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25G - ENGINEERING SRVS GRADE SEPARATION
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25G - ENGINEERING SRVS GRADE SEPARATION
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Last modified
1/3/2012 3:55:46 PM
Creation date
1/4/2011 7:05:54 AM
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City Clerk
Doc Type
Agenda Packet
Item #
25G
Date
1/4/2011
Destruction Year
2016
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<br /> <br /> <br /> <br /> <br /> <br /> Exhibit 10-01 Local Agency Proposer UDBE Commitment (Consultant <br /> Contracts) <br /> NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM <br /> <br /> AGENCY: City of Santa Ana LOCATION: 20 Civic Center Plaza, Santa Ana, CA 92701 <br /> PROJECT DESCRIPTION: Project Study Report Equivalent and Conceptual Engineering Plans for Santa Ana Blvd. Grade Separation Project <br /> TOTAL CONTRACT AMOUNT: $1.3 million <br /> <br /> PROPOSAL DATE: 4/6/2010 <br /> PROPOSER'S NAME: AECOM Technical Servuces <br /> <br /> WORK DESCRIPTION OR SERVICES TO BE BE Cert. No. AME OF UDBEs PERCENTAGE <br /> ITEM N0. SUBCONTRACTED ND EXPIRATION (Must be certified on the date the AMOUNT <br /> ATE roposals are opened -include OF EACH UDBE <br /> DBE address and phone number) <br /> Task IV.G Geotechnical Investlgatlon CP Firm No. 6956, Earth Mechanics, Inc. 4.0% <br /> exp. 12/19/2013 17660 Newhope St., Ste. E <br /> ountaln Valley, CA 92708 <br /> 714.751.3826 <br /> <br /> For Local Agency to Complete: <br /> Total Claimed ~ tbd <br /> Local Agency Contract Number: Participation <br /> Federal Aid Project Number: 4.0% <br /> Federal Share: <br /> Proposal Award Date: <br /> <br /> Local Agency certifies that the UDBE certification(s) has been verified and all <br /> information is complete and accurate. <br /> <br /> Signature of Proposer Pat Somerville, PE <br /> Print Name Signature Date <br /> Local Agency Representative 4/6/2010 714.567.2755 <br /> Date (Area Code) Tel. No. <br /> (Area Code) Telephone Number: <br /> Pat Somerville, PE <br /> FOr C altrallS ReVIeW: Person to Contact (Please Type or Print) <br /> <br /> <br /> Print Name Signature Date Local Agency Bidder -UDBE Commitment (Rev 3/09) <br /> Caltrans District Local Assistance Engineer <br /> Distribution: (1) Copy - If this Proposer is successful fax or scan a copy to the Caltrans District Local Assistance Engineer (DLAE) within 15 <br /> days of award. Failure to send a copy to the DLAE within 15 days of award may result in de-obligation of funds for <br /> this project. <br /> (2) Original -Local agency files <br />
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