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Local Assistance Procedures Manual <br />Exhibit 10-02 <br />Consultant Contract DBE Commitment <br />EXHIBIT 10-02 CONSULTANT CONTRACT DBE COMMITMENT <br />1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 8.00% <br />3. Project Description: Warner Avenue Protected Bike Lane (Oak St. to Grand Ave.) PS&E, RFP No. 20-094 <br />4. Project Location: Santa Ana, California <br />5. Consultant's Name: Kimley-Horn and Associates, Inc. 6. Prime Certified DBE: ❑ 7. Total Contract Award Amount: $93,990.51 <br />8. Total Dollar Amount for ALL Subconsultants: $5,562.85 9. Total Number of ALL Subconsultants: 1 <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 />Survey Services <br />21761 <br />Cabrinha, Hearn & Associates <br />Camden Cabrinha / 626.795.6926 <br />$5,562.85 <br />Potholing - Expense <br />34267 <br />Bess TestLab, Inc. <br />Joseph Bohorquez / 408.988.0101 <br />$3,000.00 <br />Local Agency to Complete this Section <br />$ 8,562.85 <br />20. Local Agency Contract <br />Khiml -'"' <br />14. TOTAL CLAIMED DBE PARTICIPATION <br />9.11 <br />21. Federal -Aid Project Number: <br />22. Contract Execution <br />nnt, <br />Local Agency certifies that all DBE certifications are valid and information on <br />IMPORTANT: Identify all DBE firms being claimed for credit, <br />this form is complete and accurate. <br />regardless of tier. Written confirmation of each listed DBE is <br />required. <br />Hayley Gilbert <br />2021.03.03 09:55:28-08'00' <br />2-17-2021 <br />23. Local Agency Representative's Signature 24. Date <br />15. Preparer's Signature 16. Date <br />Darren Adrian, P.E. 714.705.1304 <br />25. Local Agency Representative's Name 26. Phone <br />17. Preparer's Name 18. Phone <br />Sr. Vice President <br />27. Local Agency Representative's 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 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 />Page 1 of 2 <br />July 23, 2015 <br />