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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 PROJECT NO: HSIPL 5063(156)
<br />EXHIBIT 16-I3 -SUBCONTRACTING REQUEST
<br />Local Assistance Procedures Maim sit
<br />STATE OP CALIFORNIA - DEPART,M BN'T OF 111ANSPORTATION
<br />SUBCO;,N't RACI'ING RP:QUEST
<br />DC -CEM -1201 (RFV. 11/94) (OLD 1'IC-45) (AT 7541-35147
<br />EXHIBIT I&B
<br />TRONT
<br />See Instructions
<br />On Back Page
<br />14EQI-IEST NUMBER
<br />CON'1'R�Y.6'id1INA111afi Professional Engineering, Inc.
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<br />"IN ES.S ADDRESS
<br />CONTRACT NO.
<br />3
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<br />2.
<br />CIU I`IN'T TE
<br />ZIP CODE
<br />3.
<br />FEDERAL AID PROAI;C' NO, (Bran Spe ial
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<br />4.
<br />'Fold (lines 2+3),. . ........._.... .. ............... _... ............ ....
<br />Proxinions)(�j
<br />5.
<br />Contractormust perform seithown forcesdines l minus4)x___
<br />`Yo....._..__ ...... ..... ....._.___.
<br />6.
<br />Bid ltentspreviously subcontiacwd......... .___..._.............._...,.,......_..................$
<br />SUBCONTRACTOR
<br />BID ITENI
<br />%OF
<br />CHECK IF:
<br />DESCRDIEWORK
<br />S
<br />(,Name, Business Address,
<br />NUMBER($
<br />BID
<br />(See Categories
<br />Below)(1)
<br />WHEN LESSTHAN
<br />106h, OF WORK IS
<br />AMOUNT
<br />(LASED
<br />Phone)
<br />ITEM
<br />(2)
<br />(3)
<br />SUBBED
<br />ON
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<br />Pafhrd. 21 -II
<br />SUBBED
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<br />BIDS
<br />AMOUNT
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<br />(,atioI1Svecialty 2) Listed Under Fair Practices Act 3)Certified DBE/MBF/WBEIDVBP.
<br />• "The Standard Provisions for labor set turth in the contract apply to the subconti aead. work.
<br />• lfapplirnblc, CI'ednral Aid Projects only) Section IA (federal Requirements} oi'thc Speoisl Provisions have been inserted in the subcontracts
<br />and shall be incorporated in any lower -ties subpgntraet. Written contracts hnve been executed for the above noted subcontractcd trurk.
<br />N O'f
<br />I camp ictcd b the Resident E'ngmeet
<br />Pcxtdeol 611d itconbe
<br />.... ........ ,. _....... ..,....,
<br />_..,..__. -r.1.11. ........ ." $,_
<br />2.
<br />Specialty items (Previously requested) ....__... ._._ _................
<br />..... .$_--___.__.__---_
<br />3.
<br />Specialty benls(this reque,a)., . .... ,.._...... . ..... _....,_.,.
<br />._.. _-$
<br />4.
<br />'Fold (lines 2+3),. . ........._.... .. ............... _... ............ ....
<br />_._...�
<br />5.
<br />Contractormust perform seithown forcesdines l minus4)x___
<br />`Yo....._..__ ...... ..... ....._.___.
<br />6.
<br />Bid ltentspreviously subcontiacwd......... .___..._.............._...,.,......_..................$
<br />7.
<br />Bid iteloS SIAbla looicted t this request)... __. ..... ...........___.........-.,...,.........
<br />_.
<br />S.
<br />'fotal(lilies 6+7)....... .,....__.__ - ...... _..,.....
<br />._..,......$__.
<br />9.
<br />Balance ofworkC'ontractor to perionn(lilies l minus 8).....,.._ ... ...........
<br />_...._...5
<br />3.(,1- Inwlals, tabor COInoll91N Oama J Co1111Xor s lnl6,mnaeu t -Py
<br />Pebnu, 1• PAS
<br />11-35 of P-40
<br />Paye 1651
<br />
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