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Local Assistance Procedures Manuel Exhibit 10-02 <br />Consultant Contract DBE Commitment <br />EXHIBIT 10-02 CONSULTANT CONTRACT DBE COMbIITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 0.40% <br />3. Project Description: Santa Ana Regional Transportatlon Center- New Bike Station <br />4. Project Location: Santa Ana, California <br />5. Consultant's Name: Gensler <br />6. Prime Certified DBE: ❑ 7, Total Contract Award Amount: 144,923.61 <br />8. Total Dollar Amount for L6L1 Subconsultants: $71,443.61 9. Total Number ofLLLL Subconsultants: 2 <br />10. Description of Work, Service, or Materials <br />Supplied <br />. <br />11. DBE <br />Certification <br />Number <br />12. DBE Contact Information <br />13. DBE <br />Dollar <br />Amount <br />PBS Engineers, Inc <br />Mechanical, Electrical, Plumbing C7 <br />36091 <br />Angela De La Rosa, City of LA <br />(213) 847-2650 - <br />$29 707.0( <br />4 ,.,` t.''4ecslA�arfGyltc,o`pmpl�te3hys�SaGtl�nli' <br />rr y 'n`v�. <br />$29,707 <br />20. Local Agency Contract <br />Nnrnher <br />21. Federal -Aid Project Number. <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />22. ContractExecuttoo <br />4.8% <br />net.- <br />IMPORTANT: Identify oil DBE firms being claimed for credit, <br />regardless of tier. Written confirmation of each listed DBE is <br />Local Agency cerdfies that all DBE cartlFlcatlons are valid and information on <br />this form is complete and accurate. - <br />required. <br />�= 1� 06/20/2018 <br />23. Local Agency Reprosentative's Signature 24. Date <br />K P repofer's Signature 16. Date <br />Kunal Shah, PE 626-650-0350 <br />25. Local Agency Representative's Name 26. Phone - <br />17. Preparer's Name 18. Phone <br />President <br />27. Local Agency Representative's Title <br />19. Preparer's Title <br />DISTRIBUTION: 1. Original— Local Agency <br />2. Copy— Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract <br />execution may result In de -obligation of federal funds on contract <br />ADA Notice: For Individuals with sensarydlsabilitles, this document Is avallable In alternate formats. For Wormallon call (916) 6646410 or TDD (919) 654- <br />3880 orwrile Records and Fortes Management, 1120 N Street, MS -89, Sacramento, CA 95814. <br />Page 1 of 2 <br />July 23, 2015 <br />25N-69 <br />