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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 <br />4. Project Location: City of Santa Ana <br />5. Consultant's Name: Stantec Consulting Services 6. Prime Certified DBE: ❑ 7. Total Contract Award Amount: $950,000 <br />8. Total Dollar Amount for ALL Subconsultants: $ 95,000.00 9. Total Number of ALL Subconsultants: 2 <br />10. Description of Work, Service, or Materials <br />11. DBE <br />Certification <br />12. DBE Contact Information <br />13. DBE <br />Dollar <br />Supplied <br />Number <br />Amount <br />Aerial Mapping <br />CUCP# 9JS00049 WMBE <br />GPSI, Ramon Ramos 949.459.3047 <br />RBRamos@gpsi-corp.com, 3151 <br />$ 20,000.0C <br />Land Surveyinrg <br />Cabrnha Hearn & Associates, Camden <br />CUCP# 21761 <br />Canbrinha, 626-826-4055, 3814 E. <br />$ 75,000.0C <br />Local Agency to Complete this Section <br />$95000 <br />20. Local Agency Contract Emy Frankston 714-647-5042 <br />��„mhor. <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />21. Federal -Aid Project Number: <br />22. Contract Execution <br />10.00 <br />nntp. <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 />2/27/283 <br />23. Local Agency Representative's Signature 24. Date <br />1Z. Pr ar is Signature 16. Date <br />Gregory C. Sebourn, PLS 2/27/2023 <br />25. Local Agency Representative's Name 26. Phone <br />17. Preparer's Name 18. Phone <br />PIC / Contract Manager <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 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 formats. For information call (916) 654-6410 or TDD (916) 654- <br />3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />Page 1 of 2 <br />July 23, 2015 <br />