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Local Assistance Procedures Manual Exhibit 10.02 <br />Consultant Coutract DBE Cointaitznent <br />EXHIBIT 10-02 CONSULTANT CONTRACT DISE COMMITMENT <br />4 Local Agency City of Santa Ana <br />s. P oj9at Desc pBon: A2 Hazardous Material <br />4, Project Locatlon: Various <br />6, Consultant's Name: Ninyo & Moore <br />8. Total Dollar Amount for AL Subconsultents: TBD <br />2, Contract DEE Goal: TBD <br />8, Prime Certifl9d DBE ❑ 7. Total Contract Award Amount: $1,999.09 <br />9. Total Number of ALL Subconsultants: TBD <br />10. Description of Work, Service, or Materials <br />Supplied <br />11, DBE <br />Certification <br />Number <br />12. DBE Contact Information <br />13, DBE <br />Dollar <br />Amount <br />Subconsultant 1: IH Laboratory <br />F <br />TBD <br />i Lai Agency tp Gaiaptot8 this SeoOCn <br />$TBD <br />20. Local Agency Contract - <br />14, TOTAL CLAIMED DDE PARTICIPATION <br />21. Pederal-Ald project Number: <br />22. Contract Execution <br />TBD % <br />hate _.._. <br />Local Agency cart[fles &bat all DRE certifications are valid and Information on <br />IMPORTANT: Identify all DBE firms being claimed forcredit, <br />this form is complete and accurate. <br />regardless of tier Written confirmation of each listed DBE is <br />required. <br />OVIOM4 ( 8/3/2018 <br />23. Local Agancy Representative's Signature 24. Date <br />46. rapar is Sn ur 16, Dahl <br />Anthony J. Uzzi, PG, 1 949.7517070 <br />25, Local Agency Representative's Name 29: Phone - <br />17. Preparer's Name 18. Phone <br />Principal Geologist <br />27. Local Agency Representative'a Title <br />19. Preparer's Title <br />DISTRIBUTION: 1. Original — Local Agency <br />2. Copy — Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract <br />execution may result in de -obligation of federal funds on contract. <br />ADA Notice: For individuals with sensory disabilities, this document Is evallable In alternate formats. For Information e;all (019) 064-8419 or TDD (01 d 684- <br />3860 of write Records and Forms Management, 1120 N $treat, MS -89, Saoramorto, CA 96014. <br />Page 1 of 2 <br />July23,2015 <br />