Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6897 <br />FLOWER STREET BIKEWAY <br />FEDERAL PROJECT NO: HSIPL 5063 (187) <br />EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 25% <br />Installation of bikeway and traffic signal modifications on Edinger Avenue at Flower Street and Mcfadden Avenue at Flower <br />3. Project Description: Street <br />4. Project Location: Flower Street <br />5. Bidder's Name: Eleenor Belco <br />8. Total Dollar Amount for ALL Subcontractors: <br />Inc. 6. Prime Certified DBE: ❑ 7. Bid Amount: $711, 682. 00 <br />$208, 077. 00 9. Total Number of ALL Subcontractors: 3 <br />10. Bid <br />Item <br />Number <br />11. Description of Work, Service, or Materials <br />Supplied <br />12. DBE <br />Certification <br />Number <br />13. DBE Contact Information <br />(Must be certified on the date bids are opened) <br />14. DBE <br />Dollar <br />Amount <br />Furnish Traffic Signal Poles and <br />40540 <br />TEK Services LLC <br />Various <br />Equipment <br />4749 E. Wesley Dr. <br />178,992.60 <br />Anaheim, CA 92807 <br />60% of $298,321.00 <br />Local Agency to Complete this Section <br />21. Local Agency Contract Number: <br />178, 992.60 <br />22. Federal -Aid Project Number: HSIPL 5063 (187) <br />15. TOTAL CLAIMED DBE PARTICIPATION <br />25.1 <br />23. Bid Opening Date: <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 <br />on <br />"Subcontractor List" submitted with your bid. Written confirmation of <br />this form is complete and accurate. <br />each listed DBE is required. <br />5/28/2020 <br />26. Local Agency Representative's Signature 27. Date <br />16. Preparer's Signature 17. Date <br />John w0tiv 909-993-5470 <br />28. Local Agency Representative's Name 29. Phone <br />18. Preparer's Name 19. Phone <br />30. Local Agency Representative's Title <br />Vice President <br />20. Preparer's Title <br />DISTRIBUTION: 1. Original - Local Agency <br />2. Copy- Caltrans 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 alternate formats. For information call (916) 654- <br />6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />