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AGREEMENT NO. C -5 -3632 EXHIBIT D 4. "Monthly DBE Trucking Verification" Form Prior to the 10th of each month, the Consultant must submit documentation on the "Monthly DBE Trucking Verification" Form to the Authority showing the amount paid to DBE trucking companies, The Consultant must also obtain and submit documentation to the Authority showing the amount paid by DBE trucking companies to all firms, including owner - operators, for the leasing of trucks, If the DBE leases trucks from a non -DBE, the Contactor may count only the fee or commission the DBE receives as a result of the lease arrangement. The Consultant must also obtain and submit documentation to the Authority showing the truck number, owner's name, California Highway Patrol CA number, and if applicable, the DBE certification number of the owner of the truck for all trucks used during that month. 5. "Final Report - Utilization of Disadvantaged Business Enterprises (DBE), First Tier Subconsultants" Upon completion of the contract, a summary of these records must be prepared on the "Final Report - Utilization of Disadvantaged Business Enterprises (DBE), First Tier SubconsultantS" and certified correct by the Consultant or the Consultant's authorized representative, and must be furnished to the Engineer, The form must be furnished to the Authority within 90 days from the date of contract acceptance. The amount of $10,000 will be withheld from payment until a satisfactory form is submitted. 6. "Disadvantaged Business Enterprises (DBE) Certification Status Change" If a DBE Sub is decertified during the life of the project, the decertified Subconsultant must notify the Consultant in writing with the date of decertification. If a Subconsultant becomes a certified DBE during the life of the project, the Subconsultant must notify the Consultant in writing with the date of certification (Attach DBE certification /Decertification letter). The Consultant must furnish the written documentation to the AUTHORITY. Upon completion of the contract, the "Disadvantaged Business Enterprises (DBE) Certification Status Change" must be signed and certified correct by the Consultant indicating the DBEs' existing certification status. If there are no changes, please indicate "No Changes ". The certified form must be furnished to the Authority within 90 days from the date of contract acceptance. V. DBE Eligibility and Commercially Useful Function Standards A DBE must be certified at the time of Proposal submission: 1. A certified DBE must be a small business concern as defined pursuant to Section 3 of the U,S. Small Business Act and relevant regulations promulgated pursuant thereto. Orange County Transportation Authority Revised. 0510612014 25E -31