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CITY OF SANTA ANA v <br />Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street <br />Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS <br />t•'�' � � " 1Y :. 1 ( L:1 II 1" 111 1 , :1 1 • 1 ' 1' 1 :1 I <br />- : I.♦ I� 11i" 1"• 1 I'�Y. Ilh .. 11 - +II ♦ 11 I Y:11 <br />�. ISI .II ru.I6 rl I 1:111 :f11' <br />i11 Y. ,1 1 IIYIY <br />PERFORMANCE OF PREVIOUS CONTRACT - In addium to & <br />provisions in Section 11, `No mn nalion ' and Setian VII, `Suble ft o <br />Assigning lbe Canhnct," of die required crnrtrxt provisions, the Cort uctor shall <br />comply wi h4ie following <br />The BIDDER shad eceade fie CERTIFICATION WITH REGARD TO <br />1I4E PERFORMANCE OF PREVIOUS CONTRACTS OR <br />SIIBOONIRACTS SUBIFCT TO THE EQUAL OPPORTUNITY <br />CLAUSE AND TFIEHUNG OF REQUIRED REPORTS bated in the <br />proposal. No request for subletting or assigning ariypation oftbe oat -act in <br />u"ss of $10,000 wall be oamdaW mck r doe provisions of Secfim VII of the <br />required coact Provisions unless such request is aoronape nied by the <br />CERTIFTCATIONrefeuedioabove, ©cecued bythe pupose d abom>actcr <br />NON -COLLUSION PROVISIONS - The provisiom in flus section are <br />applicable to all conhads except contracts forFodu al Aid Seoorxlaryprujeds. <br />Tide 23, United States Gd, Section 112, requites as a coalition p medent to <br />approval by the FoJ aal. ITWyV Adin nisttator of tine contact for this wak dirt <br />each BIDDER de a swanstatementexewtedby,oronbehalfcf;the person,firm, <br />association, or coipaalmn to whom such contact is to be awarded, catifying drat <br />swli person, fine, association, or capoinhor has A eilner directly or indwady, <br />mired inm my ageen=4 partcipaW in any collusion or cimmre palm any <br />adiorinneshamtoffreecompeitmbiddngmocnerecionwdid aftnidedbidA <br />faro to make the nmcollusioi affidavit slatenxart required by Section 112 as a <br />certficationund apanallyofpajuryradm dnanasaswornslatawfasperni¢edby <br />AUSC,Sec 1746,isiohuleclinflrpdgpnosrl- <br />PARTICIPATION BY DISADVANTAGED BUSINESS <br />ENTERPRNESINSOBCON RACUNG-Pmt26,Tide49,CodeofFedsal <br />Reguladans 9apphes to this Fodaid-wdpnnject Peduart sados of said Code are <br />incorporWinpartorinits,arth tywMbofliasecdcoofflierespecWprovisions. <br />Sch MeB-InfamadonforD&m mgJointVat=Edgrbilky. <br />Atlacbment <br />EKhibftA-FR1 <br />8-07-97 <br />BP 20 of 31 <br />(This fommneed not be filled in if alljoint venture firms areminority <br />owned) <br />1. Name of joint venture <br />2. Address of join venture <br />3. Phone number ofjointventure <br />4. Identify the firms which comprise thejoint venture. (The DBE <br />partner mast complete Schedule A) <br />a. Describe the role of the DBE firm in this jointventure. <br />b. Describe verybriefly the experience and business qualifications of <br />each non-MBEjoint venture: <br />5. Nature oflhejointventure's business <br />6. Provide acopyofthejointventureagreement <br />7. What is the claimed percentage ofDBE ownership? <br />8. Ownership ofjointventure: (This need notbe 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 />