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CITY OF SANTA ANA <br />PROPOSAL, <br />PROJECT NO.: 17-6875 <br />CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES <br />FEDERAL PROJECT NO: HSIPL 5063(188) <br />Local Assistance Procedures Manual <br />Exhibit 16-B <br />Subcontracting Request <br />INSTRUCTIONS FOR COMPLETING SUBCONTRACTING REQUEST FORM <br />All first -tier subcontractors must be Included on a subcontractor request, <br />Before subcontracting work starts, the contractor will submit an original CEM 1201 for approval according to the <br />Standard Specifications. After approval, the RE returns the original to the contractor and complete the remaining <br />distribution as listed on the bottom of the form. <br />D. If subcontractor was listed at bid time per the Fair Practices Act, check yes, otherwise check no. <br />E. If subcontractor is, a certified DBE contractor, check yes, otherwise check no. <br />F and G. When a portion of an item is subcontracted, describe the portion and show the percentage of the bid item <br />and value. <br />G. When an entire item is subcontracted, show the full bid item value: <br />THIS FORM IS NOT TO BE USED FOR SUBSTITUTIONS OF SUBCONTRACTORS AND UDBE, DVBE OR <br />SMALL BUSINESS ENTITIES. <br />Page 2 of 2 <br />July 2018 <br />P-34 ofP-38 <br />