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CITY OF SANTA ANA <br />PROJECT NO. 12 -6758: TRAFFIC SIGNAL INSTALLATION ON FAIRVIEW ST & EDNA DR <br />PROJECT NO. 12 -6759: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & EUCLID ST <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS <br />GENERAL —'lire muck ham proposed will be financed in whole or in pat with <br />Federal &* and foefole ail of the storms, nrles and mgr lliors promulgated by <br />the Federal Gove rnnert and applicable to work financed in whole or in pat with <br />Federal finch will apply to su& wok. The `Regpked Camact Provdons, Fedaal- <br />Aid Cansftuaron Cards, "Fain FHWA 1273, are included in this Section 14. <br />Whenmer in said required catact provisions ref rm= am made to "SHA <br />Ca racting ofli=," "SIIA resident engin=," or `tudraiard representative of the <br />SHA," such reknmces shall be ox&ued to near "Engirer" as defined in Section <br />1 -1.18 ofthe Standard Specifications. <br />PERFORMANCE OF PREVIOUS CONTRACT - In addition to the <br />provisions in Section II, "Nandisannuraticrr," and Section VII, "Subleitnrg or <br />AssU ng the Corgr4' of the recutimd cormact provisions, the Conftac for shall <br />canply with the following <br />The BIDDER shall cocute the CERTIFICATION WrM REGARD TO <br />THE PERFORMANCE OF PREVIOUS CONTRACTS OR <br />SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY <br />CLAUSE AND THE FILING OF REQUIRED REPORTS looted in the <br />proposal. No request for subletting or assigning any potim ofthe contact in <br />excess of$ 10,000 will becosderW under the prwi ons,ofSearar VII ofthe <br />mquired camact provisions unless such mquest is aocorrWned by the <br />CERTIFICATION mkffed to above, owa,kd by the proposed Wmtactor. <br />NON-COLLUSION PROVISIONS - The provisions in this scobo n am <br />applicable to ail cotacls except oamacis far Fedaal Aid Seoonday projects. <br />Title 23, Uni ed Stales Code; Section 112, requires as a cand%orn precedent to <br />approval by the Fedeal Highway Adrrmnismor of the out-ad for this work that <br />each BIDDER file a swan stagnant owcul d by, or on behalfot the pawn, firm, <br />association, or capaation to whom such co nhac t is to be awandad, celifyirg that <br />such pason, fine, associaboR or eorperabon has not eidne dffeWy or m<hm*, <br />erriaed into arty ag<eanent, pabcipatad in any eolhuiar or otherwise taker arty <br />ac6oninresuanrtoffreemMelitiv Wdnginmmwdmwtht ca n tkdbid A <br />forn to hake the non collusion affidavit statene t requiW by Section 112 as a <br />catificatian underpen* ofpajwy radi rthan as a swan sbbne t as permitted by <br />28, USC, Sec.1746, is included in the proposal. <br />PARTICIPATION BY DISADVANTAGED BUSINESS <br />ENTERPRiSFSIN SUBCONTRACTING - Part26,Tde49, Code offederal <br />Regulabo s supphes to this Federated project Patinert sections of said Code are <br />umporWmpatermitsat rdywit lmnothersectionsofthesegecdpoviv m <br />• :u : •� .n• s :: " '.liar n <br />Attadvneut <br />EAMA -FR1 <br />8-07-97 <br />BP 18 of 30 <br />(This form need not be filled in if all joint venture firms are DBE <br />owned.) <br />1. Name of joint venture <br />2. Address of join venture <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 />An <br />a. Describe q nrole 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 of the joint venture's business <br />tA-46+ <br />6. Provide a copy of the joint venture agreement <br />7. What is th laimed percentage ofDBE ownership? <br />8. Ownership of joint 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 />TO BE INCLUDED IN BID PACKAGE <br />