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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 16-B — SUBCONTRACTING REQUEST <br />Local Assistance Procedures Manual <br />Exhibit 16-8 <br />WNIRACIORNAME <br />COUNTY <br />ROUTE <br />All American Asphalt <br />Riverside <br />BUSINESS ADDRESS <br />400 East Sixth Street <br />CONTRACr NUMBER <br />Cr1YANDSTATE Corona <br />ZIPCODE 92879 <br />FEDERAL -AID PROJECT' NUM BF.R <br />HSIPL-5063 180 <br />A SUBNNTRACIOR <br />B. BIDITExt <br />C. PERCFMAOEOF <br />D. SUB LITED <br />E.CERTMED <br />F. DESCRIBE WORK <br />C. DOLLAR AMOUNT <br />(Name• B.St. Addn Plwn) <br />NUMBER(S) <br />BIDITEM <br />AT BEDTIME <br />DBE <br />WHEN LESS THAN <br />BASE➢ON THE BED <br />SUBCONTRACTED <br />100%OF WORK 5 <br />Amou.\T <br />SUBCONTRACTED <br />-f- <br />Yes No <br />Yes No <br />p� 1 <br />to <br />log i• <br />❑ <br />❑ 9 <br />1.�1 'MIS ^s'J"` <br />}�lyI, 14•t <br />Yes No <br />Yes No <br />VE-1 <br />El El <br />Yes No <br />Yes No <br />❑ ❑ <br />❑ ❑ <br />Yes No <br />Yes No <br />❑ ❑ <br />❑ ❑ <br />Yes No <br />Yes No <br />❑ ❑ <br />❑ ❑ <br />Yes No <br />Yes No <br />❑ ❑ <br />❑ ❑ <br />1 certify that: <br />• The Standard Provisions for labor set forth in the contract apply to the subcontracted work. <br />• If applicable, Form FHWA-1273 of the Special Provisions has been inserted in the subcontracts and should be <br />incorporated in any lower -tier subcontract. Written contracts have been executed for the above noted subcontracted <br />work. <br />Contractor Signature I-, I Date <br />Edward J. Carlson, Vice President <br />This section is to be completed by the resident engineer. —r <br />1. Total of bid items $ 1 , 669 <br />2. Contractor must perform with own forces (line 1 X contract req. %) 5 I L <br />o '1 J <br />04 r� I • ci n <br />3. Bid items previously subcontracted (taken from previously approved 16-B) S A ` k <br />4. Bid items subcontracted (this request) $ <br />n � -TL <br />14 1-3(��-' •-y� {y <br />5. Total bid items subcontracted Oine 3 plus 4) / s 2J Jt 1L40 13 <br />6. Balance of work contractor to perform (line 1 minus 5) 5 !; SZ 1 1 11SZ <br />f:a tr _ut <br />Copy Distributim: OrighW-Contractor Copy- Resident Fiiguteet Copy. OBEO- snmllbwimssadvwate®dont casov or fax to (916) 324-1949 <br />Page 1 of 2 <br />January2018 <br />P-35 of P-40 <br />20D-81 <br />