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INSURANCE NOI REQUIREU Return FULLY EXECUTED <br />FEB 2 4 2022 WORK MAY PROCEED copy toCOTC, M-30 <br />CLERK OF COUNCIL <br />PROGRAM SUIjR��.MENT NO. N144 Rev. 1 Adv. Project ID Date: February 08, 2022 <br />to 1213000077 Location: 12-ORA-0-SA <br />ADMINISTERING AGENCY -STATE AGREEMENT Project Number: DEM06L-5063(146) <br />FOR FEDERAL -AID PROJECTS NO 12-5063R E.A. Number: <br />Locode: 5063 <br />A-2017-042-: <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 0111212007 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.'j,0 i } -005approved by the Administering Agency on OIL - 0,. - Ul-+ <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 />tr'•f `nl�Stqul'Ihu+�q 4��Z�T.'f. <br />PROJECT LOCATION: Bristol Street from Civic Center Drive to Washington Avenue <br />TYPE OF WORK: Roadway widening <br />Estimated Cost <br />Federal Funds <br />Matching Funds <br />L68E $330,126.00 <br />LOCAL <br />OTHER <br />LY60 $547,366.56 <br />$11,614,366.5 <br />$10,736,874.00 <br />$0.00 <br />CITY OF 1SANTA ANA c� <br />By <br />Title c'ivy- <br />Date 21 t-11 Z-0 z z Q <br />� l 0, <br />STATE OF CALIFORNIA <br />Department of Transportation <br />By <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />Date <br />hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br />Accounting Officer Date I j 20,2 2J <br />y <br />A 4e;& "s / <br />Y rY44, ' <br />ProiAiiia%Supplement 12-5063R-N144-R1- ISTEA Page 1 of 7 <br />Daisy Gomez <br />Clerk of the Council <br />$877,492.56 <br />