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N/A = Not Applicable <br />PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS <br />GENERAL —Tbe wodcberempropazxl w0 be fnhvicecl un whole or mlxd with <br />Fedoua( finds, andthaefote all of die sladihu, ndes andnegtations pun iilgacd by <br />the Fedora Govannart and applicable to woiic tinatxed in whole a in lu t wilt <br />Feder lfianclswiltapplytosuchwalc Tlv'RaputedCa ta�tRuvisicm Fecb d— <br />Aid Constriction Contracts, `Fbrn IT WA 1273, me included in this Satiot 14. <br />W knem in saicl tegttital corlact provisions relaences hue trade to "SHA <br />Cot>hacti ollicet" " SFIA imcfart engam," or "atllbaiw l relnesentative of the <br />KW' suchtefiuences shalt beoownwtomatn "Flip "asdetrctedniSection <br />1 -1.18 ofere Standa¢f SPoetimfions <br />PERFORMANCE OF PREVIOUS CONTRACT - In addition to the <br />luovfsuuvs in Sector II, `Nondisanninatoq" vhcl Swim VIt, "Subleting or <br />Assrg ring the Contract," of dne negntaed contract provisions, the Contrachu shall <br />complywi4n the followfitg <br />The BIDDER shill c3mtb the CERTIFICATION WITH REGARD TO <br />THE PERFORMANCE OF PREVIOUS CONTRACTS OR <br />SUBCONTRACTS SOBIECT TO THE EQUAL OPPORTUNITY <br />CLAUSE AND TFIEMING OF REQUIRED REPORTS locate] in the <br />pigxx,A. No request to, subletting of assignmg urylxnticn of the contact m <br />exoemof$10,000willbemnsicletedL la-diepinvisionsefSwhonVI[cfdne <br />tafivcf contract provisions runless such request is accoingumed by the <br />CERTIfTCATTONiifinecitoabove,e ibd'bydiepn)osmisul olAucha. <br />NON- COLLUSION PROVISIONS - The punmsioas it this sectra are <br />applunbletoallcontracts cLI)tmnvactsfixFedaalAiciSa ictuypmje(:k <br />Tnte 23, Unital States Code, Section 112, reg6tes as a coxlilion luaxdart to <br />approval by be Federal Highway Adtninishntor of the contract fu his wodc that <br />eactnBIDDERgo a swan shfe mem execukA by, or or bedhalfo'taw pamn, firro, <br />wsoemtoq o cogpratioa err whom such contract is Ai be awmded, certifying that <br />suds paw, Win, i-issouitoq or crnporaton has not eiHna' diiecdy a militcedy, <br />artaed into any ag=mant luuticipa d. in any w1lusion of otxtwise raker ally <br />aclioimrennaitrtoffreecmnlxtitivebuklmgunmruxetianwidntnes2ibnvltedbid A <br />fonn to nub the norailltisicn aHi &avit shataxnrt ialuual by Sin 112 as a <br />ceitficatonuixl- ip3hahyofpetpuyrffiTradhviasaswanshataizfnta peliT lWby <br />28, USC ,Sec.1746Jsiwkxledinthepnr>fx> d, <br />PARTICIPATION BY DISADVANTAGED BUSINESS <br />ENTERPRISES IN SUBCONTRACI ING - Part 26, Tice 49, Cade ofFeclend <br />Regilakonsmhpphi totoFectaal-aidlxojccY PaltnentrectrotlaofseidCode to <br />iiieopoatedmluutounus ailuetyw9}» uodnerscxSiousofdx�slnaialprovisicros, <br />ScheduhoB- Infinmation for lkternuhugJointvenhurElipbility. <br />Attachment <br />Fxbd)ftA -FRI <br />8.07 - -97 <br />(This form need not be, filled in if alljoint venture fnms ate DBE <br />owned) <br />1. Nwrio ofjohrtventtae N/A <br />2.Addressofjoinventtue N/A <br />3. Phone numberofjointventure <br />N/A <br />4. Identify the f'inns which comprise the joint venture. ('The DBE <br />padna must complete Schedule A) <br />N/A <br />a. Describe the role of the DBF fnm iin thus joint venture, <br />b. Describe very briefly the experience and business quahticationss of <br />each non- MBE joint venhue:_ <br />5. Nature of tlnejoint ve ntnte's lnisineas <br />N/A <br />6. Provide a copy of tie join venture agreement . N/A <br />7. WluatistheelaimedperecittageofDBFownasbip7 <br />N/A <br />8. Ownership ofjonrt venture: (This need not be filled in if described <br />in tie jointventtue ageement,provided by question (6). <br />a. Profit and loss sharing <br />b. Capita contributions, <br />including equipment. <br />c. Other applicable <br />ownership interests <br />TO BE INCLUDED IN BID PACKAGE <br />BP 16 of 27 <br />