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Exhibit 15 -G Local Agency Bidder UDBE Commitment (Construction Contracts) <br />NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F <br />City of Santa Ana Santa Ana <br />AGENCY_ LOCATION <br />PROJECT DESCRIPTION PROJECT NO. Residential Street Repair PH 16 Project No 12-6753, 12 -7531, 11 -2618 <br />TOTAL FEDERAL CONTRACT AMOUNT $1 229,93 <br />BID DATE: Feb uary 14 2012 <br />BIDDER'S NAME: R . NOBLE COMPANY <br />,ONTRACI UDBE GOAL: $107,865.63 <br />'ONTRACT 1-1 FM OF WORK AND DESCRIPTION 'ert. No. of UDBF. <br />NAME OF t,DBF.s <br />DOLLAR AMOUNT <br />ITEM NO, OR SERVICES TO BE AND EXPIRATION <br />KNIust be certified on the date bids <br />UDBE: <br />SUBCONTRACTED OR MATERIALS DATE <br />are opened - include ODBF. address <br />TO BE PROVIDED <br />rid phone number) <br />#4 Portion of Asphalt Oil CT -10447 <br />E.M. Oil Transport Inc. <br />250 liquid tons <br />08/02/2012 <br />1145 S. Taylor Avenue <br />x $750.00 = <br />Montebello, Ca 90640 <br />S187,500.00 <br />323- 722 -9088 <br />x 60% <br />$112,500.00 <br />For Local Agency to Complete: <br />Local Agency Contract Number <br />Total Claimed <br />Participation <br />112,500.00 <br />Federal Aid Project Number. <br />Federal Share <br />ontract Award Data. <br />Local Agency certifies that all information is complete and accurate. <br />- - -- <br />-- — -- <br />STEVE ME OZA, 4CRETARY <br />Print Name Signature Date <br />Signature oC idder <br />Local Agency Representative <br />02/14/2012 <br />714- 637 -1550 <br />Area Code 'Fele hone Number. <br />Datc (Area <br />- — <br />Code) Tel- No <br />For Caltrans Review: <br />Print Name Signature Date <br />Caltrans District Local Assistance Engineer <br />Local Agency bidder- UDRF Commim,ont(Rev , 09) <br />Distribution: (I) Copy -Fax or scan a copy to the Caltrans District Local Assistance Engineer (DL AE) within IS days of award. Failure to <br />send a copy to the DLAF. within 15 days of award may result in de- obligation of !ands Im this project <br />(2) Copy -- liiclude in award package to Caltrans District Local Assistance <br />(3) Original - Local agency filcs <br />TO BE INCLUDED IN BID PACKAGE <br />BP22of31 <br />