Laserfiche WebLink
Local Assistance Procedures Manual EXHIBIT 10-01 <br />Consultant Proposal DBE Commitment <br />EXHIBIT 10-01 CONSULTANT PROPOSAL DBE COMMITMENT <br />(Inclusive of all DBEs listed at bid proposal. Refer to instructions on the reverse side of this form) <br />c®Bsaltaut t®C®mgr thts �ec�+n11 <br />1. Local Agency Name: City of Sema A[1a <br />2. Project Location: City of Santa Ana <br />3. Project Description: On Call Right of Way Services <br />4. Consultant Name: Donna Desmond Associates <br />5. Contract DBE Goal %: 4% <br />DBE Commitment Information <br />6. Description of Services to be Provided 7. DBE Firm <br />Contact Information <br />S. DBE Cert. <br />Number <br />9. DBE % <br />Goodwill Appraisal services Donna Desmond Associates, Donna Desmon <br />039212 <br />100% <br />265 S. Beverly Glen BIW. Los Angeles. CA 90024 <br />_ <br />310 476-1114 <br />Local Ajency lits Complete this Sectlnn - <br />16, Total <br />h CAabned <br />1NO % <br />16. Local Agency Contract Nmnber. <br />17. Perioral -aid Project Number: <br />M Proposed Contract Execution Date: <br />Local Agency certifies that all DBE certifications are valid and the <br />information on this form is complete and accurate: <br />- <br />it. Preparer's Signature <br />Donna Desmond <br />12. Preparer's Name (Print) <br />President <br />19. Local Agency Representative Name (Print) <br />20. Ural Agency Representative Signature 21. Dade <br />22. Local Agency Representative Title 23. (Area Code) Tel. No. <br />13. Preparer's Title <br />6/2612015 (310) 475-1114 <br />14. Date 15. (Area Code) Tel, No. <br />Distribution: (1) Original— Consultant submits to local agency with proposal <br />(2) Copy— Local Agency files <br />Page 1 of 2 <br />LPP 13-01 May 8, 2013 <br />