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20D - AA - TRAFFIC SIGNAL MOD
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20D - AA - TRAFFIC SIGNAL MOD
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Last modified
9/15/2016 4:37:55 PM
Creation date
9/15/2016 3:19:46 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20D
Date
9/20/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15 -6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 17T11 STREET AT ENGLISH STREET. <br />MACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET, WES'T'MINSTER AVENUE AI' CLINTON STREET <br />FEDERAL PROJECT'NO: FISIPL5063(156) <br />EXHIBIT 12 -B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) <br />PART lI <br />The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this <br />project This is required for compliance with Title 49, Section 26 of the Code of federal Regulations. Photocopy this form 'for <br />additional firms. <br />Firm Namel <br />Address/ <br />C'it .State.L31' <br />Phone/ <br />Fax <br />Annual Gross Receipts <br />Description of Portion of Work to be Performed <br />LocaI Aser= Use Onty <br />(Certified DBE ?) <br />A'amee1 ,S <br />Q_T2tCk_ <br />. Address dM <br />Phone <br />GlbI -a7`(❑ <br />❑ <$1 million <br />-_..._ <br />❑NO <br />YLShstDBE#. <br />:$5 million <br />❑ <$10 million <br />— .._ <br />1?rJ.U(r CtiThST. <br />01),51crleZIP <br />Pax <br />'7�- <br />❑ <$15 mullion <br />$15_nuIlion <br />Vag. nie <br />�...� <br />Phone <br />rjln�•` <br />3rE�_ <br />bk i <br />llion <br />� Rt fiJ, <br />❑YES <br />❑NO ... -_- <br />JfYGStrsYi)BL 4 -- .. <br />llion <br />. -.. - -- -- - -- -- <br />__ __ __ <br />Address <br />illion <br />_ <br />"lrj W. %�� St. <br />)��c[.ri�,.2 <br />otP�y <br />illion <br />tF <br />-- -- <br />Ct!1 Slate ZIP <br />uI� Cfl <br />illion <br />Nance <br />Phone <br />llion <br />YES <br />- <br />llion <br />-- - - -_- _ -.— <br />❑N -- <br />Adlircm <br /><$l0 m 111100 <br />11 ilISI %913E4': <br />Far <br />❑ <'$IS million <br />C'itv,Statc -ZIP <br />>$15milliom <br />Name <br />Phase <br />❑ <$1 million <br />(YES <br />IT, S SsrDB(# _ <br /><$5-million <br />hhke.rs <br />< $$10 million <br />_.... -- --.. —. .— ....__ <br />Far <br />❑ <$15million <br />011"kileZIP <br />❑ >$15million <br />Age ofFirmcYrs )-- <br />P -33 of P -40 <br />r1i -: <br />
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