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Return ORIGINAL <br />executed copy to COTC <br />I ri/i ,; l�(IIRE M-30 <br />N W 'RUCEF.) <br />00 <br />,JUiti' d- <br />"PROGRAM SUPPLEMENT NO. F171 Rev. 1 <br />a3 to <br />QADMINISTERING AGENCY -STATE AGREEMENT <br />FOR FEDERAL -AID PROJECTS NO 12-5063F15 <br />pyWfti_1)(?ed 1-tWA)fW <br />A-2017-042-11 <br />LCuLf_�)y <br />Adv Project ID Date: April 21, 2021 <br />1218000024 Location: 12-ORA-0-SA <br />Project Number: HSIPL-5063(189) <br />E.A. Number: <br />Locode: 5063 <br />This Program Supplement hereby adopts and incorporates the Administering Agency -State Agreement for Federal Aid <br />which was entered into between the Administering Agency and the State on 04/28/17 and is subject to all the terms and <br />conditions thereof. This Program Supplement is executed in accordance with Article I of the aforementioned Master <br />Agreement under authority of Resolution No. 2017-005 approved by the Administering Agency on February 7, 2017 <br />(See copy attached)./ <br />The Administering Agency further stipulates that as a condition to the payment by the State of any funds derived from <br />sources noted below obligated to this PROJECT, the Administering Agency accepts and will comply with the special <br />covenants or remarks set forth on the following pages. <br />PROJECT LOCATION: Intersection of Main Street and 15th Street <br />TYPE OF WORK: New signals <br />Estimated Cost <br />ZS30 <br />$408,793.00 <br />CITY OF SANTA ANA <br />Federal Funds <br />$408,793.00 LOCAL <br />By C✓I ° V `f /�J r` <br />Title Executive Director of PWA <br />Date 4r2�3(Z`o)Z1 <br />Attest k� <br />Daisy Gomez <br />Clerk of the Council <br />$0.00 <br />APPROVED AS TO FORM <br />Jo M. Pmk Arrivant City Aummy <br />LENGTH: 0.1(MILES) <br />Matching Funds <br />OTHER <br />$0.00 <br />STATE OF CALIFORNIA <br />Department of Transportation <br />By <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />Date <br />I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br />Accounting Officer q_P 4� <br />Date �123%1 <br />$408.793.00 <br />Program Supplement 12-5063F15-F171-111-ISTEA <br />Page 1 of 7 <br />