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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6906 <br />EDINGER AVE. AND BRISTOL ST. CLASS 11 BICYCLE LANES <br />FEDERAL PROJECT NO: HSIPL 5063(180) <br />EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: <br />3. Project Description: Bristol Street and Edinger Avenue Class II Bike Lanes <br />4. Project Location: On Bristol Street from Sunflower Avenue to Central Avenue. On Edinger Avenue from Bristol Street to Flower Street <br />5. Bidder's Name: All American Asphalt 6. Prime Certified DBE: ❑ 7. Bid Amount: $607,839.66 <br />8. Total Dollar Amount for ALL Subcontractors: $255,728.13 9. Total Number of ALL Subcontractors: 2 <br />10' Bid <br />Item <br />Number <br />11. Description of Work, Service, or Materials <br />Supplied <br />12. DBE <br />Certification <br />Number <br />13. DBE Contact Information <br />(Must be certified on the date bids are opened) <br />14. DBE <br />Dollar <br />Amount <br />14, 14.1. <br />14.2, 19,23 <br />Electrical <br />31277 <br />California Professional Engineering Incl(626) 810-1338 <br />929 Otterbein Avenue, Unit E, La Puente, CA 91748 <br />$65,950.00 <br />Local Agency to Complete this Section upon Execution of Award <br />$ 65,950.00 <br />21. Local Agency Contract Number: <br />22. Federal -Aid Project Number: CML 5063(180) <br />15. TOTAL CLAIMED DBE PARTICIPATION <br />23. Bid Opening Date: October 23, 2019 <br />0.84 <br />24. Contract Award Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />25, Award Amount: <br />regardless of tier. Names of the First Tier USE Subcontractors and <br />Li eir respective items) of work listed above must be consistent, <br />where applicable with the names and items of the work in the <br />Local Agency certifies that all DBE certifications are valid and information an <br />"Subcontractor List" submitted with your bid. Written confirmation of <br />this form is complete and accurate. <br />each listed DBE/is req/uir d <br />26. Local Agency Representative's Signature 27. Date <br />16. Pr 0arer's $' nature 1 .. Date <br />fdw&v,L 5t GG g se, w-00 <br />28. Local Agency Representative's Name 29. Phone <br />18. Preparer's Name 19. Phone <br />30. Local Agency Representative's Title <br />20. 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 />3. Include additional copy with award package. <br />ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 <br />or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />P-26 of P-40 <br />20 D-40 <br />