PALP INC. DBA EXCEL PAVING COMPANY (6)

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CITY OF SANTA ANA ??. PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS GENERAL-The Work herein p uposod will be firmed n whole or in pat with (This form need not be filled in if all joint venture firms are minority Federal fund,, and therefore all ofthe 4ah it- riles arid regulations promulgied by owned.) the Federal Government and applicable to Work financed in whole or in pert with Federal funds will apply to such work. The "Required Contract Provisions, Federal-- 1. Naive of joint venture Aid Canstrrrtion Contracts, "Form FHWA 1273, are included in this Section 14. Wlhernowir- in said required contact prwisicrts references ere made to "SHA Confinctnhg officer," "SHA r®dait engineer," or `drnhonzPd representative ofthe 2. Address ofjoin venture SHA," suds referents shall be construed to nnean `9'7lglneer°' as defined it Section 1-1.18 ofthe Siadad Spadfiratiors PERFORMANCE OF PREVIOUS CONTRACT' - In addition to the 3. Phone number ofjoint venture provisions in Section II, "Nodisaihh'v-nation," ad Section VII, "4ibleitino or Assigning the Contract" of the required oor>tiact povisiors, the Cormactor shall oattply with the follow g: q Identify the fimhs which comprise the joint venture. (The DBE partner must complete Schedule A) The BIDDER shall exeaum the CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS located in the a. Describe the role ofthe DBE firm in this joint venture. proposal. No request for subletting or assigning any potion ofthe eortract in excess of$10,000 wiII be oornidered underthe prwisior is ofSectiart VII ofthe mq med contract provisions unless such request is accompanied by the CERTIFICATION re fcrredto above,exearmd by theproposed sutmoor>dactor. b. Describe very briefly the experience and business qualifications of NON{)OIai1SION PROVISIONS -The provisory in this section are each non-MBE joint venture: applicable to all contracts except contracts for Feda-al Aid Secondary projects. Tide 23, United Staffs Code, Section 112, requires as a condition precedent to 5. Nature ofthe joint venture's business approval by the Federal Highway Adnninisti-atix of the cordact for this work that each BIDDER file a swo n statement executed by, or on beha lf of; the person, ferny ' .? ? a association,, or mtporahm to who n such contract is to be awarded, certifying dhat such person, ftln, association, or corporation has not, either directly or irt-directly, 6. Provide a copy of the joint venture agreement. entered into any agreenx2rrt participated in any collusion or otherwise taken any actionnesiraintoffeeconghelidvebidding inconnection with thesubmitiedbid.A 7. What is the claimed percentage of DBE ownership? form tD shake the notrmllusion affidavit slate nett requited by Section 112 as a certification trader penalty ofperjury rather dxi n as a swan stalerneit as permitted by 28, USC, Sec. 1746, is included in the proposal. PARTICIPATION BY DISADVANTAGED BUSINESS 8. Ownership ofjoint venture: (This need not be filled in if described ENTERPRISES IN SUBCONTRACTING -Part 26, Tide 49, CodeofFedeial in the joint venture agreement, provided by question (6). a Profit and loss sharing Regulations supplies to this Federal aid project. Pertinent sections of said Code ere b. Capital contributions, irxcogxraledinpattorinitser'mtetywithinodxrsedionsofdnesespecialProvisions. including equipment. Sdiedrde B - I nfonrration for Determining Joint Venture Eligibility. c. Other applicable ownership interests Attachment Exhibit A- FRI 8m-97 TO BE INCLUDED IN BID PACKAGE BP 19 of 37