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• <br />• <br />• <br />• <br />Local Agency Bidder <br />~~ <br />UDBE Commitment (Construction Contracts) <br />AGENCY: CI T~ d ~ `~ T~1 L~IJA LOCATION: PROJECT NO 08-5023: TRAFFIC SIGNAL MODIFICATION ON <br />SANTA ANA BLVD & FLOWER ST <br />PROJECTDESCRIPT[ON: ~R1~~FIL SI~~IAI. IIJSTALLA'rt <br />f_ c% ~;1, IJ~ <br />OTAL CONTRACT AMOUNT: $ ~ 'T <br />BID DATE: DZ' ~ ' f ~ <br />IDDER's NAME: L-~NCOLN PA/CIFlC BUILDERS, INC <br />ONTRACT UDBE GOAL: 3• ~CI OJ <br />ONTRACT <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 />D EXPII2ATION <br />ATE AME OF UDBEs <br />(Must be certified on the date bids <br />e opened -include UDBE address <br />nd hone number) OLLAR AMOUNT <br />UDBE <br />l S (,0 OW . <br /> 14 L tT <br /> 1.0 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />or Local Agency to Complete: <br />Total Claimed <br />~ ~ 25~0(/U. <br />ocal Agency Contract Number: <br />ederal Aid Project Number: <br />ederal Share: $5.994 Participation <br />~ <br />'~~ <br />ontract Awazd Date: <br />ocal Agency certifies that all information is complete and accurate. <br />~.~---_- <br /> <br />Print Name Signature <br />Local Agency Representative <br />Date Signatu a of Bidder <br />~Z •2~. I'p (626, <br />~' ~ ~, ~'~~ O <br />O <br /> <br />(Area Code) Tele hone Number: Date (Area Code) Tel. No. <br />or Caltrans Review: L(N ~ t-!~ G 4-{,q~ <br /> <br />Print Name Signature <br />Caltrans District Local Assistance Engineer <br />Date Person to Contact (Please Type or Print) <br /> <br />Local Agency Bidder -UDBE Commitment (Rev 3/Ov) <br />Distribution: (I) Copy -Fax immediately 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 />BP 25 of 34 <br />TO BE INCLUDED IN BID PACKAGE <br />