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CITY OF SANTA ANA <br />PROPOSAL, <br />PROJECT NO.: 15-6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 17TH STREET AT ENGLISH STREET, <br />MACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET, WESTMINSTER AVENUE AT CLINTON STREET <br />FEDERAL PROJECTNO: HSIPL 5063(156) <br />EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) <br />PART 11 <br />The bidder shall list all subcontractors who provided a quote or hid 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 Name/ <br />Address/ <br />City, State, ZIP <br />PhOae/ <br />Fix <br />Annual Gross Receipts <br />___, <br />Description of Portion of Work to be Performed <br />Local Agency Use Only: <br />(Certified DBE?) <br />,Vame(�1�>S <br />Addtcss— <br />]]'hone <br />GI51j <br />P❑<$O <br />❑<$1million <br />`,�.._.-I ---.._.._._.._. <br />❑YES <br />❑ <$5 million <br />--- <br />— <br />ts1DBE 4: <br />If YES <br />_._ <br />llion <br />-----_—..-_--_NO <br />I Di1Ufbg' <br />City Stale ZIP <br />C <br />Em <br />a <br /><$15million <br />=>S15 million <br />Age ofFirm Yrs. <br />_ <br />— <br />gWrote <br />Y <br />Prone <br />_ <br />5tn�Fj <br />�sE <br /><$1 million <br /><$S million <br />t iQ N� — ...--- <br />—..-- ----- ---- ---QNO <br />❑,YES <br />- :.. <br />... <br />;Ic/cG-c.es <br />million <br />/YES ]tsfDBF. #: <br />ptA <br /><$15 million <br />Ci1S1Ile ZIP <br />2,U A & <br />❑'$15 nvllroit <br />Age of Pirie rs� <br />_ <br />'Vane <br />Phone <br />❑<$1 million <br />❑YES <br />er $.5 million <br />.---..._..._—_�/❑NO <br />Acldress <br /><$10milh0n <br />yLESlist DBE s. <br />Ectr <br />I<$15 million <br />..__...._.__..__ _—..... -.._ <br />6ty.State ZIP <br />> $15 million <br />Name <br />Phone <br />❑<$1 million <br />❑ <: $5 million <br />_—._._. ..._— <br />❑NO _T_ <br />IfIESlistDBER, <br />_ <br />fddre•ss <br />e$10million <br />F'ar <br /><$15 million <br />__-.—._. .__ <br />Cilp Slcrte "LIP <br />> $1.5 million <br />P-33 of P-40 <br />