Attachment 4
Local Assistance Procedures Manual Exhibit 15-G
Construction Contract DBE Commitment
Exhibit 15-G: Construction Contract DBE Commitment
1. Local Agency: City of San Clemente . 2. Contract DBE Goal: 22%
3. Project Description: S. El Camino Real Lane Reconfiguration & Buffered Bike Lane Project
4. Project Location: S. El Camino Real from Avenida Mendocino to south City Limit
5. Bidder's Name: DIAMOND CONSTRUCTION & DESIGN 6. Prime Certified DBE: •] 7. Bid Amount: 1,725,954
8. Total Dollar Amount for ALL Subcontractors: 1,026,792, 9. Total Number of ALL Subcontractors: 6
10. Bld 12. NAICS or 13. DBE 14. DBE Contact Information 15. DBE item 11. Description of Work, Service, or Work Certification Materials Supplied (Must be certified on the date bids are Dollar Number Category Number opened) Amount
Codes
10-12 survey n/a n/a n/a
61-62 electrical n/a n/a
n/a n/a
60 SLURRY SEAL N/A N/A
N/A N/A
48-56, 63-94 STRIPPING N/A N/A N/A
N/A
58-59 RUBBERIZED MATERIAL N/A N/A N/A N/A
42-47 PAVING N/A N/A NIA
N/A
Local Agency to Complete this Section upon Execution of Award 16. TOTAL CLAIMED DBE PARTICIPATION
22. Local Agency Contract Number: $ 0
23. Federal-Aid Project Number:
24. Bid Opening Date: %
25. Contract Award Date:
26. Award Amount: IMPORTANT: Identily all DBE fins being claimed for credit, regardless of tier. Names of the First Tier DBE Subcontractors and their respective Items) of work listed above must be consistent, where applicable with the Local Agency certifies that all DBE certifications are valid and names and items of the work in the "Subcontractor List" submitted with your Information on this form is complete and accurate. bid. Written confirmation of each listed DBE is required.
27. Local Agency Representative's Signature 28. Date 1
STELIAN ONUFREI 714-240-3698
29. Local Agency Representative's Name 30. Phone 19. Preparer's Name 20. Phone general partner
31. Local Agency Representative's Title 21. Preparer's Title DISTRIBUTION: 2: Copy a Loans District Local Assistance Engineer (LAE). Failure to submit o DLAE within 30 days of contract execution may result in de-obligation of federal funds on contract.
3. Include additional copy with award package.
January 2023
Local Assistance Procedures Manual Exhibit 15-H
Proposer/Contractor Good Faith Effort
EXHIBIT 15-H: PROPOSER/CONTRACTOR GOOD FAITH EFFORTS
Cost Proposal Due Date 02227125 PE/CE
Federal-aid Project No(s). CML-5274(039) Bid Opening Date 02/27/25 _ CON The City of San Clemente_ established a Disadvantaged Business Enterprise (DBE) goal of 22% for this contract. The information provided herein shows the required good faith efforts to meet or exceed the DBE contract goal.
Proposers or bidders submit the following information to document their good faith efforts within five (5) calendar days from cost proposal due date or bid opening. Proposers and bidders are recommended to submit the following information even if the Exhibit 10-01: Consultant Proposal DBE Commitments or Exhibit 15-G: Construction Contract DBE Commitment indicate that the proposer or bidder has met the DBE goal. This form protects the proposer's or bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error.
The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions, please attach additional sheets as needed:
A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication):
Publications Dates of Advertisement
N/A
B. The names and dates of written notices sent to certified DBEs soliciting bids for this project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.):
Names of DBEs Solicited Date of Initial Solicitation Follow Up Methods and Dates N/A
May 2020
Local Assistance Procedures Manual Exhibit 15-H
Proposer/Contractor Good Faith Effort
C. The items of work made available to DBE firms including those unbundled contract work items into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation in order to meet or exceed the DBE contract goal.
