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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 2. Contract DBE Goal: 10% <br />3. Project Description: On -Call Land Surveying & Mapping <br />4. Project Location: Within the City of Santa Ana <br />5. Consultant's Name: Johnson -Frank & Assoc., Inc 6. Prime Certified DBE: ❑ 7. Total Contract Award Amount: $960,000.00 <br />8. Total DollarAmount for ALL Subconsultants: $ 95,000.00 9. Total Number of ALL Subconsultants: 1 <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 />Aerial Mapping and Photogrammetry <br />39944 <br />Alice Ramos, (949) 459-3052, <br />aramos@gpsi-corp.com <br />$ 95,000.0 <br />Local Agency to Complete this Section <br />$ 95000 <br />20. Local Agency Contract <br />Nnmhar <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />21. Federal -Aid Project Number: <br />22. Contract Execution <br />10.00 <br />natm <br />Local Agency certifies that all DBE certifications are valid and information on <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />this form is complete and accurate. <br />regardless of tier. Written confirmation of each listed DBE is <br />required. <br />- e�- f � 2117/23 <br />23. Local Agency Representative's Signature 24. Date <br />15. Preparers Signature 16. Date <br />Alan D. Frank (714) 660-5607 <br />25. Local Agency Representative's Name 26. Phone <br />17. Preparers Name 18. Phone <br />President <br />27. Local Agency Representative's Title <br />19. Preparers 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 Notice: For individuals with sensory disabilities, this document is available in alternate formals. For information call (916) 854-8410 or TDD (916) 654- <br />3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />Page I of 2 <br />July 23, 2015 <br />