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DocuSign Envelope 10: FC7E9346-8A22-4923-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 />8. Total Dollar Amount for ALL SubconsuItants: $ 85,500.00 <br />9. Total Number of ALL Subconsultants: 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 Section <br />85'S00 <br />20. Local Agency Contract <br />Number: <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />9.D0 30 <br />21. Federal -Aid Project Number: <br />22. Contract Execution <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 />this form is complete and accurate. <br />regardless of tier. Written confirmation of each listed DBE is <br />required. <br />119l23 <br />23. Local Agency Representative's Signature 24. Date <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 Title <br />19. Preparer's Title <br />DISTRIBUTION: 1. Original — Local Agency <br />2. Copy — CaItrans 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 l of 2 <br />July 23, 2015 <br />