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Local Assistance Procedures Manual EXHIBIT 9-B <br />INTERIM Local Agency DBE Annual Submittal Form <br />(Signature) <br />(Print Name and Title) <br />ADMINISTERING AGENCY <br />(Authorized Governing Body Representative) <br />(Signature of Caltrans District Local Assistance Engineer [)LAE]) <br />Distribution: (1) Original - DLAE <br />(2) Signed copy by the DLAE — Local Agency <br />DBE Annual Submittal Form (07/ 1/10) <br />01110-07 <br />Date <br />Phone Number <br />Date <br />Page 9-43 <br />May 28, 2010 <br />�01 <br />