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• • <br />Local Agency Bidder UDBE Commitment (Construction Contracts) <br />• <br />C~ <br />AGENCY: Crib D~ SMITPt ,141~IA LOCATION: PROJECT NO 08-5017: TRAFFIC SIGNAL INSTALLATION ON <br />PROJECT DESCRIPTION: T WILLITS ST & SULLIVAN ST <br />-~.F.F <br />I~- SIEil~lf~ ~!~!t"CAtlf~Tio,V <br />Il <br />OTAL CONTRACT AMOUNT: $ !_!G ,!~-. ~J ~ (~ ' l)~ <br />BID DATE: 02.25 •~~ <br />IDDER'S NAME: LINCOLgN PACIFIC BUILflER3• INC <br />ONTRACT UDBE GOAL: 3.8 l ~~~ <br />CONTRACT <br />ITEM NO. ITEM OF WORK AND DESCRIPTION <br />R SERVICES TO BE <br />SUBCONTRACTED OR MATERIALS <br />O BE PROVIDED ert. No. of UDBE <br />ND EXPIRATION <br />ATE AME OF UDBEs <br />(Must be certified on the date bids <br />e opened -include UDBE address <br />nd hone number) DOLLAR AMOUNT <br />UDBE <br /> t 5 ~ L of Go L ~.I ~ L o ou . <br /> 2d ~ !~ 5 <br /> vJ~N c. <br /> 6 <br /> 0-7? g <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />or Local Agency to Complete: <br /> <br />l A <br />C <br />Total Claimed <br />$ (3 ~r V W <br />ca <br />gency <br />ontract Number: <br />ederal Aid Project Number: <br />ederal Share: $9.648 Participation <br />--7 <br />f ~ ~/o <br />ontract Award Date: <br />` <br />ocal Agency certifies that all information is complete and accurate. w `•~ <br /> <br />riot Name Signature Date <br />ocal Agency Representative Signatur of Bidder ~~026 <br />~ ~ C ~~~ <br />~Z' Z~" ( O <br /> <br />(Area Code) Tele hone Number: Date (Area Code) Tel. No. <br />or Caltrans Review: L ~ tJc,o VtJ ~~ <br /> <br />Print Name Signature Date <br />Caltrans District Local Assistance Engineer Person to Contact (Please Type or Print) <br /> <br />Local Agency Bidder -UDBE Commitment (Rec 3/09) <br />uistnbuhon: (I) Copy - hax ~mmed~ately to the Caltrans District Local Assistance Engineer (DLAE) upon award. <br />(2) Copy -Include in award package to Caltrans District Local Assistance <br />(3) Original -Local agency files <br /> <br />TO BE INCLUDED IN BID PACKAGE <br />BP 19 of 34 <br />