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<br /> <br /> Local Assistance Procedures Manual EXHIBIT 10-01 <br /> Local Agency Proposer UDBE Commitment (Consultant Contracts) <br /> <br /> EXHIBIT 10-01 Local Agency Proposer UDBE Commitment (Consultant Contracts) <br /> <br /> NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM <br /> LOCAL AGENCY: LOCATION: <br /> <br /> PROJECT DESCRIPTION: <br /> PROPOSAL DATE: <br /> PROPOSER'S NAME: <br /> CONTRACT UDBE GOAL <br /> <br /> <br /> WORK DESCRIPTION OR SERVICES TO BE UDBE CERT N0. NAME OF EACH UDBE PERCENT <br /> ITEM N0. SUBCONTRACTED (or contracted if AND EXPIRATION (Must be certified at the time PARTICIPATION <br /> the proposer is a UDBE) DATE proposals are due -include UDBE OF EACH UDBE <br /> address and phone number) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> For Local Agency to Complete: <br /> <br /> Local Agency Proposal Number: TOtal Claimed UDBE <br /> Federal-Aid Project Number: COmmltmerit % <br /> Federal Share: <br /> Proposal Date: <br /> <br /> <br /> Signature of Proposer <br /> Local Agency certifies that the UDBE certifications have been verified and all <br /> information is complete and accuratelunless noted otherwise. Date (Area Code) Tel. No. <br /> <br /> <br /> Person to Contact (Please Type or Print) <br /> Print Name Signature Date <br /> Local Agenc Representative <br /> (Area Code) Telephone Number: <br /> Local Agency Proposer UDBE Commitment (Consultant Contracts) <br /> (Rev 6/27/09) <br /> <br /> Distribution: (I) Original -Local agency files <br /> <br /> <br /> <br /> <br /> <br /> Page10-73 <br /> LPP 09-02 ~ ~ July 31, 2009 <br />