ELECNOR BELCO ELECTRIC, INC. (2)

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CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS(DBE AND NON -DBE) — PART II PART II The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49, Section 26 of the Code of Federal Regulations. Photocopy this form for additional firms. Local Assistance Procedures Manual Bidder's Exhibit 12-B Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 2 In accordance with Title 49, Section 26 of the Code of Federal Regulations, the Bidder shall list all subcontractor who provided a quote or bid but were not selected to participate as a subcontractor on this project Photocopy this form for additional firms. Federal Project Number: HSiPL-5063(187) Subcontractor Name and Location tine Item description subcontract Amount Percentage of Bid Item Sub- contracted Contractor License Number OBE (y/N) DBE Cert Number Annual Gross Receipts DIN Reg Number Name: ❑ <$i million ❑ <$5 million City, Statc ❑ <$10 million ❑ <$15 million Ageofnrm: _yrs_ Name: ❑ 4$1 million ❑ <$5 milion ty, State: ❑ <510 million ❑ <$15 million Age of Firm: yrs. Name: ❑ <$1 million c$5 million City, State ❑ <510 million ❑ <$15 million Age of Farm: yrs. Name: Cl <$1 million ❑ <$5 million City, state: ❑ Qto million LJ 615 million Age of Finn: yrs. Name: ❑ <$l million ❑ <$5 million CRY, State: ❑ <$to million ❑ <$15 mi Ilion Agenf Firm: yrs. Name: LJ 1 million — <$5 million City, State: ❑ <$IC million 4$i5 million Age of nme yrs. Distribution: 1) Original -Local Agency File 2) Copy-DLAE w/Award Package Page 2 of 2 January 2019 P-44 of P-52