West Basin Municipal Water District Broker/Dealer Questionnaire
Section I Firm Information
1. Name of Firm: 2. Address: 3. Telephone No:
4. Primary Representative: Name: Title: Phone Number:
5. Manager/Partner in Charge: Name: Title: Phone Number:
6. Are you a primary dealer in U.S. Government Securities? ( ) Yes ( ) No (a) If yes, how long?
7. Are you a broker instead of a dealer? ( ) Yes ( ) No (i.e., you do not own securities)
8. Which of the following instruments are offered regularly by your trading desk? ( ) T-Bills / Treasury Notes ( ) High Grade Municipal Securities ( ) Federal Agencies ( ) Commercial Paper (A1/ P1) ( ) Negotiable CD’s ( ) Corporates (Min A Rating; <5 yrs) ( ) BA’s (domestic) ( ) other
Which of the above instruments does your firm specialize in marketing?
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9. Identify the personnel who will be trading with or quoting securities to our government’s employees:
_____Person 1 _____ Person 2
Name Title Phone Number Years in Institutional Sales Registered with: SEC, State of CA, &/or FINRA If so, what Licenses obtained
Section II Questionnaire
1. Have you ever been disciplined by any government regulator for unethical or improper conduct or been sued by a client who was not happy with the work you did? Explain.
______
______
2. What percentage of your transactions failed in the past year?
3. Describe the precautions taken by your firm to protect the interests of the public when dealing with public-sector clients.
4. Please explain your normal delivery process.
Who audits these fiduciary systems?
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5. Describe the capital line and trading limits that support/limit the office that would conduct business with our District.
6. Please indicate which regulatory agencies that your firm is examined by and/or subject to its rules and regulations.
7. (a) Has your firm consistently complied with the Security Exchange Commission’s or the Federal Reserve Bank’s capital adequacy guidelines? ( ) Yes ( ) No (b) As of this date, does your firm comply with the guidelines? ( ) Yes ( ) No (c) Has your capital position ever fallen short? ( ) Yes ( ) No (d) By what factor (1.5x, 2x, etc.) does your firm presently exceed the capital adequacy guidelines? (e) Include certified documentation of your capital adequacy as measured by the Federal Reserve standards. If no, please explain why.
8. Do you (and your clearing firm) participate in the SIPC Insurance Program? ( ) Yes ( ) No
9. What training would you provide to our employees and investment officers?
10. What portfolio information do you require from your clients?
11. What reports, transactions, confirmations and paper trail will we receive?
12. What is your preferred method and frequency of communication?
______Broker-Dealer Questionnaire January 2007 Page 4 of 5 13. What sort of technical market perspective do you propose to bring to a relationship with the District?
15. What differentiates your firm from other Broker/Dealers?
______
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16. Please identify 3 of your most directly comparable public sector clients in our geographical area. Entity Contact Person Phone Number Client Since
Section III Client Information
1. Please provide general information about your firm (date founded, numbers of employees, and total assets).
2. Please provide certified financial statements and other indicators identifying the net capitalization of your firm.
3. Please include samples of research reports that your firm regularly provides to public- sector clients. Is there is fee for these services?
Section IV Certification
I hereby certify that the above is true and correct to the best of my knowledge, and that I am authorized to execute this information on behalf of:
Name of Firm: By: Title: Date:
Please return this form to: Broker-Dealer Questionnaire January 2007 Page 5 of 5 Ms. Margaret Moggia, CPA Chief Financial Officer West Basin Municipal Water District 17140 S. Avalon Blvd., Suite 210 Carson, CA 90746-1296
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