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Local Assistance Procedures Manual <br />Exhibit 10-02 <br />Consultant Contract DBE Commitment <br />EXHIBIT 10-02 CONSULTANT CONTRACT DBE COMMITMENT <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 1 g. Prime Certified DBE: E7 7. Total Contract Award Amount: <br />8, Total Dollar Amount for ALL Subconsultents: 9. Total Number of ALL Su bco ns ultants: <br />2. Contract DBE Goal: 8% <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 />ollar <br />Amount <br />_ 0.0Q <br />r ieS �"�Gf� rrrNut <br />NIA <br />NIA <br />$ 0.00 <br />�fu�,'4 roe;S�Y s <br />LocaI Agency to Complete this Section <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />$0.00 <br />20. Local Agency Contract <br />NI ­ hr <br />21. Federal -Aid Project Number' <br />22, Contract Execution <br />nafP <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form is complete and accurate. <br />IMPORTANT: Identify a1I DBE firms being claimed for credit, <br />regardless of tier. Written confirmation of each listed DBE is <br />required. r <br />12/20/2021 <br />23. Local Agency Representative's Signature 24- Date <br />15. Preparer's Signature 16. Date <br />Richard Hodges 310-528-0608 <br />25. Local Agency Representative's Name 2&- Phone <br />17- Preparers Name 18. Phone <br />Partner <br />27_ Local Agency Representative's Title <br />19, Preparer's Title <br />DISTRIBUTION: 1. Original - Local Agency <br />2. Copy - Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 34 days of contract <br />execution may result in de -obligation of federal funds on contract- <br />ADA Notice: For individuals wth sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 orTD4 (916)654 <br />3880 or write Records and Farms Management, 1120 N Street, MS-89, Sacramento, CA 95914. <br />Page 1 of 2 <br />July 23, 2015 <br />City Council 28 — 321 5/17/2022 <br />