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Local Assistance Procedures Manual _ _ _ _ Exhibit 10-.01 <br />Consultant ProposalDBE Commitment <br />EXHIBIT 10-01 CONSULTANT PROPOSAL DISE COMMITMENT <br />1. Local Agency: City of Santa Ana Public Works 2, Contract DBE Goal: 7,50 % <br />3. Project Description: OC Street Design Review Support RPP NO, 16-125 <br />4. Project Location: Santa Ana CA <br />5. Ccnsuitant's Name: Kimley-Horn and Associates, Inc. 6, Prime Certified DBE: ❑ <br />7. Description of work, Service, or Materials <br />Supplied <br />A. DBE <br />Certification <br />Number <br />9, DBE Contact Information <br />a <br />19. DBE /o <br />Geotechnical Review <br />#20259 <br />Parikh Consultants, Inc. <br />2360 Qume Drive Ste A <br />San Jose, CA 95131 <br />TBD <br />(408) 452-9000 Gary Parikh <br />_.. Local Agency to Gom9laklp this Seckion.- - <br />11. DOTAL CLAIMED DBE PARTICIPATION <br />BD% <br />17, Local Agency Contract Number: <br />16, Fedaral-Ald Project Number: <br />19. Proposed Contract Execution Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />Local Agency certifies that all DBE certifications are valid and Information on <br />this form Is complete and accurate, <br />regardless of tier. Written confirmation of each listed DBE Is <br />required <br />10/18/2016 <br />12, Preparers Signature 13. Date <br />20, Local Agency Representative's Signature 21, Date <br />Darren Adrian, P.E. (714) 939-1030 <br />22, Local Agency Representative's Name 23. Phone <br />14. Preparer's Name 15. Phone <br />Vice President <br />24. Local Agency Representative's Title <br />16. Preparers Title <br />DISTRIBUTION: Original — Included with consultant's proposal to local agency. <br />ADA Notice: for Individuals with sensory disabilities, this document Is available in alternate formats. for Information call (916) 8548410 or TDD (916) 654- <br />3880 or write Records and Forms Management, 1120 N Small, MS -89, Sacramento, CA 95814, <br />Page 1 of 2 <br />July 23, 2015 <br />PKI- <br />