Common use of LOCAL BUSINESS PREFERENCE PROGRAM Clause in Contracts

LOCAL BUSINESS PREFERENCE PROGRAM. Please indicate the Local Business Enterprise status of your company. Only one box must be checked: □LBE □Non-LBE □ A Local Business Enterprise (LBE) is: (a) a business headquartered within Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties; or (b) a business that has at least 50 full-time employees, or 25 full-time employees for specialty marine contracting firms, working in Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties. □ A Non-LBE is any business that does not meet the definition of a LBE Signature Title Printed Name Date Signed NOTARY On this day of 20 , before me appeared to me personally known, who being duly sworn, did execute the Name foregoing affidavit, and did state that he/she was properly authorized by Name of Xxxx to execute the affidavit and did so as his or he free act and deed. SEAL Notary Public Commission Expires Contractor Description Form PRIME CONTRACTOR Business Name: XXXXXXX XXXXXXXXX XXXXX & CO., L.L.C. Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: 000 Xxxx Xxxxxx, 00xx Xxxxx, Xxx Xxxx, XX 00000 Telephone: (000) 000-0000 FAX: (000) 000-0000 Contact Person/Title: Xxxx Xxxxx Email Address: xxxxxx@xxxxx.xxx Business Name: RBC CAPITAL MARKETS Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE X (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: Three World Financial Center, 000 Xxxxx Xxxxxx, New York, NY 10281 Telephone: (000) 000-0000 FAX: Contact Person/Title: Xxxxxxx Xxxxxx Email Address: xxxxxxx.xxxxxx@xxxxx.xxx SUBCONTRACTOR Business Name: NONE Award Total: $ Services to be provided: Owner’s Ethnicity: Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $

Appears in 1 contract

Samples: Bond Purchase Agreement

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LOCAL BUSINESS PREFERENCE PROGRAM. Please indicate the Local Business Enterprise status of your company. Only one box must be checked: □LBE □Non-LBE □ A Local Business Enterprise (LBE) is: (a) a business headquartered within Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties; or (b) a business that has at least 50 full-time employees, or 25 full-time employees for specialty marine contracting firms, working in Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties. A Non-LBE is any business that does not meet the definition of a LBE Signature Title Printed Name Date Signed NOTARY On this day of 20 , before me appeared to me personally known, who being duly sworn, did execute the Name foregoing affidavit, and did state that he/she was properly authorized by Name of Xxxx Firm to execute the affidavit and did so as his or he free act and deed. SEAL Notary Public Commission Expires Contractor Description Form PRIME CONTRACTOR Business Name: XXXXXXX XXXXXXXXX XXXXX & CO., L.L.C. Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: 000 Xxxx Xxxxxx, 00xx Xxxxx, Xxx Xxxx, XX 00000 Telephone: (000) 000-0000 FAX: (000) 000-0000 Contact Person/Title: Xxxx Xxxxx Email Address: xxxxxx@xxxxx.xxx Business Name: RBC CAPITAL MARKETS MARKETS, LLC Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE X (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: Three World Financial Center, 000 Xxxxx Xxxxxx, New York, NY 10281 Telephone: (000) 000-0000 FAX: Contact Person/Title: Xxxxxxx Xxxxxx Email Address: xxxxxxx.xxxxxx@xxxxx.xxx Business Name: CITIGROUP GLOBAL MARKETS INC. Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE X (Circle all that apply) Local Business Enterprise: YES Address: No X (Check only one) Telephone: Contact Person/Title: Email Address: FAX: Business Name: RLOOP CAPITAL MARKETS LLC Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE X (Circle all that apply) Local Business Enterprise: YES Address: No X (Check only one) Telephone: Contact Person/Title: Email Address: SUBCONTRACTOR FAX: Business Name: NONE Award Total: $ Services to be provided: Owner’s Ethnicity: Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $

