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AgdaPkt 2013-03-25 Joint SA and PFA
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AgdaPkt 2013-03-25 Joint SA and PFA
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Last modified
2/23/2015 4:23:08 PM
Creation date
3/21/2013 4:47:58 PM
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Template:
CC Index
CC Index - Document Type
Agenda Packet
Meeting Type
Joint
Agency Type
City Council and Successor Agency and Public Financing Authority
Date
3/25/2013
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6.1.C. - Page 33 <br /> EXHIBIT 10-02: LOCAL AGENCY CONSULTANT DBE INFORMATION <br /> (Inclusive of all DBEs listed at bid proposal) <br /> NOTE: Please refer to instructions on the reve�e side of this form. <br /> Consultant to Complete this Section <br /> 1.Loca1 Agency Name: City of Redwood City <br /> 2.Project Location: Ciry of Redwood City,CA <br /> 3.Project Description: Preparation of Safe Routes to 5chool Assessments <br /> 4.Total Contract Awazd Amount: $ 74,719 <br /> 5.ConsultantName: Alta Planning+Desi�n <br /> 6.Contract DBE Goal%: 6 <br /> 7.Total Dollar Amount for all Subcontractors:$ 28,165 <br /> 8.Tota1 Number of a11 Subcontractors: Z <br /> Award DBE Information <br /> 9.Description of Services to be Provided 10.DBE Firm 11.DBE Cert. 12.DBE Dollar <br /> Contact Information NumUer Amount <br /> En lish/5 anish Translation Jung e Communications 31952 $8,400 <br /> 8 Ca ifornia 5t.5uite 702 <br /> 5an Francisco,CA 94111 <br /> P one:415-956 2556 <br /> Fax:4L5-373-9124 <br /> Local Agency to Complete this Section 13.Total <br /> Dallars <br /> 20.Local Agency ContractNumber: Claimed <br /> � 8 400 <br /> 21.Federal-aid ProjectNumt�er: <br /> 14.Total <br /> 22.Contract F�ecutioo Date: %Claimed <br /> 11% <br /> Local Agency certiFies that all DBE certifications are valid and the <br /> information on this form is complete and accurate: <br /> 23.Local Agency Representative Name(Print) <br /> 24.Local Agency Representative Signature 25.Date �y.,�}- � <br /> << ��L <br /> 15.Preparer's Signature <br /> 26.Local Agency Representative Title 27.(Area Code)Tel.No. <br /> Brett Hondorp <br /> 16.Preparer's Name(Print) <br /> Principal <br /> Caltrans to Com lete this Section 17.Preparer's Title <br /> 2I13I2013 (510)540-5008 <br /> Caltrans District Local Assistance Engineer(DLAE)certifies that this form 1s.Date 19.(Area Code)Tel.No. <br /> has been reviewed for completeness: <br /> 28.DLAE Name(Print) 29.DLAE Signah�re 30.Date <br /> ATTY/AGR/2013.039/FHWA CALTRANS FUNDED PROFESSIONAL AGR WALK BIKE ASSESSMENTS <br /> REV:03-14-13 VR <br /> Page 30 of 30 <br />
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