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CITY OF SANTA ANA RE -BID <br />PROPOSAL <br />PROJECT NO.: 17-6876 <br />CROSSWALK UPGRADES PHASE 11 <br />FEDERAL PROJECT NO: HSIPL 5063(186) <br />EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: <br />7"% <br />3. Project Description: Installation of RRFB, "Yield" markings, additional striping and signage- <br />Pomona St and Broadway, 10th St and Roth St, Willits St and Diamond St, Pacific Ave and Adams St, Nakoma or and La Verne <br />Ave, Russell Ave and Sycamore St, French St and 14th St, McFadden Ave and Oak St, Sycamore St and Walnut St, Center St <br />and Lingan Ln, Santa Ana Blvd and Sycamore St, 3rd St and Sycamore St, Broadway and Borchard Ave, and Russell Ave and <br />4. Project Location: Towner St. <br />5. Bidders Name: EleCnor Belco Electric, Inc. 6. Prime Certified OBE: ❑ 7. Bid Amount: <br />$285,295.00 <br />8. Total Dollar Amount for ALL Subcontractors$74 , 485 . 0 0 9. Total Number of ALL Subcontractors: <br />10. Bid <br />Item <br />11. Description of Work, Service, or Materials <br />12. DBE <br />Certification <br />13. DBE Contact Information <br />14. DBE <br />Dollar <br />Number <br />Supplied <br />Number <br />(Must be certified on the date bids are opened) <br />Amount <br />Various <br />Furnish RRFB System <br />40540 <br />'1EK Services LLC <br />1609 East McFadden Ave. #D <br />$44,835.00 <br />Santa Ana, CA 92705 <br />(714) 336-0536 <br />60% of $74,725.00 <br />Local Agency to Complete this Section upon Execution of Award <br />S <br />21. Local Agency Contract Number: <br />44,835.00 <br />16. TOTAL CLAIMED DBE PARTICIPATION <br />22. Federal -Aid Project Number: HSIPL 5063(186) <br />15.7 I <br />23. Bid Opening Date: February 12, 2020 <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 DBE Subcontractors and <br />their respective item(s) 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 on <br />"Subcontract is submitted with your bid. Written confirmation of <br />this form is complete and accurate. <br />eac 'sted is required <br />2/14/2020 <br />26. Local Agency Representative's Signature 27. Date <br />1 . P arers Sign um17. Date <br />J fin Won 909-993-5470 <br />28. Local Agency Representative's Name 29. Phone <br />1 rers Nadi 19. Phone <br />Vice President <br />30. Local Agency Representative's Title <br />20. Preparer's Title <br />DISTRIBUTION: 1, Original -Local Agency <br />2. Copy- Callous District Local Assistance Engineer (OLAE). 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) 654-3980 or write Records and Forms Management, I Ito N Street, MS-a9, Sacramento, CA 95614. <br />P-27 of P-42 RE -BID <br />20A-42 <br />