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Item 16 - Agreements for On -Call Environmental Services
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Item 16 - Agreements for On -Call Environmental Services
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3/28/2024 10:33:33 AM
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8/11/2023 8:57:20 AM
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City Clerk
Item #
16
Date
3/21/2023
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DocuSign Envelope ID: FC7E9346-8A22-4923-BD05-AA3CA0439841 <br />Local Assistance Procedures Manual <br />Exhibit 10-01 <br />Consultant Proposal DBE Commitment <br />EXHIBIT 10-01 CONSULTANT PROPOSAL DBE COMMITMENT <br />1. Local Agency: City of Santa Ana <br />3. Project Description: On -Call Environmental Services <br />4. Project Location: Santa Ana, California <br />5. Consultant's Name: Dudek <br />2. Contract DBE Goal: o <br />0 <br />6. Prime Certified DBE: <br />7. Description of Work, Service, or Materials <br />8. DBE <br />Certification <br />9. DBE Contact Information <br />° <br />10. DBE /° <br />Supplied <br />Number <br />Community Outreach <br />CUCP 31053 <br />xalherinePadilla Olaner; kpadiliaCwkalherinepwilla.com; 626.918,3324 <br />4% <br />Transportation Consulting Support <br />CUCP 40083 <br />Monique Chen; craadmin@chenryanmobility.com; 619395A086 <br />4% <br />Local Agency to Complete this Section <br />17. Local Agency Contract Number: <br />11. TOTAL CLAIMED DBE PARTICIPATION <br />$ °I° <br />18. Federal -Aid Project Number: <br />19. Proposed Contract Execution Date: <br />20. Consultant's Ranking after Evaluation: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />Local Agency certifies that all DBE certifications are valid and information on <br />regardless of tier. Written confirmation of each listed DBE is <br />this form is complete and accurate. <br />required. <br />c - 10/21 /2021 <br />12. Preparer's Signature 13. Date <br />Wei Wei Scott 626.658.5147 <br />14. Preparer's Name 15. Phone <br />Marketing Manager <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 alte mate formats_ For information call (916) 654-6410 or Too (916) 654- <br />3880 a write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />LPP 18-01 Page 1 of 2 <br />January 2019 <br />
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