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DocuSign Envelope ID: F07E9346-BA22.4923-BD05-AA3CA0439841 <br />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 2. Contract DBE Goal: 8%, $76,000 <br />3. Project Description: On -call Environmental Services <br />4. Project Location: City of Santa Ana <br />5. Consultant's Name: Dudek <br />6. Prime Certified DBE: ❑ 7. Total Contract Award Amount: $950,000 <br />B. Total Dollar Amount for ALL Subconsultanls: $ 85,500.00 <br />9, Total Number of ALL Subconsultanls: 2 <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 />Public Relations, Community Outreach <br />31053 <br />Katherine Padilla & Associates, Inc. <br />$ 28,500.0 <br />Katherine Padilla Otanez, 323.258.5384 <br />kpadilla@katherinepadilla.com <br />Transportation <br />40083 <br />CR Associates (Chen Ryan Associates) <br />$ 57,000.0 <br />Monique Chen, 619.795.6086 <br />mchen@cramobility.com <br />±. Local Agency to Complete this <br />Section <br />$ 85,500 <br />20. Local Agency Contract <br />Number: <br />21. Federal -Aid Project Number: <br />22. Contract Execution <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />9.00 % <br />Date: <br />Local Agency certifies that all DBE certifications are valid and information on <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />His form is complete and accurate. --- - _--- - -- - <br />regardless of tier. Written confirmation of each listed DBE Is <br />required. <br />119123 <br />23. Local Agency Representative's Signature 24. Date <br />_ <br />15. Preparer's Signature 16. Date <br />Jody Barth 760.479.4288 <br />25. Local Agency Representative's Name 26. Phone <br />17. Preparer's Name 18. Phone <br />Accountant <br />27. Local Agency Representative's The <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 30 days of contract <br />execution may result in de -obligation of federal funds on contract. <br />ADA Notioo: For Individuals with sensory disabilities, this document Is available in alternate formals. For information call (916) 654-6410 or TDD (916) 654- <br />3800 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />Page 1 of 2 <br />July 23,2015 <br />