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CITY OF SANTA ANA Project Nos. 04-6375, 04-7709 El Salvador Center Renovation Project No. 05-7806 El Salvador Park Improvements PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS GENERAL—The work lgeiupul dfnncednwlteotprtwith (This form need not befilled inifall joint venture firms are minority FetalInds,and therefore aloftheslahileSr>lesanlregulatiosproniilgfatedby owned.) fie Fetal Govennnent and applicable to wok fimmed in tie or in pact with ' Federal funds wit apply tosuch wak The'Required ConhactProvisirnIFederal- 1.Name ofjointventure Aid Construction Contacts,Tam FHWA 1213,are irrinkd in this Section 14. Wherever in said requited ooliltact provisions references ate made to "SHA Contracting ollicer,""SHA resident engin,"or 'authorized retive of the 2.Address ofjoin venture SHA,"such references shalbeconstrued to bran"Engineer"as defus dnSection 1-1.18 Dote Studad SpecifSors. PERFORMANCE OF PREVIOUS CONTRACT - In addition to the 3.Phone number of joint venture provisions in Section II, Nor," and Section VII, 'Subletting or Assigning the Camtract,"of the requited`newt provisie s,the tnhect r shalt anplywithlhe foIlowing 4.Identify the firms which comprise the joint venture. (The DBE partner must complete Schedule A) The bidder shall execute the CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONIRACIS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS located in the a.Describe the role of the DBE firm in this joint venture. pmpo al.No request for subletting a assigning any portion of the contract in excess of$10,000 wilbecorsttedundert eprovisianofSectionVTlof4e required contract provisions unless such request is acoanparried by the CERTIFICATION refined to above, executed by the proposed b. Describe very briefly the experience and business qualifications of subattactor. each non-MBE joint venture: NON COLLUSION PROVISIONS - The lnovisias in this section are applicable toail contracts except cam`rctsforFedecalAdSecordanylxolecls 5. Nature of the joint venture's business Title 23,United States Code,Section 112,regimes as a condition precedent to approval by the Federal Highway Achinistatorofthe contract ft this wain that each bidder file a scam statement executed by,or on behalf of the prosaic,limn; association or coporafion to when such ccntract is to be awaxkd,certifying that 6.Provide a copy of the joint venture agreement such person,firm,assaciatice,or mrporatiar has not,eider directly o indirectly, entered into any agreement,participated in any collusion or otherwise Wren any 7. What is the claimed percentage of DBE ownership? • I xkominresfauntoffrecan}eddvebiddnmgmcanecdanwidhtlesubmtltedbid A fora to remake the naxnll sion affidavit statement required by Section 112 as a cadficadonurderpashyofpetjuryraflerthanasasvwarsfate n l as paintedby 28,USC See 1746,is included lathejtipmal. 8. Ownership of joint venture:(This need not be filled in if described in PARTICIPATION BY DISADVANTAGED BUSINESS mejointventureagreementprovdedbyquestion(6). ENTERPRISES IN TR SUBCONACTING - Part 26,Title 49, Code of a.Profit and loss sharing Fetal Regulations supplies to this Fcdaal aid project PatSnt sections of said b.Capital contributions, Code are iucopo dinpatorinitscatiretywidmrtsectosof4merespecial including cable ent lxov s as c,Other applicable ownership interests Schedule B-Iofonrntirmfr ratrnuimlgJohVentrueEligbilky. • i Attachment ExhrbitA-FRI 8-0747 I . TO BE INCLUDED IN BID PACKAGE BP 17 of 28