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CITY OF SANTA ANA PROJECT 06 -1723: FIRST STREET BRIDGE REPLACEMENT PROJECT PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROTECTS GENERAL —Tlte wodc hersrt propped vvll be firratoad yr while a ut pat with Federal fiords, and thi-eftxe all ofthe shffiIles Hiles and rEgtlations promulgated by the Feda-al Go�emmart and applicable to work fnti -mced in whole or in part with Federal finds will apply to strcl-r work. Tlie "Required Cmtraci Provisions, Ferlaal- Aid Conshi�on Contr-aet� "Form FI -iWA 1273, aceutclu3edm this Section 14. Whenever in said regtilred oonttacf, provi9a-ts refastees are made to "SHA CorVracting o$ioer," "SHA reside-rt itginea-," or •�mahaizPd repcsatlalive ofthe SHA," sudt n °faatces shall be ocnstrued h� n�i `£ngo�ea" as defu�ted in Satirn I -1.18 oftl�eStandatd Specifications PERFORMANCE OF PREVIOUS CONTRACT - in addition to the provisiors in Section 1[, "Nrndiscrimu-ratiorr," and Section V[I, "Subletmtg or Assigning the Cmtrac�" ofthe r-egrur>� mrbact provisions, the COnttaC7'Q shall canply witittlte fdlowing -. The BIDDER shall exeade the CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONIRAC'1 -S Si_JBJE.CT TAD 71-{E EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS located in the propos<il. No r-egrrest fa- strblettirig or assigning any portion ofthe caihact i-r exc¢s of$10,000 will be oonside-e� tinder the povisirns ofSemat VII ofthe n�c}ri� oorttiad provision unless strdi request is accompanied by the CERTIFfCAT10N r-efaral m above, ex� by the prop�ecl stlxarhacxa. NONLtOLLUSION PROVISIONS -The ptovisiats in ttris section are applicable m all eathats except ern tracts fer Feclaal Aid Secaxlazy projee� Title 23, Lh-ri[ed States Code, Section 112, rogrrirs as a condition pcecedirt m approval by the Federal Highway Adrnvrisi�IIar- ofthe centred far tltis vtoric tliat each BIDDER file a swan stati-r-rirt exect.¢ed by, or on behalfof, the person, f¢�n, assotiavat, or aapiation to whom suds orntract is m be awarded, citifying tl,irt such pasa-y fi-tn, associatirn, or ca'paation has not, eitlier d'veNy or in�iec9y, i-r�ed irrN any ac�-einert, partidpa�d in any cdlusion or otherwise taker any acUOn in reshaict offiee mrnpetiWe bidding in oa�rredion wit}t the submitted bid A fa-rn to make the narcollusion affidavit statanait r-apwed by Section 1 12 as a oatifidaon wider penahy of}xrjtuy rather tlti-n� as a swam statirrirt as pirnitted by ?8, USC, Sec- 1746, is included it the P�tl- PARTICIPATION BY DLSADVANTAGED BUSINESS ENTERPRISES IN SUBCOIYI'RACTi1VG - Part 26, Title 49, Code ofFedial Regtrlarbu�s supplies to tltis Fedialaid project Pitn�rart sections ofsaid Code ate inmpaated it pat or in i� errlidy within otlii- secUats oftliese special provisiorts Sdredtde B - Infun><�on for Detantining Joirt Viritrze Eli�bility- Atrirdtnient Exlribft A -FRI s� m BP 17 of 29 (This form need not be filled in ifall joint venture firms are minority owned.) 1. Name ofjoint ventw-e 2. Address ofjoin venture 3. Phone number ofjoint venture 4. Identify the fim�s which comprise the joint verthrre- (The DBE partner must complete Schedule A) a Describe the role ofthe DBE firm in this joint vitture. b. Desa-ibe very briefly the experience and business qualifications of each non -MBE joint venture: 5. Nature ofthe joint venture's business 6. Provide a copy ofthe joint venture agreement. 7. What is the claimed percent<�tge of DBE ownership? 8- Ownership ofjoint venture: (This need not be filled in ifdescribed in the join[ venture agr-eemiit, provided by question (G)- a Profit and loss sharing b. Capital conri-ibutions, including equipment. c. Other applicable owna-ship interests