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EXHIBIT 10 -02 Local Assistance Procedures Manual <br />Local Agency Proposer DBE Information (Consultant Contracts) <br />INSTRUCTIONS -LOCAL AGENCY PROPOSER DBE INFORMATION <br />(CONSULTANT CONTRACTS) <br />SUCCESSFUL PROPOSER: <br />The form requires specific information regarding the consultant or other contract: Local Agency, Location, <br />Project Description, Total Contract Amount, Proposal Date, and successful Proposer's Name. <br />The form has a column for the Work Item Number and Description or Services to be Subcontracted to DBEs. The <br />prime consultant shall indicate all work to be performed by DBEs including, if the prime consultant is a DBE, <br />work performed by its own forces, if a DBE. The DBE shall provide a certification number to the prime <br />consultant. Enter DBE prime consultant's and subconsultant's certification number. The form has a column for <br />the Names of DBE certified contractors to perform the work (must be certified on or before the proposals are due <br />and include DBE address and phone number). <br />Enter the Total Claimed DBE Participation dollar amount of items of work in the total DBE Dollar Amount <br />column. (If 100% of item is not to be performed by the DBE, describe exact portion of time to be performed by <br />the DBE.) See "Notice to Proposers Disadvantaged Business Enterprise Information," ( Exhibit 10 -I) to <br />determine how to count the participation of DBE firms. <br />Exhibit 10 -02 must be signed and dated by the successful proposer at contract execution. Also list a phone <br />number in the space provided and print the name of the person to contact. <br />Local agencies should complete the Contract Number, Federal -aid Project Number, Federal Share, and <br />Contarct Award fields and verify that all information is complete and accurate before signing and sending a copy <br />of the form to the District Local Assistance Engineer within 15 days of contract execution. Failure to submit a <br />completed and accurate form within the 15 -day time period may result in the deobligation of funds on this project. <br />District DBE Coordinator should verify that all information is complete and accurate. Once the <br />information has been verified, the District Local Assistance Engineer signs and dates the form. <br />Page 10 -74b <br />July 31, 2009 LPP 09 -02 <br />