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Ezhibit"F" <br /> Consultant Contract DBE Information (Caltrans Form 10-02) <br /> Consultant to Complete this Section <br /> 1.Local Agency Name: City of Redwood City <br /> 2.Project Location: Redwood City,CA <br /> 3.Project Description Hoover Elementary SR7S Infrastructure Project <br /> 4.Tota1 Contract Award Amount:� 5��� <br /> 5.C�sultant Name: Bellecci 8-As�ciates <br /> 6.C�tract DBE Goal%: $ <br /> $2920 <br /> 7.Total Dollar Amount for all Subconsultants:$ <br /> 8.Total Number of all Subconsultants: � <br /> Award DHE/DBE Information <br /> 9.Description of Services to be Provided 10.DBE/DBE Finn 11.DBE Cert. 12.DBE Dollffi <br /> Cordad.Information Number Amowu <br /> Translation Services Jungle Corrununications 31952 52920 <br /> 8California StreeL�70U <br /> San Francisco,CA 94111•(41 S)95b-2556 <br /> Local Agency to Complete this Section 13.Total <br /> Dollais <br /> Not applicable ���d <br /> 20.Local Agency Contract Number. $ <br /> 21.Federal-aid Project Nwnber: SRTSL-5029(030) <br /> 14.Total <br /> %Cl�tned <br /> 22.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 /> ?3.Local Agency RepresentaRive Narne(Prirt) <br /> � � <br /> 24.Local Agency Represerdative Signatuie 23.De[e � ,�,� <br /> 15.Prepazer's Signature <br /> 26.Local Agency Represeffiarive Title 27.(Atea Code)Tel.No. FI'0t1I(BeIIeCCi <br /> 16.Preparer's Name(Print) <br /> Caltrans to Com kte thia Section President <br /> 17.Preparer's Title <br /> Caltrans District Local Assistance Engineer(DLAE)certifies that this form g/10/13 925-685-4569 <br /> has been reviewed for completeness: 18.Date 19.(wrea code)'rel.rto. <br /> 28.DLAE Name(Print) 29.DLAE Signatute 30•Date <br /> REV:09-26-13 VR <br /> ATTY/AGR/2013.169/BELLECCI&ASSOCIATES Page 32 of 38 <br /> CHARTER ST.SRTS <br />