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Local Assistance Procedures Manual <br />Exhibit 10-01 <br />Consultant Proposal DBE Commitment <br />1. Local Agency: <br />3. Project Description <br />4. Project Location: <br />EXHIBIT 10-01 CONSULTANT PROPOSAL DBE COMMITMENT <br />City of Santa Ana <br />Warner Avenue Protected Bike Lane <br />Santa Ana, California <br />2. Contract DBE Goal: 8.00% <br />k St. to Grand Ave.) PS&E, RFP No. 20-094 <br />5. Consultant's Name: Kimley-Horn and Associates, Inc. 6. Prime Certified DBE: ❑ <br />7. Description of Work, Service, or Materials <br />8. DBE <br />Certification <br />9. DBE Contact Information <br />10. DBE % <br />Supplied <br />Number <br />Cabrinha, Hearn & Associates <br />Survey Services <br />Y <br />21761 <br />Camden Cabrinha / 626.795.6926 <br />5 92% <br />Potholing - Expense <br />34267 <br />Bess TestLab, Inc. <br />3.19% <br />Joseph Bohorquez / 408.988.0101 <br />Local Agency to Complete this Section <br />17. Local Agency Contract Number: <br />11. TOTAL CLAIMED DBE PARTICIPATION <br />9.11 <br />18. Federal -Aid Project Number: <br />19. Proposed Contract Execution Date: <br />20. Consultant's Ranking after Evaluation: <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />Local Agency certifies that all DBE certifications are valid and information on <br />regardless of tier. Written confirmation of each listed DBE is <br />this form is complete and accurate. <br />required.Hayley <br />2021.0 Gilbert <br />2021.03.0309:55:00-08'00' <br />^� /]� <br />6/v�P � �. _ 3-2-2021 <br />12. Preparer's Signature 13. Date <br />Jason J. Melchor, P.E. 714-705-1331 <br />14. Preparer's Name 15. Phone <br />Associate <br />16. Preparer's 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) 654-6410 or TDD (916) 654- <br />3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. <br />LPP 18-01 Page 1 of 2 <br />January 2019 <br />