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CITY OF SANTA ANA <br />PROJECT NO. 10-6704: TRAFFIC SIGNAL INSTALLATION ON CIVIC CENTER DR 8r PACIFIC ST <br />PROJECT NO. 10-6705: TRAFFIC SIGNAL INSTALLATION ON 17TH ST 8c KING ST <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS <br />GE]VFR Ai .-The wait herein pn.?pcsed will be fir'rarioed yr while or rtc pat with <br />Fedaal fiacd? and therefiae all oftlte , rtrles and tegcrlatiorts pcanulga?d by <br />the Feda-al Go?s7nrcart acrd applicable >n wixk firraice?d in whole or in pat with <br />Feda-al finds wHl apply m atilt work The `Ytagrmecl Contract Pcwi4or? Feda-al- <br />Aid C'.cxi4ttrctiar Cor?-ac?, "Earn FE-IWA 1273, are included in this Sacti? 14. <br />Wltacever in said rearmed oQmact piwisiais refaarcc5 ace made 10 "SI-IA <br />CortmacYUCg offioa;" "BHA resident eng¢cea," a `?iroti?d repcesavaive of the <br />BHA," sud?r referr3>?s shall be oaishved m ttteac ` Fscgfi?" as defircedvr Sectim <br />1-1.18 oftlte Stacdad Spaif>caticrs. <br />PERFORMANCE OF PREVIOUS CONTRACT - In addition m the <br />pcwi4ats 'um Sec?ac II, "Norclisairninafiar," ad Battier VII, "S?rbletmtg or <br />Assigru?rg the Corttiaci," of the rearmed oa>tr-xt Rovsias, the Camacua shall <br />oorc?ly with the fi?llowuig <br />The BIDDER shall exeaEe the CERTIFICATION Wl"II-I REGARD Tn <br />THE PERFORMANCE OF PREVIOUS QDN7RACT"5 OR <br />SL7BC'ONIRAC:IS SUBJECT TO THE EQUAL OPPORTUNI'T'Y <br />CLAUSE AND THE FILING OF REQUIRED REPORTS lacaued in the <br />picposaL No request fw subletmtg a assigning arty porOOn of the artmact Qr <br />excess of$10,000 will be coruicJaed urrdathe prwisicrts ofSectiac VII ofthe <br />tequved oa?IDact Iawisia?ts carless such regr? is aooarTaiied by tl?e <br />CERTIFICATION rtfared m above, exea?cl by Uiepcoposed srbrorm-ac4?r. <br />NON{'OLLUSION PROVISIONS -The pmvi9orts Qr 1}cis section ere <br />applicable mall cot,h-acls except mIDac15 fa Feda-al Aid Serorcdary pmjac>s <br />Title 23, United ShAcs Code, Section 112, regrrrtes as a cQditiac precedes to <br />approval by the Fedaal Highway Achnutistr-atcx of the mrm-ad far this wait tl>at <br />eadt BIDDER file a swan slaianart eacea9nd by, a arc behatfo? the pasa>, firrr>, <br />associama>, a ompaabon m when such oormaR is m be awarded, oatifyQCg that <br />suds pssort, firm, associaotion, a oocpocaoticrr has rnt, either' dtiectly orvr?tiy, <br />ended into any ageanaV, patic?d in arty mlhsicrr a altawise taker arty <br />xtiminrc?-aurtoffraeoorryxtitivebidd'vrgmcorvractionwidciliesrilanil?dbid A <br />fixrrr &? make ttce noncolhrsiat atfidm?it statanart reclrmed by Sectiar 112 as a <br />oatificdtiorr ra>d? penalty ofpajcay nVl? than as a swan sh?nart as pamit?d by <br />28, USC, Sec. 1746, is included in me proposal <br />PARTICIPATION BY DISADVANTAGED BUSiniF'? <br />ENTERPRi.SFC IN SUBCONTRACTING - Pact 26, Tdie 49, Code ofFeda-al <br />Regril?ats supplies m this Fedaa?aid project Patiiart seOiars of said Code are <br />vmtpa-a?cl in pat a irr its errtuety wiHtin cAlca secYias ofthese spacial prwi?zs. <br />Sdier? dP B - Infcmrration far Detanivcing Joint Venhae Etigibr7ity. <br />("Phis form need not be filled in if all joint venture firms are minority <br />owned.) <br />1. Name of joint venture y/1?? <br />2. Address ofjoin ventwe ? ? s <br />3. Phone number of joint venture <br />4. Identify the firms which comprise the joint venture. (The DBE <br />partner must complete Schedule A) <br />a Describe the role of the DBE firm in this joint venture. <br />b. Describe very briefly the experience and business qualifications of <br />each non-MBE joint venture: <br />5. Nature ofthejointventwe'sbusiness <br />6. Provide a copy of the joint venture agreement. <br />7. What is the claimed percentage of DBE ownership? <br />8. Ownership ofjoint venture: (This need not be filled in if described <br />in the joint venture agreement, provided by question (6). <br />a Profit and loss sharing <br />b. Capital contributions, <br />including equipment <br />c. Other applicable <br />ownership interests <br />Attadrn?rt <br />F,ich.'hirt A - FRl <br />8-07A7 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 18 of 32