Items of Proposer or Bidder Breakdown of Amount Percentage Work Normally Performs Item Items $) Of
(Y/N) Contract
NIA
D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE:
Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs:
N/A
Names, addresses and phone numbers of firms selected for the work above:
N/A
E. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining information related to the plans, specifications and requirements for the work which was provided to DBEs:
N/A
May 2020
Local Assistance Procedures Manual Exhibit 15-H
Proposer/Contractor Good Faith Effort
F. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining bonding, lines of credit or insurance, necessary equipment, supplies, materials, or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate:
N/A
G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.):
Name of Agency/Organization Method/Date of Contact Results N/A
H. Any additional data to support a demonstration of good faith efforts:
N/A
-...
May 2020
Local Assistance Procedures Manual Exhibit 12-B
Bidder's List of Subcontractors (DBE and Non-DBE)
Exhibit 12-B: Bidder's List of Subcontractor (DBE and Non-DBE) - Part 1 assure that yearly registration is maintained throughout the life of the project.
In accordance with Title 49, Section 26.11 ofthe Code of Federal Regulations, and Section 4104 of the Public Contract Code of the State of California, as amended, the following information is required for each sub-contractor who will perform work amounting to more than one half of one percent (0.5%) of the Total Base Bid or $10,000 (whichever is greater).
Photocopy this form for additional firms. PN 11308 CML-5274(039 Subcontractor Namo & Location Line Item & Description Subcontracte Percentage of Contractor LIcense Number DBE Cort Number Annual Gross Receipts Subcontractord
DIR Rog Number
NAME < $1 million
X < 55 million
ON POINT 10,11,12 31,250 1% LS 8133 < $10 milllon
City, State N/A < 515 mllion
1000003100 Al orim in 17
NAME
AMERICAN 60 784969
1.7% < $10 millic
City, State 30,750 N N/A 1<515 millo
1000000645
*NAME <$i million
374600 < $5 million
48-56,63-94 < $10 milllor
CHARISP 101832 5.9% N/A X< $15 million
1000000306 N
NAME
CPE 793907
61-62 5$10 milllor
Cily, Siate 13,120 0.7% N N/A x=516mlllon
1000377609
NAME * si million
MD RUBBER 58-59 < $5 million
986686
10 mil
City, State 26,040 1.5% N/A T<$15 mill
N
1000006438 A farm in 12
NAME
CITY SERV PAVE 502305
City, State 42-47 823,800 47.73% N/A * <515 million
1000003873 N
NAME
Cily, Stale
A GOEs I"
NAME < $1 millon
1< 85 millon
7< $10 million
Chly, State < $15 millon
NAME
City, State
Age of sm In
Distribution - Original: Local Agency File; Copy: DLAE w/Award Package
September 2021
Local Assistance Procedures Manual Exhibit 12-B
Bldder's List of Subcontractors (DBE and Non-DBE)
Exhibit 12-B: Bidder's List of Subcontractor (DBE and Non-DBE) - Part 2 In accordance with Title 49, Section 26 of the Code of Federal Regulations, the Bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project.
Photocopy this form for additional firms. FEDERAL PROJECT NUMBER CMIL-5274(039) Subcontractor Name & Location Line Item & Description Submontract paratom of Contractor Liconse Number B DBE Cert Number Annual Gross Racolpts Subcontracted DIR Reg Number
NAME 7< $1 million
7<$5 million
310 million
City, State 7<315 million
Ago of Firm in
years
NAME ESt millon
< $5 million
< $10 millic
Cliy, Siale
NAME
Clly, State
years
NAME <$ million
235 million
< $10 million
City, State < $15 million
A Year in
NAME
City, Stato
NAME < $1 million
<55 million
City, State
A ONES I
NAME
City, State T< $15 mllon
Age of Firm in
NAME 2$1 mllion
< $5 millio
City, State
NAME
City, State < $15 million
Distribution - Original: Local Agency File; Copy: DLAE w/Award Package
September 2021