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Exhibit 1 5-G 1 Local Agency Bidder UDBE Commitment (Construction Contracts) <br />NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F <br />' <br />r <br />GI?NCY: City ol <br />Santa Ana LOCATION: Jerome Park ?;? ?? <br />-lCp <br />?s <br />sL, <br />q <br />? <br />?p%? ??' <br />PROJFC'f DI?SCRIPI'LON: PROJEC'"I' NO <br />7528 J <br />12 <br />P <br />i <br />k i <br />?d? <br />' <br />erome <br />. <br />- <br />ur <br />: Par <br />ne Lot lniprovement <br />? <br />! <br />??? <br />I'O"PA 1. ITDERAL CON"TRACT AMOU N7?: $ ?3?J !7'Tl • ?? <br />? /S/ ?`F/V?/C?/?,q? <br />? <br />6ID DATfi: ?O ????1 <br />'?Rr._ ??°?q <br />_ <br />? <br />???'?5' s7p <br />?/ <br />/??, <br />BIDDER'S NAM1?;: ?.Jr P /?/ ?jfY)'/p '?°'sy <br />ONTRACf UDBE GOAL: ? ?? ? O <br />'ONlRAC7? ffl'iM OP WORK ANI> UESCRIP'f10N 'c rt. No. of UDB1 NAMC OI= UDBEs DOLLAR AMOUNI? <br />ITEM NO. R SERVICES TO BE ND EXPIRATION Must be certified on the date bids UDBE <br /> SUBCONTRACTED OR MAl?1:RIA LS DA"I?I-; re opened -include UDBG address <br />_ f0 BH PROVIDP,D nd hone number <br />? -t RtGtL_- L G 312-77 8 ? •O <br />. <br />- _ -- - - -_ _ _ _ _- -- -n.l????_- -- ---- - _ <br /> q N <br /> <br /> - 3S <br />T - 3 L ? - t'R.R? / 5 Kt4.7o r8 -? Y - <br /> S/SZ <br /> <br /> . ybt <br />For Local Agency to Complete: <br /> Total Claimed $ 3yySZ3 00 <br />Local A cnc Contract Number: <br />g' Y Participation <br />Federal Aid Project Number <br />Federal Share: ?? <br />'ontract Award Date: <br />Local Agency ce rGfies [ha[ all information is complete and accurate. "_ B? ?? <br /> r?R?S1DEA7T <br />Print Namc Signature Date Signature of Bidder <br />Local Agency I2epresenta live <br />(Area Code)Telc hone N <br />mbe 11t,1 q ?1q <br />'?UlV -? LO1L f????5"?-?41 <br />u <br />r: <br />For Caltrans Review: <br />Date (Arta Code) Tel. No. <br />Print Namc Signature Date <br />Caltrans District Local Assisla nee Engineer Locx?l Agency Bidder -UDBG Com miiment Q2ev 3/09) <br />utsin ounon: t t) copy - rax or scan a copy to me canrtns utstn ct Local Assrs[anec I;ngmeer (ULA L-) wrthm 7 5 days of award. Pail ure to <br />send a copy to the DLAE witliin I S days of award may result in dc-obligation of funds for this project. <br />(2) Copy -- Include in award pnckage Lo Caltrans Distract Locai Assistance <br />(3) Original -Local agency 191 es <br />TO BE INCLUDED 1N BID PACKAGE <br />BP 24 of 37