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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 />-. r, ,. <br />GIiNC Y. 4 itv of Santa Ana LOCATION: Jerome Park '-' s ?' <br />a- <br />P120JIiC 1 UESCRIP'1'ION <br />' <br />?? <br />: PROJFC I <br />NO. 12-75i <br />o m <br />AC <br />?alkwav Improve t <br />?e <br />???????? <br />? <br />I? 3 <br />O <br />'4(/ <br />? <br />t,m,4 <br />FjL, <br />IOTA 1. FEDERAL CON7"RAC."1 AMOUN7"' $ 1 ?'hr <br />L <br />? <br />? <br />q? <br />I31DDI-R'S NAME: ?C? p/+-?//? a?'?-,p? ./?/? <br />o <br />'ONTRACT UU131c CiOA L: ?•??] !? <br />'ON"I"KAC"T 1"TEM OP WORK AND llESCKIPTION ert. No_ oCUDI3E NAME OF UD6L-'s DOLLAR AMOUNT <br />1"TEM NO. K SERVICES TO BE ND EXPIRATION Must be certified on the date bids UDBE <br /> SCJ [3CONTRAC'TL-D OR MATERIALS DATE re opened -include UDI36 address <br /> TO I3E PROVIDE-D nd hone number <br /> C?L.?G R.aCitC--- IN Cr RC-1 LA- / S-77Gp <br /> <br /> <br /> U <br /> -810- l Fl <br />$- l3 I,A?pSCitOE S L t? LT 4Fr a o0 <br /> <br /> 5 <br /> wrl <br /> -I _ 9h 3 - <br />For Local Agency to Complete: <br /> Total Claimed 00 <br />$ ?u? fC7? <br />? <br />Local Agency Contract Number Participation • <br />1 ? <br />-7 ? <br />Federal Aid Project Number: <br />Federal Share' ?? a/o <br />Contract Award Date: <br />Local Agency certifies that all in COnnaGon is complete and accurate. ? ?- P, ?R?Wf? <br /> ?RESIrJEh?T <br />Print Name Signature Date Signature oT Bidder <br />Local Agency Representative lUN _rry 2UlL <br />!! L L <br /> <br />Area Code) Tele hone N <br />mbe ?JGL?S?P?SB?t <br />u <br />r <br />For Caltrans Review: <br />Date (Area Code) Tel. No. <br />Print Name Signature Date <br />Caltrans District Local Assistance Engineer Local Agency Bidder- UDB7 ? Com mit?nent (lieu 3/09) <br />)istributionc (I) Copy- 1'ax or scan a copy to the Cal[raos District Local Assistance Engineer (DEAF) within 15 days of award_ Failure to <br />send a copy to the DLAE within 15 days of award may result in de-obligation of funds for this prof cet. <br />(2) Copy -- htclude in award package to Caltrans DistricC Local Assistance <br />(3) Original -Local agency files <br />TO BL INCLUDED IN SID PACKAGE <br />BP 26 of 37