Laserfiche WebLink
CITY OF SANTA ANA RE -BID <br />PROPOSAL - <br />PROJECT NO.: 17-6876 <br />CROSSWALK UPGRADES PHASE H <br />FEDERAL PROJECT NO: HSIPL 5063(186) <br />LOCAL AGENCY SECTION <br />21. Local Agency Contract Number - Enter the Local Agency contract number or identifier. <br />22. Federal -Aid Project Number - Enter the Federal -Aid Project Number(s). <br />23. Bid Opening Date - Enter the date contract bids were opened. <br />24. Contract Award Date - Enter the date the contract was executed. <br />25. Award Amount —Enter the contract award amount as stated in the executed contract. <br />26. Local Agency Representative's Signature - The person completing this section of the form for the <br />Local Agency must sign their name to certify that the information in this and the Contractor Section of <br />this form is complete and accurate. <br />27. Date - Enter the date the DBE commitment form is signed by the Local Agency Representative. <br />28. Local Agency Representative's Name - Enter the name of the Local Agency Representative <br />certifying the contractor's DBE commitment form. <br />29. Phone - Enter the area code and phone number of the person signing the contractor's DBE <br />commitment form. <br />30. Local Agency Representative Title - Enter the position/title of the Local Agency Representative <br />certifying the contractor's DBE commitment form. <br />P-29 of P-42 RE -BID <br />