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Local Assistance Procedures Manual Exhibit 10-02 <br />Consultant Contract DBE Commitment <br />EXHIBIT 10-02 CONSULTANT CONTRACT DBE COMMITMENT <br />1, Local Agency: City of Santa Ana 2. Contract DBE Goal: 0.40 % <br />3, Project Description: Santa Ana Regional Transportation Center - New Bike Station <br />4. Project Location: Santa Ana, California <br />5, Consultant's Name: Gensler 6. Prime Certified USE: R 7. Total Contract Award Amount: 144,923.61 <br />8, Total Dollar Amount for ALL Subconsultants: $71,443.61 9. Total Number of ALL Subconsultants: 2 <br />10. Description of Work, Service, or Materials <br />Supplied <br />11, DBE <br />Certification <br />Number <br />12, USE Contact Information <br />13. USE <br />Dollar <br />Amount <br />PBS Engineers, Inc <br />Mechanical, Electrical, Plumbing p <br />36091 <br />Angela De La Rosa, City of LA <br />(213) 847-2650 <br />$29,707.0C <br />p <br />.,Loci Agency to Complete this <br />Secttari .� <br />$ 29,707 <br />20. Local Agency Contract <br />Nrimh., <br />14. TOTAL CLAIMED USE PARTICIPATION <br />21. Federal -Aid Project Number: <br />22. Contract Execution <br />4.8 % <br />:Hare. <br />Local Agency certifies that all DBE certifications are valid andinformation on <br />this form is complete and accurate. - <br />IMPORTANT: identify all USE firms being claimed for credit, <br />regardless of tier. V*itten confirmation of each listed DBE is <br />required. <br />89 06/2012018 <br />23. Local Agency Representative's Signature 24. Date - <br />16. PrepaWs 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 sensory disabilities, this document is available In alternate formats. For Information bail (916) 654-6410 or Too (910) 654- <br />3880 or wdte Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814, <br />Page I of 2 <br />Judy 23, 2015 <br />