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Local Assistance Procedures Manual EXHIBIT 12-E <br />PS&E Checklist Instructions <br />Attachment J <br />ATTACHMENT J SUBCONTRACTOR AND DBE RECORDS <br />Required for ALL construction contracts administered under the Caltrans Standard Specifications <br />5-1.—SUBCONTRACTOR AND DBE RECORDS <br />Use each DBE subcontractor as listed on the List of Subcontractors form and the Local Agency Bidder DBE <br />Commitment (Construction Contracts), Exhibit 15-G, forms unless you receive authorization for a substitution. <br />The Agency requests the Contractor to: <br />1. Notify the Engineer of any changes to its anticipated DBE participation <br />2. Provide this notification before starting the affected work <br />Maintain records including: <br />1. Name and business address of each I st-tier subcontractor <br />2. Name and business address of each DBE subcontractor, DBE vendor, and DBE trucking company, regardless of tier <br />3. Date of payment and total amount paid to each business <br />If you are a DBE contractor, include the date of work performed by your own forces and the corresponding value <br />of the work. <br />Before the 15th of each month, submit a Monthly DBE Trucking Verification form. <br />If a DBE is decertified before completing its work, the DBE must notify you in writing of the decertification date. <br />If a business becomes a certified DBE before completing its work, the business must notify you in writing of the <br />certification date. Submit the notifications. On work completion, complete a Disadvantaged Business Enterprises <br />(DBE) Certification Status Change, Exhibit 17-0, form. Submit the form within 30 days of contract acceptance. <br />Upon work completion, complete a Final Report — Utilization of Disadvantaged Business Enterprises (DBE), <br />First -Tier Subcontractors, Exhibit 17-17, form. Submit it within 90 days of contract acceptance. The Agency <br />withholds $10,000 until the form is submitted. The Agency releases the withhold upon submission of the <br />completed form. <br />Page 12-45 <br />OB 12-04 June 29, 2012 <br />