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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.:15 -6831 <br />CROSSWALK UPGRADES - PHASE I <br />FEDERAL PROJECT NO: HSIPL 5063(155) <br />Local Assistance Procedures Manual Exhibit 16 -B <br />Subcontracting Request <br />INSTRUCTIONS FOR COMPLETING SUBCONTRACTING REQUEST FORM <br />All First -tier subcontractors must be included on a <br />subcontracling request. <br />Submit in accordance with Section 8 -1.01 of the Caltrans Standard Specifications. <br />Type or print requested information. Information copy is to be retained by the <br />contractor. Submit other copies to project's Resident Engineer. After approval, the <br />original will be returned to the contractor. <br />When an entire item is subcontracted, the value to be shown is the contractor's bid <br />price. <br />When a portion of an item is subcontracted, describe the portion, and show the % <br />of bid item and value. <br />THIS FORM IS NOT TO BE USED FOR <br />SUBSTITUTIONS. <br />Prior to submittal of a DC -CEM -1201 involving a replacement Subcontractor, <br />submit a separate written request for approval to substitute a listed subcontractor. <br />Section 4107 of the Government Code covers the conditions for substitution. <br />Submit a separate written request for approval of any DBE/NME/WBE/DVBE <br />substitution. Include appropriate backup information and state what efforts were <br />trade to accomplish the same dollar value of work by other certified <br />DBE/MBE/WBE/DVBEs. <br />NOTE: For contractors who will be performing work on railroad property, it is necessary <br />for the contractor to complete and submit the Certificate of Insurance (State Form <br />DH- OS -AIOA) naming the subcontractor as insured. No workshall be allowed <br />which involves encroachment on railroad property until the specified insurance has <br />been approved. <br />Page 2 of 2 <br />July 2016 <br />P -36 of P -40 <br />23A -47 <br />