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Local Assistance Procedures Manual Exhibit 10-01 <br />Consultant Proposal DBE Commitment <br />EXHOIT 10-01 CONSULTANT PRoPosAL DBE CvMM1TMENT <br />1. Local Agency: City of Santa Ana <br />3. Project Description: On Call Right of Way Services <br />4. Project Location: City of Santa Ana, California <br />5. Consultant's Name: Hodges Lacey & Associates LLC <br />2. Contract DBE Goal: 8% <br />6. Prime Certified DBE: <br />7. Description of Work, Service, a Materials <br />Supplied <br />8. DBE <br />Certification <br />Number <br />9, DBE Contact Information <br />10. DBE % <br />Fixtures & Equipment Appraisals <br />N/A <br />NIA <br />000 <br />Local Agency to Complete this Section <br />11. TOTAL CLAIMED DBE PARTICIPATIDPARTICIPATION4.Otii <br />Ioo <br />17. Local Agency Contract Number. <br />18. Federal -Aid Project Number: <br />113. Proposed Contract Execution Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />20. Consultant's Ranking after Evaluation: <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form is complete and accurate. <br />regardless of tier. W Kitten confirmation of each listed DBE is <br />required. <br />- � 12/20/2021 <br />12. Preparer's Signature 13. Date <br />Richard Hodges 310-528-0608 <br />14. Preparers Name 15. Phone <br />Partner <br />16. Preparer's Title <br />DISTRIBUTION: original — Included with consultant's proposal to local agency. <br />ADA Notice: For individuals with sensory disabilities, this 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 />LPP 18-01 <br />Page 1 of 2 <br />January 2019 <br />City Council 28 — 320 5/17/2022 <br />