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INSURAWI NOT RF-.QLji['ilnf) <br />WORK MAY PROCEED <br />CLERK OF COUNCI- <br />DAT:PROGRAMSUPPL ENT NO. F167 <br />SEJSARNG ANCY-STATE <br />AGREEMENT <br />FOR FEDERAL -AID PROJECTS NO 12-5063F15 <br />0 = P k_2_3 <br />'SW501i lsjwbN <br />A-2017-042-05 <br />Adv Project ID Date: August 10, 2017 <br />1217000081 Location: 12 -ORA -0 -SA <br />Project Number: BRLS-5063(184) <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 'n accordance with Article I of the aforementioned Master <br />Agreement under authority of Resolution No. (nen •Q approved by the Administering Agency on,�p� �a <br />(See copy attached). I eb - -7f2®O I <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: <br />Fairview Avenue over the Santa Ana River. Br: No. 55C-0513 <br />TYPE OF WORK: Bridge replacement LENGTH: 0.2(MILES) <br />Estimated Cost <br />Federal Funds <br />Matching Funds <br />$1,812,726.00 <br />zoo $1,604,806.00. <br />LOCAL <br />$207,920.00 <br />OTHER <br />$0.0( <br />CITY OF S7a�'o01 <br />STATE OF CALIFORNIA <br />. t of Transpoation <br />By� • Departure '�• f <br />Fred Mousavipo TE ecutive Director By <br />Title public Works Agency �1 CChief, Office of Project Implementation <br />j • Zp ('] f Division of Local Assistance <br />Date �i /✓ c �,_ �"' <br />Attest Cynthia J. KL tz �l 7- <br />Maria Maria D. Huizar Interim City Manager Date o <br />Clerk of the Council <br />I hereby certify upon my persona kn wledge that budgeted funds are available for this encumbrance: <br />Accounting Officer A Date li!() why <br />$1.604.806.00 <br />Chapter Statutes Item Year Program BC Category Fund Source AMOUNT <br />Program Supplement 12 -5063F15 -F167- ISTEA Page 1 of 6 <br />Please return an original <br />executed agreement to our <br />Office (M -30/T11). <br />