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SECTION D OFFEROR QUESTIONNAIRE AND INFORMATION FORM Offeror MUST complete this form in its entirety. If a question is not applicable, Offeror should state "not applicable". I BUSINESS AND CONTACT INFORMATION Business Name: Address: Contact Name: E-Mail: Number of Years been in Business: City/State/Zip: Phone Web Site: Duns # Federal Tax ID # Fax #: NIGP Code: Is Business a MBE ? or WBE ? Type of Business Entity: Corporation ? LLC ? LP ? LLP ? Other ? In What State & Year Did Business Organize in Current Structure: Is Business or Parent Publicly Traded? Yes ? No ? Full Legal Name of Parent or Holding Company, if any: (Note: if there are several tiers of ownership, attach a corporate organizational chart) Services Provided by Business: I CONTRACT INFORMATION/PERFORMANCE In the past three (3) years, has Business: (a) Been engaged in any litigation? Yes El No ? If yes, attach explanation. (b) Completed all contracts it was awarded? Yes El No ? If no, attach details. (c) Been awarded a bonus for early completion of work? Yes ? No ? If yes, attach details. (d) Defaulted or been in a material breach of a contract? Yes ? No ? If yes, attach details. (e) Been assessed liquidated damages? Yes ? No ? If yes, attach details. (f) Delayed commercial operation beyond contractually required date? Yes ? No ? If yes, attach details. (g) Been the recipient of any Notice of Dispute? Yes ? No ? If yes, attach details. (h) Been responsible for any warranty claims? Yes ? No ? If yes, attach details. The undersigned Offeror declares: (a) that it is has reviewed and agrees to the Terms and Conditions, Scope of Work, and all other documents herein; (b) that the signatory has the authority to bind the Company to this formal legal offer; (c) that through its authorized personnel it has personally examined the location of the proposed work and has determined the amount and character of the proposed work and the supervision, labor, tools, material as identified, and equipment, necessary to complete the same in compliance with the specifications and contract documents (if applicable); (d) that prior to the submission of this proposal, and prior to the award of any contract resulting from this proposal, neither the Offeror, nor any of its subcontractors, nor their agents nor employees have or will: (1) offer or give gratuities to an LCRA employee or affiliate, (2) pay a kickback to obtain favorable treatment in connection with an LCRA contract, (3) "buy-in" to obtain a contract with LCRA, (4) participate in practices which unlawfully eliminate competition or restrain trade such as collusive bidding or negotiating, follow the leader pricing, rotation of low bids, collusive price estimating, or sharing of business with other Offerors, and (5) commit bribery to obtain favorable treatment by LCRA or any affiliates; and (e) that either (1) no delinquent corporate franchise taxes are owed the State of Texas under Chapter 171, Tax Code or (2) the Offeror is not subject to the corporate franchise tax in Texas. SIGNATURE: TITLE: PRINTED NAME: DATE: General Services RFP LR Revised 09/15/08 Contract #TBD Page 8