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Local Agency Bidder UDBE Commitment (Construction Contracts) <br />• <br />.7 <br />AGENCY: ~~ 1 ~~ ~-L~ ANA LOCATION: PROJECT NO 08-502 L TRAFFIC SIGNAL INSTALLATION ON <br />RAITT ST & GLENWOOD PL <br />ROJECT DESCRIPTION: TRA~F' 1 ~- s IUnt$L 1 N.sTAI,LRjio <br />OTAL CONTRACT AMOUNT: $_ ~ ~ ~ I ~~~ ! ' ~~ (~ <br />BID DATE: ~2'2S " ~ ~ <br />BtDDER's NAME: LINCaLN PAf:IF1C Blp1.DER.S, INE' <br />2 p 0 <br />ONTRACT UDBE GOAL: /' S 1 0 <br />ONTRACT <br />ITEM NO. ITEM OF WORK AND DESCRIPTION <br />OR SERVICES TO BE <br />SUBCONTRACTED OR MATERIALS <br />O BE PROVIDED ert. No. of UDBE <br />AND EXPIRATION <br />ATE AME OF UDBEs <br />(Must be certified on the date bids <br />re opened -include UDBE address <br />nd hone number) OLLAR AMOUNT <br />DBE <br /> C ~ 5$ IIJGOL G UoU. <br /> 50 L <br /> L <br /> 706 <br /> 626 5 ~ ? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />or Local Agency to Complete: <br /> <br />l A <br />Total Claimed <br />~ ~ 3 G~ (~Q(f, <br />ca <br />gency Contract Number: <br />ederal Aid Project Number: <br />ederal Share: <br />$10.124 Participation <br />_ <br /> <br />°~o <br />ontract Award Date: ~ <br />Local Agency certifies that all information is complete and accurate. ~+ <br />(i1/~-- <br /> <br />Print Name Signature <br />ocal Agency Representative <br />Date Signatur of Bidder ~ 6~(~~ <br />02 , ~, ~0 ~ 60 ~~~~ <br /> <br />(Area Code) Tele hone Number: Date (Area Code) Tel. No. <br />or Caltrans Review: (.(N~-o1..1J cE-P~4n~ <br /> <br />Print Name Signature <br />Caltrans District Local Assistance Engineer <br />Date Person to Contact (Please Type or FrinU <br /> <br />Local Agency Bidder -UDBE Cornrttitmen[ (Rev 3/09 <br />u~smounon: t t 1 ropy - rax ~mmeotatery to the Cattrans D~stnct Local Assistance Engineer (DLAE) upon award. <br />(2) Copy - Include in award package to Caltrans District Local Assistance <br />• (3) Original -Local agency 61es <br />TO BE INCLUDED IN BID PACKAGE <br />BP 21 of 34 <br />