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EXHIBIT 12 (cont.) 4. Efforts made to assist W/MBE in obtaining bonding, lines of credit or insurance, and any technical assistance related to the plans, specifications and requirements for the work which was provided to W/MBE: assistAll American Asphalt makes eyeQj effort to Section 3. W/MBE subcontractors and supploiers with the plans and specs for the project that we are bidding. Plans and Specs are available free of charge to the interested subcontractors. 5. Any additional data to support a demonstration of good faith effort, such as contracts with W/MBE assistance agencies: All Amermcan A-Phalt arfyprfips ;all opportunities On advance and this allows potential :� subcontractors to visit our office and view plans andspecs. We also send the plans and S ecs di itall . ease see a ace a ve ismen s an letters o e unions an u con roc os. I declare under penalty of perjury that the foregoing information is true and correct to the best of my knowledge. I understand that the City of Santa Ana and/or the U.S. Department of Housing and Urban Development may verify the information provided herein in connection with W/MBE compliance evaluation/audit activities and that failure to fully and truthfully complete this form may result in economic or other sanctions. Signature; l : �- Name: Edward J. Carlson Title: Vice President Date: 0 T-s III 0 L n Name of Contractor/Subcontractor: All American Asphalt Contractor/Subcontractor Identification Federal Tax ID# 95-2595043 Number: California State ID# 202-055-5 Address (Street, City, State, Zip): 400 E Sixth Street Corona CA, 92879 Business Raciat/Ethuic/Gender Code: Circle the numeric code which indicates the racial/ethnic/gender character of the owner(s) and controller(s) of 5 1 % of the business. When 51% or more is not owned and controlled by any single racial/ethnicity/gender category, circle the code which seems most appropriate. CD= White Americans 2 = Black Americans 3 = Native Americans Woman Owned Business: Circle One: Yes k or 4 = Hispanic Americans 5 = Asian/Pacific Americans 6 = Hasidic Jews F.\DOCSPROPSVCSHUOFORMSWBU5BO4AMB-SectlonMB .00C 23A-62