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CITY OF SANTA ANA <br />PROJECT NO. 13 -7511 CITYWIDE RESIDENTIAL STREET REPAIR - PHASE 17 <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS <br />,,�C)7' Ga_ - &)&wvk <br />GIB: NERAL— Tbeworlc havnpgaosedvillbefimncedinwholeorinpatwith (This formneednotbe filled inifalljonrtven ture films are minority <br />Federifliands, and therefore all ofthe statutes, lutes andregulaturispromulgetedby owned.) <br />the Federal Govararnerrt and afTlicable to wodc financed in whole ca in put with <br />FedaaAundswidapplybsudnwodc The`RegaiteclCorNadProvisiais,Federal- <br />Aid Construction Contrails, Form FHWA 1273, are m kxkd m this Section 14. <br />Whenever in said required contract p lmorns references are made to "SHA <br />Contracting oflicer;" "SHA resident engineer," or "authorized a pesenlafive of the <br />StW sudrreferences shall be construed to mean "Engineer" as defined in Section <br />1- 1.18ofthe Standard Speciticaticxrs. <br />PERFORMANCE OF PREVIOUS CONTRACT - In addition m the <br />provisions in Section 11, `Narndisoinvnatior," and Section Vll, "SuNdfnig or <br />Assigning fire Conkr4' of the required ou nttact provisions, the Contractor shall <br />canply wienthe following <br />The BIDDER shall execute the CERTIFICATION WITH REGARD TO <br />THE PERFORMANCE OF PREVIOUS CONTRACTS OR <br />SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY <br />CLAUSE AND UIE FILING OF REQUIRED REPORTS lornted in the <br />prgbsal. No request for subletting or assigning any portion of he contract in <br />excess of$1 0, 000 will be considered uxkv die provisions ofScdion VUofflne <br />required contract puvisic is unless such request is accompanied by the <br />CERTTFfCAUONrefanedbAxyve ,exec>rzdbythepnposedsubam actor. <br />NONLOLLUSION PROVISIONS - The provisions in this section are <br />gThcable U all cmftacts except cmkac[s fcr.Fed�dlAid SemnduylLujecK <br />'fide 23, United States Code, Secim 112, requires as a condition pncoede nt to <br />approval by the Federal Highway Administrator of die cartuact for this wvdc that <br />mchBDDERfile a sworn statement cxec*dby, m onbcbalfof� die per ntn, finu, <br />assoaation, or conpontfiort to whom sudz cnnhad is kn be awarlecf, catifying that <br />Such prison, firm, assJciation. or coporddarl has not, eidus dirtxtly or indacdly, <br />entered into any agrcanx% participated in any collusion or otherwise taken arty <br />wJiminrushnftltcffiee=4)g titivebiddmgnicomecimnwtlhthe subnnttalbid.A <br />form to tralce the nmrcollusim affidavit sfatarxat required by Section 112 as a <br />adrtdic. ationunderpernaltyofpeUmyrathcrdm as a swonsGilmnentaspsnnittedby <br />28,USC,Sea 1746,isindudedintheproposal. <br />PARTICIPATION BY DISADVANI:AGFD BUSINESS <br />ENTERPRISES IN SUBCONTRACTING- Part26, Title 49, Code ofTederal <br />Regulations supf)hes 0 this Federal -aid prgoa Pertinent sections of said Code are <br />inanpotakxlinpatam ilsmfiretywilhinodwrsections oftlnesespeci- ldriwsiom. <br />Schedule - hnfmnnatim for Determining Joint VentareElignbility. <br />Attachment <br />EAhnbitA -FRI <br />SU7-W <br />1.Nameofjointventur p--�- <br />'�`�. -� � P° J <br />2. Address ofjoin venture <br />3. Phone number ofjoint venture <br />4. Identify the firms which comprise thejoint venture. (The DBE <br />partnermust complete Schedule A) <br />a. Describe the role of the DBE farm in this jointventure. <br />b. Describe very briefly the experience and business qualifications of <br />each non -MBE j oint venture: <br />5. Nature of thejoint venture's business <br />6. Provide a copy of thejointventureagreement. <br />7. What is the claimed percentage of DBE owrncrship? <br />8. Ownership ofjoint venture: (This need not be filled in if described <br />in thejoint venture agreement, provided by question (6). <br />a. Profit and loss sharing <br />b. Capital contributions, <br />including equipment. <br />a Other applicable <br />ownership interests <br />TO BE INCLUDED IN BID PACKAGE <br />BP 19 of 30 <br />