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t,3tyl <br />l�xl3 <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NOA 5 -6831 <br />CROSSWALK UPGRADES - PHASE I <br />FEDERAL PROJECT NO: HSIPL 5063(155) <br />EXHIBIT 15 -G CONSTRUCTION CONTRACT DBE COMMITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 3.57% <br />3. Project Description: Installation of rapid rectangular flashing beacons, signage, striping, sidewalk, bulb -out, curb and gutter. <br />4. Project Location: Multiple Locations b <br />5. Bidder's Name: Alfaro Communications Construction.lnc. 6. Prime Certified DBE: G 7. Bid Amount: /y 22.2•.0 50 <br />8. Total Dollar Amount for ALL Subcontractors: 9. Total Number of ALL Subcontractors: <br />10. Bid <br />Item <br />Number <br />11 Description of Work, Service, or Materials <br />Supplied <br />12. DBE <br />Certification <br />Number <br />13. DBE Contact Information <br />(Must be cortifled on the dale bids are opened) <br />14. DBE <br />Dollar <br />Amount <br />tafq <br />e'l°�rtcr�lr,r.0�w:oJo <br />gZo <br />C Cpjr°m"t Carl �` <br />f o0 <br />aa- <br />` <br />) <br />//G$ <br />ytoo <br />` MO "A L o1.1. CA 86141 <br />Local Agency to Complete this Section <br />15. TOTAL CLAIMED DBE PARTICIPATION <br />,,tt <br />$'72(000• <br />21. Local Agency Contract Number: <br />�� 2 <br />22. Federal -Aid Project Number: HSIPL 5063 (155) <br />23. Bid Opening Date: <br />24. Contract Award Date: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />regardless of tier. Names of the First Tier DBE Subcontractors and <br />their respective item(s) of work listed above must be consistent, <br />where applicable with the names and items of the work in the <br />Local Agency certifies that all DBE certifications are valid and information on <br />this form Is complete and accurate. <br />25. Local Agency Representative's Signature 26. Date <br />"Subcontractor List' submitted with your bid. Written confirmation of <br />each listed DS s required. <br />A r ee S ore 17. to <br />1 °,tc r Y <br />310 - 669 -8949 <br />27. Local Agency Representative's Name 28. Phone <br />18. epa , Vgame 19. Phone <br />V. President <br />29. Local Agency Representative's Title <br />20. Preparers Title <br />DISTRIBUTION: (.Original - Local Agency <br />2. Copy - Caluans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract execution may result in dc- <br />obligation of federal funds on contract. include additional copy with award package. <br />ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 6548410 or <br />TDD (916) 654 -3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />P -27 of P -40 <br />23A -38 <br />