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Local Assistance Procedures Manual Exhibit 10-02 <br />Consultant Conti -act DBE Commitment <br />EXHIBIT 10-02 CONSIfLTANT CONTRACT DBE C ONIMITMENT <br />1. Local Agency: City of Santa Ana <br />2. Contract DBE Goal: 8% <br />3. Project Description: Right of Way On -Call Bench <br />4. Project Location: City of Santa Ana <br />5. Consultant's Name: MOnUment ROW, Inc. 6. Prime Certified DBE: 5d 7. Total Contract Award Amount: $149,500 <br />S. Total Dollar Amount for "LL Subconsultants: $ 0.00 9. Total Number of ALL Subconsullants: 0 <br />10. Description of Work, Service, or Materials <br />Supplied <br />11. DBE <br />Certification <br />Number <br />12. DBE Contact Information <br />13. DBE <br />Dollar <br />Amount <br />Right of Way Services, including property <br />acquisition and relocation assistance <br />46456 <br />Monument ROW, Inc. <br />200 Spectrum Center, Suite 300 <br />. 149,500.01 <br />nA <br />Local Agency to Complete this Section <br />14, TOTAL CLAIMED DBE PARTICIPATION <br />$149500 <br />20. Local Agency Contract <br />Mumhor <br />21. Federal -Aid Project Number <br />22. Contract Execution <br />nata <br />100.00 % <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form is complete and accurate. <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />f tier. dttegonflaflon of each listed DBE is <br />reO15--epa <br />re <br />23. Local Agency Representative's Signature 24. Dale <br />9/27121 <br />re Signature � 6. —Date <br />25. Local Agency —Representative's Name 26. Phone <br />Amber Costello 562-260-0507 <br />17. Preparer's Name 16. Phone <br />27. Local Agency Representative's Title <br />President <br />19. Preparer's Title <br />DISTRIBUTION: 1. Original — Local Agency <br />2. Copy — Caitrans 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 />ADA Notice: For individuals with sensory disabilities, his document is available In alternate formats For Information call (916)654.6410orTDD(916)654- <br />3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />Page 1 of 2 <br />July 23, 2015 <br />