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-- Exhibit 15 -G1 Local Agency Bidder UDBE Commitment (Construction Contracts) <br />N(7TE: PT RFFFR T(7 iNSTRi7CTinNS nN T)=TF REVERSE SIDE (7F THiS FORM <br />\,FASFp <br />GENCY: �)d E1 VT �Ars� �/��! LOCATION: �CA�K�Zt— e- V"'�"ie� <br />ROJECT DESCRIPTION: PROJECT NO. 10- PARK REST1200M ROOF REPLACEMENT <br />/7558�CENTENlNIIP.L <br />OTAL CONTRACT AMOUNT: $ ! /J' �w <br />ID DATE: �– l�' I� - <br />IDDER'S NAME: J 1 SN.1J9V e-r/[.�' <br />ONTRACT UDBE GOAL:' � /�7L <br />ONTRACT <br />ITEM NO. <br />EM OF WORK AND DESCRIPTION <br />R SERVICES TO BE <br />No. of UDBE <br />D EXPIRATION <br />AME OF UDBEs <br />Must be certified on the date bids <br />LLAR AMOUNT <br />DBE <br />UBCONTRACTED OR MATERIALS <br />ATE <br />opened - include UDBE addtcss <br />O BE PROVIDED <br />d hone number <br />..� <br />- ai _ / / <br />rd+<sd � <br />o ctr <br />L — - <br />or Local Agency to Complete: <br />al Agency Contract Number: <br />Total Claimed <br />Participation <br />ederal Aid Project Number: <br />ederal Share: <br />ontract Award Date: <br />al Agency certifies that all information is complete and accurate. <br />'n[ Name Signature: Date <br />ignamre of Bidder <br />al Agency Representative <br />Area Code Tele hone Number: <br />� L ���G / ��� ���_' ��� <br />Date (Area Code) Tel. No. <br />or Caltrans Review: <br />Print Name Signature Date <br />Caltrans District Local Assistance Engineer <br />Local Agency Bidder -UDBE Commitment (Rev 3/09) <br />- Liau��uuaiii: �i/ �.upy — raz or scan a copy [O me t- ;alvans lll5[rtC[ lACal As515tareee Crlg[neer (IJL.Ab) Wlmin 11 OayS or award. t'allure to <br />send a copy to the DLAE within 15 days of award rosy result in de- obligation of funds for this project. <br />(2) Copy -- Include in award package to Caltrans District Local Assistance <br />(3) Original –Local agency files <br />TO BE INCLUDED IN BID PACKAGE <br />BP 21 of 29 <br />