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Local Assistance Procedures Manual EXHIBIT 10-01 <br />Consultant Proposal DBE Commitment <br />EXHIBIT I.0-01 CONSULTANT PROPOSAL BBE COMMITMENT <br />(Inclusive of all DDEs listed at bid proposal. Refer to instructions on the reverse side of this form) <br />1. Local Agency Name: City of Santa Ana <br />2. Project Location: VarlOus <br />3, Project Description: On -Call Demolition Services <br />4. Consultant Name: NCM Demolition and Remediation, LP <br />$. Contract DISE Goal We 10%' <br />6. Description of Services to be Provided 1 7. DBE Firm 1 8, DBE Can. 1 9. DBE %. <br />16. Local Agency Coutnet Numbec <br />14, Pedetal-aid Project Number <br />18. Proposed Contract Execution Date: <br />Local Agency certifies that all DBE certifications are valid and the <br />information on this form is complete and accurate: <br />19. Local Agency Representative Negro (Print) <br />M Local Agency Representative Signature 21. Date <br />22. Local Agency Representative Title 23. (Area Cade) Tel, No, <br />Distribution: (t) Original— Consultant submits to local agency with proposal <br />(2) Copy—Local Agency fit" <br />r <br />Subhas Khara <br />12. Preparer's Name (Pring <br />President <br />13. Preparer's Title <br />5/2712014 (714) 672-3500 <br />14. Date 13. (Area Code) Tel, No, <br />Page 1 of 2 <br />LFP 13-01, May 8, 2013 <br />