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CITE' OF SANTA ANA REBID <br />PROPOSAL <br />PROJECT NO.: 17-6611 <br />CHESTNUT AVE & BUSH/CYPRESS BIKE LANES <br />FAID#: U58DP005861 <br />EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) — PART I <br />PART <br />The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard <br />Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in <br />addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. <br />Local Assistance Procedures Manton Etihitin 12$ <br />Bidder's List of 5ubeonhmctnts (DBE and 12-N DBE) <br />Exhibit 12-B Bidder's List of subcontractor (DBE and non -DBE) <br />As of March 1, 2015 Couhacto e (and sub-ccutbactors) wishing m i id on Public wmke contracts shall to registered with the State Division of Industrial Relatioru: avd <br />cctofied to bid on Public Works contracts. Please regster at: bttos://efiling.dir.ca.gov/PW /Action5eivlet?action-disolavpWCRegistrationFot'm <br />In accordance with Title 49, Section 26.11 of the Code offederal Regulations, and Section 4104 of the Public Contract Code of the State of Cahfaruvr, as arneeded, the <br />following information is required foreach sub-cmi m um -who will periarmwork omonntutg to more ratan one half of one pet'ceat (9.5%)ref the Total Baie Bid or $10,000 <br />(wlticlxever is greater). Photocopy this fotin for additional fit rax. <br />Subcontractor Name and <br />Location <br />Line Pont &Description <br />Subcontract <br />Amount <br />Percentage of <br />aid item sub <br />contracted <br />Contractor <br />License Number <br />09E <br />JY/N) <br />OBECett <br />Number <br />Annual Gross Receipts <br />DER Reg Number <br />Name:71" <br />A <br />� <br />i -o'. �" <br />(�fa- <br />l aya,D, <br />0J Jy <br />City, State. ,f.^ <br />Xftci eti 1... <br />( <br />/QGL?(,F�}iI'i <br />Lj *Mm3lRion <br />1$15mvilmn <br />mill <br />Age ofs rmi5 <br />rz <br />Nance: <br />` <br />_ <br />❑ <$imll�iaa <br />$5 nulhan <br />City, State: <br />® <510,ra lion <br />Lj +415"Alion <br />Ageof Finn: _ yrs. <br />Name: <br />�- <br /><$r rmliian <br />❑ $S ndlWion <br />City, State: <br />e$iemdlmn <br />Ageof Ran- yrs. <br />Name: <br />K$3 nNlaon <br />Er <$5 -niot <br />City, State: <br />El *510nuftit <br />❑ *$15 meYlnsu <br />Ageof Finn:_ws <br />Name: <br />- <br />❑ 'l Mitsui <br />t$5 naillimsr <br />City, State: <br />❑ ^$10 mvtl'mn <br />+$15 me1Gan <br />Age of R. _ yes. <br />Name <br />7 <br />7=7ximilhou <br />city, State: <br />a$W rapl[on <br />Lj K$15niMisn <br />Age of Rnn'_prs. <br />Disnibution:ij Onglna4Local Agenq File 21Capy-DLAEw6Awmdbtr."a <br />Page 1 of 1 <br />Selrtember 2016 <br />P-31 of P-39 <br />