Appears in 1 contract

Samples: Bond Purchase Agreement

LOCAL BUSINESS PREFERENCE PROGRAM. Please indicate the Local Business Enterprise status of your company. Only one box must be checked: LBE Non-LBE A Local Business Enterprise (LBE) is: (a) a business headquartered within Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties; or (b) a business that has at least 50 full-time employees, or 25 full-time employees for specialty marine contracting firms, working in Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties. A Non-LBE is any business that does not meet the definition of a LBE Signature Title Printed Name Date Signed NOTARY On this day of 20 , before me appeared to me personally known, who being duly sworn, did Name execute the Name foregoing affidavit, and did state that he/she was properly authorized by Name of Xxxx to execute the affidavit and did so as his or he Name of Firm her free act and deed. SEAL Notary Public Commission Expires Contractor Description Form PRIME CONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: XXXXXXX XXXXXXXXX XXXXX & CO., L.L.C. Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: 000 Xxxx Xxxxxx, 00xx Xxxxx, Xxx Xxxx, XX 00000 Telephone: (000) 000-0000 FAX: (000) 000-0000 Contact Person/Title: Xxxx Xxxxx Email Address: xxxxxx@xxxxx.xxx Business Name: RBC CAPITAL MARKETS Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE X (Circle all that apply) Local Business Enterprise: YES No X (Check only one) Address: Three World Financial Center, 000 Xxxxx Xxxxxx, New York, NY 10281 Telephone: (000) 000-0000 FAX: Contact Person/Title: Xxxxxxx Xxxxxx Email Address: xxxxxxx.xxxxxx@xxxxx.xxx SUBCONTRACTOR Business Name: NONE Award Total: $ Services to be provided: Owner’s Ethnicity: Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $$ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: SUBCONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: SUBCONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: SUBCONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: SUBCONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: SUBCONTRACTOR Contract #: Award Date: Contract Term: Contract Title: Business Name: Award Total: $ Owner’s Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $ Address: City/State/Zip: Telephone: ( ) FAX: ( ) Contact Person/Title: Email Address: Transmittal 2 EXHIBIT C BUSINESS TAX REGISTRATION CERTIFICATE (“BTRC”) NUMBER The City of Los Angeles Office of Finance requires all firms that engage in any business activity within the City of Los Angeles to pay City business taxes. Each firm or individual (other than a municipal employee) is required to obtain the necessary Business Tax Registration Certification (BTRC) and pay business tax. (Los Angeles Municipal Code Section 21.09 et seq.) All firms and individuals that do business with the City of Los Angeles will be required to provide a BTRC number or an exemption number as proof of compliance with Los Angeles City business tax requirements in order to receive payment for goods or services. Beginning October 14, 1987, payments for goods or services will be withheld unless proof of tax compliance is provided to the City. The Tax and Permit Division of Los Angeles Office of Finance has the sole authority to determine whether a firm is covered by business tax requirements. Those firms not required to pay will be given an exemption number. If you do NOT have a BTRC number contact the Tax and Permit Division at the office listed below, or log on to xxx.xxxxxx.xxx/xxxxxxx to download the business tax registration application. Main Office LA City Hall 000 Xxxxx Xxxx Xxxxxx, Xxxx 000 (213) 473-5901 Transmittal 2 EXHIBIT D CEC FORM 56 [See Attached] Transmittal 2 EXHIBIT F

Appears in 1 contract

Samples: Dealer Agreement

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LOCAL BUSINESS PREFERENCE PROGRAM. Please indicate the Local Business Enterprise status of your company. Only one box must be checked: □LBE □Non0LBE DNon-LBE A Local Business Enterprise (LBE) is: (a) a business headquartered within Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties; or (b) a business that has at least 50 full-time employees, or 25 full-time employees for specialty marine contracting firms, working in In Los Angeles, Orange, Riverside, San Bernardino, or Ventura Counties. □ , "Headquartered" shall mean that the business physically conducts and manages all of Its operations from a location In the above-named counties ■ A Non-LBE is any business that does not meet the definition of a LBE Signature Title LBE, Signature: Printed Name Name: -X. $tM-rr t\ Title: Date Signed NOTARY On this day of 20 , before me appeared to me personally known, who being duly sworn, did execute the Name foregoing affidavit, and did state that he/she was properly authorized by Name of Xxxx to execute the affidavit and did so as his or he free act and deedSigned:. SEAL Notary Public Commission Expires Contractor Description Form 3m.IAS C X)i fg g PRIME CONTRACTOR CONSULTANT: Contract Title: Business Name: XXXXXXX XXXXXXXXX XXXXX & CO., L.L.C. au Award Total: $. Consultant Description Form LL.r LABAVN ID#: T Owner’s 's Ethnicity: _ Gender Group: SBE VSBE MBE WBE DVBE OBE (Sfltb/Clrcle all that apply) Local Business Enterprise: YES. NO (Check only one) Primary NAICS Code: 5~7 t 1 O Average Three Year Gross Revenue: $ lO y>,1 Address: 77? s, ra>*\ Clty/State/ZIp: Lr County: Qrta£Af.i>. A~ qooi 7 Telephone: (2-13 ) kl2 Contact Person/Title: f- FAX: ,m\ uz-im Email Address: lO/UrM^ tJjjfrSAMlk). CX>AV SUBCONSULTANT: Business Name: Award Total: (% or $): Services to be provided: Owner's Ethnicity: Gender LABAVN ID#: Group: SBE VSBE MBE WBE DVBE QBE (Circle all that apply) Local Business Enterprise: YES No X YES. Primary NAICS Code: Address: Clty/State/ZIp: County: NO (Check only one) AddressAverage Three Year Gross Revenue: 000 Xxxx Xxxxxx, 00xx Xxxxx, Xxx Xxxx, XX 00000 $. _ Telephone: (000( ) 000-0000 FAX: (000( ) 000-0000 Contact Person/Title: Xxxx Xxxxx Email Address: xxxxxx@xxxxx.xxx SUBCONSULTANT: Business Name: RBC CAPITAL MARKETS Award Total: (% or $): Services to be provided: Owner’s 's Ethnicity: _ Gender LABAVN ID#: Group: SBE VSBE MBE WBE DVBE OBE X QBE (Circle all that apply) Local Business Enterprise: YES No X YES, Primary NAICS Code: Address: Clty/State/ZIp: County: _ Telephone: ( Contact Person/Title: Email address: NO (Check only one) Address: Three World Financial Center, 000 Xxxxx Xxxxxx, New York, NY 10281 Telephone: (000) 000-0000 FAX: Contact Person/Title: Xxxxxxx Xxxxxx Email Address: xxxxxxx.xxxxxx@xxxxx.xxx SUBCONTRACTOR Business Name: NONE Award Total: $ Services to be provided: Owner’s Ethnicity: Gender Group: SBE VSBE MBE WBE DVBE OBE (Circle all that apply) Local Business Enterprise: YES No (Check only one) Primary NAICS Code: Average Three Year Gross Revenue: $$ FAX: ( )

Appears in 1 contract

Samples: Agreement

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