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Local Assistance Procedures Manual EXHIBIT 9-B <br />INTERIM Local Agency DBE Annual Submittal Form <br />(Signature ) <br />Amer 7akher P.E.. P.W. & Utility Services Director <br />(Print Name and Title) <br />ADMINISTERING AGENCY <br />(Authorized Governing Body Representative) <br />(Signature of Caltrans District Local Assistance Engineer [DLAE]) <br />Distribution: (1)Original -DLAE <br />Date <br />(909)370-6132 <br />Phone Number <br />Date <br />(2) Signed copy by the DLAE — Local Agency <br />DBE Annual Submittal Form (0711/10) <br />(Attachment) <br />Prompt Payment of Withheld Funds to <br />Subcontractors <br />Page 9-43 <br />OB 10-07 May 28, 2010 <br />