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Local Assistance Procedures Manual <br />Consultant <br />EXHIBIT 10-01 CONSULTANT PROPOSAL DBE COMMH MENT <br />1. Local Agency: City of Santa Ana <br />3. Project Description: On -Call Professional Land <br />4. Project Location: Citywide (Santa Ana, Califorr <br />5. Consultant's Name: Towill, Inc. <br />Services <br />2, Contract DBE Goal: 0.5% <br />Exhibit 10-01 <br />DUE Commitment <br />6. Prime Certified DBE: ❑ <br />7. Description of t6;ofk. Service, or Materials <br />Supplied <br />8, DBE <br />Certification <br />Number <br />9. DBE Contact Information <br />10. DBE <br />Field surveying support <br />y g pP <br />3110 <br />Chaudhary & Associates, 707.255.2729 <br />211 Gateway Road W, Suite 204, Napa, CA 94558 <br />10% <br />Local Agency to Complete this Section <br />11. TOTAL CLAIMED DBE PARTICIPATION <br />10 <br />17, Local Agency Contract Number: <br />18- Federal -Aid Project Number: <br />19. Proposed Contract Execution Date: <br />20. Consultant's Ranking after Evaluation: <br />IMPORTANT: Identify all DBE fines being claimed for credit, <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form is complete and accurate. <br />regardless of tier. Written confirmation of each listed DBE is <br />required. <br />2�W 1 10/18/2019 <br />12. Preparer's Signature 13. Date <br />Aaron Badavinac 925.682.6976 <br />14. Preparer's Name 15. Phone <br />Chief Financial Officer <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) 664-6410 or TDD (916) 654- <br />38B0 orwdte Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />LPP 18-01 Page 1 of 2 <br />27 January 2019 <br />