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TETRA TECH, INC. (9)
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TETRA TECH, INC. (9)
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Last modified
8/19/2024 10:48:31 AM
Creation date
5/15/2023 4:50:22 PM
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Contracts
Company Name
TETRA TECH, INC.
Contract #
A-2023-033-01
Agency
Public Works
Council Approval Date
3/21/2023
Expiration Date
3/20/2026
Insurance Exp Date
10/1/2023
Destruction Year
2031
Notes
For Insurance Exp. Date see Notice of Compliance
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Local Assistance Procedures Manual <br />Exhibit 10-02 <br />Consultant Contract DBE Commitment <br />INSTRUCTIONS — CONSULTANT CONTRACT DBE COMMITMENT <br />CONSULTANT SECTION <br />1. Local Agency - Enter the name of the local or regional agency that is funding the contract. <br />2. Contract DBE Goal - Enter the contract DBE goal percentage as it appears on the project advertisement. <br />3. Project Description - Enter the project description as it appears on the project advertisement (Bridge Rehab, Seismic <br />Rehab, Overlay, Widening, etc). <br />4. Project Location - Enter the project location as it appears on the project advertisement. <br />5. Consultant's Name - Enter the consultant's firm name. <br />6. Prime Certified DBE - Check box if prime contractor is a certified DBE. <br />7. Total Contract Award Amount - Enter the total contract award dollar amount for the prime consultant. <br />8. Total Dollar Amount for ALL Subconsultants — Enter the total dollar amount for all subcontracted consultants. <br />SUM = (DBEs + all Non -DBE —)Do not include the prime consultant information in this count. <br />9. Total number of ALL subconsultants — Enter the total number of all subcontracted consultants. SUM = (DBEs + all <br />Non -DBEs). Do not include the prime consultant information in this count. <br />10. Description of Work, Services, or Materials Supplied - Enter description of work, services, or materials to be <br />provided. Indicate all work to be performed by DBEs including work performed by the prime consultant's own forces, if <br />the prime is a DBE. If 100% of the item is not to be performed or furnished by the DBE, describe the exact portion to be <br />performed or furnished by the DBE. See LAPM Chapter 9 to determine how to count the participation of DBE firms. <br />11. DBE Certification Number - Enter the DBE's Certification Identification Number. All DBEs must be certified on <br />the date bids are opened. <br />12. DBE Contact Information - Enter the name, address, and phone number of all DBE subcontracted consultants. <br />Also, enter the prime consultant's name and phone number, if the prime is a DBE. <br />13. DBE Dollar Amount - Enter the subcontracted dollar amount of the work to be performed or service to be <br />provided. Include the prime consultant if the prime is a DBE. See LAPM Chapter 9 for how to count full/partial <br />participation. <br />14. Total Claimed DBE Participation - $: Enter the total dollar amounts entered in the "DBE Dollar Amount" column. <br />%: Enter the total DBE participation claimed ("Total Participation Dollars Claimed" divided by item "Total Contract <br />Award Amount"). If the total % claimed is less than item "Contract DBE Goal," an adequately documented Good Faith <br />Effort (GFE) is required (see Exhibit 15-H DBE hrformation - Good Faith Efforts of the LAPM). <br />15. Preparer's Signature - The person completing the DBE commitment form on behalf of the consultant's firm must <br />sign their name. <br />16. Date - Enter the date the DBE commitment form is signed by the consultant's preparer. <br />17. Preparer's Name - Enter the name of the person preparing and signing the consultant's DBE commitment form. <br />18. Phone - Enter the area code and phone number of the person signing the consultant's DBE commitment form. <br />19. Preparer's Title - Enter the position/title of the person signing the consultant's DBE commitment form. <br />LOCAL AGENCY SECTION <br />20. Local Agency Contract Number - Enter the Local Agency contract number or identifier. <br />21. Federal -Aid Project Number - Enter the Federal -Aid Project Number. <br />22. Contract Execution Date - Enter the date the contract was executed. <br />23. Local Agency Representative's Signature - The person completing this section of the form for the Local Agency <br />must sign their name to certify that the information in this and the Consultant Section of this form is complete and <br />accurate. <br />24. Date - Enter the date the DBE commitment form is signed by the Local Agency Representative. <br />25. Local Agency Representative's Name - Enter the name of the Local Agency Representative certifying the <br />consultant's DBE commitment form. <br />26. Phone - Enter the area code and phone number of the person signing the consultant's DBE commitment form. <br />27. Local Agency Representative Title - Enter the position/title of the Local Agency Representative certifying the <br />consultant's DBE commitment form. <br />Page 2 of 2 <br />July 23, 2015 <br />
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