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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6876 <br />CROSSWALK UPGRADES PHASE II <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: 7% <br />3. Project Description: Installation of RRFB.'YieId' markings, additional striping and skmage <br />RE -BID <br />Pomona Stand Broadway, 10th Stand Rain St, Wigits Stand Diamond St, Pacific Ave and Adams St, Nakoma Dr 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 BMtl and Sycamore St, 3rd St and Sycamore St, Broadway and Borchard Ave, and Russell Ave and <br />4. Project Location: Towner St. <br />5. Biddets Name: EleCnor Belco Electric, Inc. 6. Prime Certified DBE: ❑ <br />8. Total Dollar Amount for ALL Subcontractors: ?74, 485. 00 9, Total Number of _AL_� Subcontractors: <br />7. Bid Amount: $285,295.00 <br />10. Bid <br />Item <br />11. Desuiption of Work, Service, or Materials <br />12. DBE <br />Certification <br />13. DBE Contact Information <br />14. DBE <br />Number <br />Supplied <br />Number <br />(Must be certified on the date bids are opened) <br />Dollar <br />Amount <br />Various <br />Furnish RRFB System <br />40540 <br />TEK Services LLC <br />1609 East McFadden Ave. #D <br />$44,835.00 <br />Santa Ana, CA 92705 <br />(714) 336-0536 <br />60t of $74,725.00 <br />Local Agency toCompletethis Section upon Execution of Award <br />$ 835.00 <br />21. Local Agency Contract Number. <br />22. Federal -Aid Protect Number. HSIPL 5063(186) <br />15. TOTAL CLAIMED DBE PARTICIPATION <br />23. Bid Opening Date: February 12, 2020 <br />15.7 % <br />24. Contract Award Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />25. Award Amount: <br />regardless or tier. Names of the First Tier DBE Subcontractors and <br />their 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 on <br />'Subcontract ist" submitted with your bid. Written confirmation of <br />this form is complete and accurate. <br />eac 'start E is required <br />2/14/2020 <br />26, Local Agency Representative's Signature 27. Date <br />1 , Pr awes Sign ore 17. Date <br />J hn Won 909-993-5470 <br />28. Local Agency Representative's Name 29. Phone <br />1 rtmes Name 19. Phone <br />Vice President <br />30. Local Agency Representative's Title <br />20. Preparees Title <br />DISTRIBUTION: 1. Original - Local Agency <br />2. Copy-Cellrans 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 altemate formats. For information call (916) 654-6410 <br />or TDD (916) 654-3880 orwrile Record& and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />P-27 of P-42 RE -BID <br />