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INSURANCE NOT REQUIREDA-2015-179-09 <br />WORK MAY PROCEED G�: <br />CLERK Or COUNCIL L �= <br />JUN 2 5 2019 <br />PROGRAM SUPPLEMENT NO. P30 Rev. 1 Adv Project ID Date: June 7, 2019 <br />i ;RWRtO to 1217000014 Location: 12-ORA-0-SA <br />ADMINISTERING AGENCY -STATE AGREEMENT Project Number: ATPL-5003(172) <br />L,�K t FOR STATE FUNDED PROJECTS NO 00289E E.A. Number: <br />Locode: 5063 <br />This Program Supplement, effective 10/20/2016, hereby adopts and incorporates into the Administering Agency -State <br />Agreement No. 002895 for State Funded Projects which was entered Into between the ADMINISTERING AGENCY and <br />the STATE with an effective date of 01/19/10 and is subject to all the terms and conditions thereof. This PROGRAM <br />SUPPLEMENT is executed in accordance with Article I of the aforementioned Master Agreement under authority of <br />Resolution No. 2015-043 approved by the ADMINISTERING AGENCY on Aug. 4, 2015 (See copy <br />attached). <br />The ADMINISTERING AGENCY further stipulates that as a condition to the payment by the State of any funds derived <br />from sources noted below encumbered to this project, Administering Agency accepts and will comply with the Special <br />Covenants and remarks set forth on the following pages. <br />PROJECT LOCATION: <br />Edinger Avenue from the Santa Ana River Trail to Bristol Street <br />TYPE OF WORK: Class IV bike lanes <br />CITY <br />Title <br />Date <br />I hereby certify upon my personal knowledge <br />Accounting Officer_{ C.v <br />STATE OF CALIFORNIA <br />Department of Transportation <br />By_..._.._.___..—..._. ._,._._._-- ._. — <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />r 41 idg <br />' Hager <br />l a udoeted funds are available for this encumbrance: <br />Date _k f laam <br />Program Supplement 00-289S-P30-R1- SERIAL <br />$2,342.000.00 <br />tWturn UkUU NAL <br />Executed Copy to COTC <br />(M-30/T11) <br />