DESCRIPTION OF BASE BID WORK TO BE PROVIDED DIRECTLY BY PRIME DOLLAR VALUE OF BASE BID TO BE PERFORMED BY PRIME BIDDER: BIDDER:

P~KO Tu¥L~ I '2 I '2--\ 01 v 0 C\ .50 8f[1.cl\n c) \U-~ul $

SUBCONTRACTORS SUB SUPPLIER CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES UJ

DOLLAR VALUE OF OR SUPPLIERS LICENSE NO. TO BE PROVIDED UJ UJ UJ UJ cc UJ SUBCONTRACTOR or cc cc cc cc > cc

NAME, ADDRESS, TELEPHONE NO. ~ ~ c.n UJ 0 0 SUPPLllER (note if add/deduct item)

I I I ; I ; I

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(CONTINUED ON NEXT PAGE) PERCENTAGE OF MBE/WBE/SBE/EBE/DVBE PARTICIPATION Total combined dollar value of MBE/WBE/SBE/EBE/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, EBE or DVBE may be included. TOTALMBE'SAMOUNT. S cj = ___ D% TOTAL WBE'sAMOUNT: S lJl0\o 1:::0..: __ ':L ·3% TOTALSBE'sAMOUNT: $ '?=\'.? Q'2-L\ ~: __ 3~a_%

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TOTAL EB E's AMOUNT: S ____ tp....._ = ___ D %

TOTALDVBE'sAMOUNT: s 3£o,l-.\ro-= _ _1...1_% BASE BID AMOUNT: \Y 1 \ ~1 1 \\] • '°~D

Potrero Canyon Park -Grading (WO E1907•28)

Signature of Person Completing Form

Aaron O'Brien, Secretary 05/10/2018

Title Date

MUST BE SUBMITTED WITH THE BID 16

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SCHEDULE "A" (Continued) SUBCONTRACTORS AND SUPPLIERS

CONTRACTOR DESCRIPTION OF WORK OR SUPPLIES LICENSE NO. TO BE PROVIDED

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Documents

Boards-KonicaC554e-20180510141810...SCHEDULE "A" SUBCONTRACTORS AND SUPPLIERS The Prime Contractor shall perform, with its own organization, Contract work amounting to at least 30