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Local Assistance Procedures Manual EXffiBIT 10 -01 <br />Consultant Proposal D13E Commitment <br />EXIHBIT 10 -01 CONSULTANT PROPOSAL DBE COMMITMENT <br />(Inclusive of all DBEs listed at bid proposal. Refer to instructions on the reverse side of this form) <br />Consultant to Complete this Section <br />1. Local Agency Name: City of Santa Ana <br />2. Project Location: City of Santa Ana <br />3. Project Description: On Call Right of Way Services <br />4. Consultant Name: Donna Desmond Associates <br />5. Contract DBE Goal %: 4% <br />DBE Commitment Information <br />6. Description of Services to be Provided <br />7. DBE Firm <br />Contact Information <br />8. DBE Cert. <br />Number <br />9. DBE % <br />Goodwill Appralsal Services <br />Donna Desmond Associates, Donna Desmond <br />039212 <br />100% <br />265 S. Beverly Glen Blvd, Los Angeles, CA 90024 <br />(310) 476 -1114 <br />Local Agency thComplete this Section <br />10.Total <br />V, Claimed <br />100 % <br />16. Local Agency Contract Number; <br />17. Federal -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 />11. Preparer's Signature <br />Donna Desmond <br />12, Preparer's Name (Print) <br />President <br />19. Local Agency Representative Name (Print) <br />20, Local Agency Representative Signature 21. Date <br />22. Local Agency Representative Title 23. (Area Code) Tel. No. <br />13. Preparer's Title <br />6126!2015 (310) 475 -1114 <br />14. Date 15. (Area Code) Tel. No. <br />Distribution; (l) Original — Consultant submits to local agency with proposal <br />(2) Copy — Local Agency files <br />LPP 13 -01 <br />25L -156 <br />Page 1 of 2 <br />May 8, 2013 <br />