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i <br />City of Santa Ana <br />Planning and Building Agency <br />Environmental Consultant <br />Authorization Form <br />Project Name: Bender Ready -Mix Concrete Manufacturing Project (Study and Mit. Neg. Dec.) <br />Project Address (if applicable): ` w 1th c *; Ee etrPPt <br />Consultant Name: RBF Consulting <br />Agreement No. (if applicable): A-2008-130-001 <br />Staff has carefully reviewed the Scope of Work proposal by the above -mentioned consultant <br />dated January 2010 (attached). <br />We do hereby authorize the above -mentioned consultant to commence work as indicated within <br />the terms and conditions of this proposal. <br />® Environmental Consultant Services Special Account Balance: BALANCE AMOUNT <br />Staff has confirmed that the total aggregate amount ($2,000,000) of the special deposit <br />account for contracted environmental services (account no. 09801001 24035) has not <br />been overdrawn for fiscal year 2009-2010. <br />® Amount of Contract: $32,825 <br />® Funding Source <br />❑ Private (Developer) — Account No.: <br />® Public (City Agency) — Account No.: 09801001 24035 <br />❑ City Attorney Review / Approved as to Form s Date <br />® Agreement, Liability Insurance and Workers Compensation Insurance <br />Staff has confirmed that all required agreements, liability insurance and Vickers <br />compensation insurance has been submitted and is current. <br />® Developer/Applicant Consultant Authorization <br />Staff has obtained authorization from developer/applicant/City Agency to hire the above - <br />mentioned consultant firm (attach authorization letter from developer/applicant). <br />Project Planner / Manager Date <br />I-2-Cv-t0 <br />Department Manager Date <br />Authorization: Jay Trevino, Executive Director, City of Santa Ana Planning & Building Agency <br />Si nat a Date <br />r, U_. <br />