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<br /> <br /> EXHIBIT 10-02 Local Assistance Procedures Manual <br /> Local Agency Proposer DBE Information (Consultant Contracts) <br /> <br /> <br /> INSTRUCTIONS -LOCAL AGENCY PROPOSER DBE INFORMATION <br /> (CONSULTANT CONTRACTS) <br /> <br /> <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 /> <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 /> <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 /> <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Page 10-74b <br /> July 31, 2009 LPP 09-02 <br />