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Exhibit 15 -G2 Local Agency Bidder DBE Information (Construction Contracts) <br />(Inclusive of all DBEs at bid proposal) <br />NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX H <br />AGENCY: City of Santa Ana LOCATION: Garfield St and Brown St <br />PROJECT DESCRIPTION. PROJECT NO, 10 -7564 Garfield Street at Brown Street Parking Lot Extension <br />TOTAL FEDERAL CONTRACT AMOUNT: $ 124.000 <br />BID DATE: March 7, 2011 <br />BIDDERS NAME: Hondo Company Inc. <br />CONTRACT <br />ITEM NO. <br />ITEM OF WORK AND DESCRIPTION <br />OR SERVICES TO BE <br />SUBCONTRACTED OR MATERIALS <br />TO BE PROVIDED <br />Cer[. No. of DBE <br />AND EXPIRATION <br />DATE <br />NAME OF DBEs <br />Must be certified on the date bids <br />are opened - include DBE address <br />and phone number <br />DOLLAR AMOUNT <br />DBE <br />40 <br />Landscape <br />F.V.R <br />Buena Vista <br />9,920.00 <br />For Local Agency to Complete: <br />Local Agency Contract Number: <br />Federal Aid Project Number', <br />Federal Share: <br />Total Claimed <br />Participation <br />$9,920.00 <br />$ % <br />Contract Award Date', <br />Local Agency certifies that all infor:netion is complete and accurate. <br />Signature ofl3i d <br />Print Name Signature Date <br />Local Agency Representative <br />(Area Code) Telephone Number', <br />Date (Area Code) Tel. No. <br />3/7/13 714 434 -0104 <br />Local Agency Bidder- DBE information (Rev 3/09) <br />For Caltrans Review: <br />Print Name Signature Date <br />Caltrans District Local Assistance Engineer <br />Distribution'. (1) Copy —Fax or scan a copy to the Caltrans District Local Assistance Engineer (DEAL) within 15 days of award. Failure to <br />send a copy to the DLAE within 15 days of award may result in de- obligation of funds for this project. <br />(2) Copy -- Include in award package to Caltrans District Local Assistance <br />(3) Original — Local agency files <br />TO BE INCLUDED IN BID PACKAGE <br />BP 24 of 33 <br />