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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 k <br />Installation of bikeway and traffic signal modifications on Edinger Avenue at Flower Street and Mcfaciden Avenue at Flower <br />3. Project Description: Street <br />4. Project Location: Flower Street <br />5. Bidders Name: Fleenor Belco Electric, Inc. 6. Prime Certified DBE: ❑ <br />7. Bid Amount: $711, 682.00 <br />8. Total Dollar Amount for ALL Subcontractors: $203, 037. 00 9, Total Number of ALL Subcontractors: <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 />15. TOTAL CLAIMED DBE PARTICIPATION <br />178,992.60 <br />21. Local Agency Contract Number: ( ) 22. Federal -Aid Project Number: HSIPL 187 5063 <br />23. Bid Opening Date: <br />25.1 % <br />24. Contract Award Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />regardless of tier. Names of the First Tier DBE Subcontractors and <br />25. Award Amount. <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 on <br />'SuWntractort"ed with your bid. Written confirmation of <br />this form is complete and accurate. <br />eac <br />5/28/2020 <br />26. Local Agency Representative's Signature 27. Date <br />16 S na re 17. Date <br />28. Local Agency Representative's Name 29.Phone <br />prearer's <br />hn ne909-99i-5470 <br />18.er's N e113 19. Phone <br />30. Local Agency Representative's Title <br />Vice President <br />20. Preparers Title <br />UIS I RIBU I ION: 1. Original - Local Agency <br />2. Copy- CaBrans 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: Far 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 Fortes Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />P-38 of P-52 <br />