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(f „ HAI, r-'QIIIRFD <br />Wr 'F'0CEF ) <br />10UI1JII_ <br />Return ORIGINAL <br />executed copy to COTC, <br />M-30 <br />A-2017-042-10 <br />PROGRAM SUPPLEMENT NO. F172 Rev. 1 Adv Project ID Date: April 21, 2021 <br />to 1218000033 Location: 12-ORA-0-SA <br />)MINISTERING AGENCY -STATE AGREEMENT Project Number: HSIPL-5063(190) <br />' 0R FEDERAL -AID PROJECTS NO 12-5063F15 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: Intersections of 1st Street at Jackson Street and 5th Street at Euclid Street <br />TYPE OF WORK: Protected left -turn signal phasing LENGTH: 0.1(MILES) <br />Estimated Cost Federal FundsMatching Funds <br />ZS30 $129,800.00 LOCAL OTHER <br />ZS3E $596,328.00 j <br />$726,128.00' S0.00 S0.00 <br />I <br />i <br />j <br />CITY OF SANTA ANA <br />BY -- <br />Title Executive Director of PWA <br />Date �2' -- <br />Attest — — - <br />Daisy Gomez <br />lerk of the Council <br />STATE OF CALIF <br />PRN <br />Departmer't of Vansp <br />By <br /># L_ Ch <br />Dig <br />APPROVED AS TO FORM <br />Date <br />JONM. Punk, Aniomt City Attorney <br />Sffice of Project Implementation <br />n of Local Assistance <br />4/29/2021 <br />I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br />Accounting OfficerAOWL,---- <br />V-0-- <br />Date �/2-31 <br />S726.128.00 <br />Program Supplement 12-50631715-F172-R1- ISTEA Page 1 of 7 <br />