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0: fw`1 � 3.jw 64bf, p/ d) <br />nrTr. <br />PROGRAM SUPPLEMENT NO. T40 <br />INSURANCE NOT REOU RED <br />WORK MAY PROCEED <br />CLERK 01- COUNCIL <br />jj to <br />_'- ADMINISTERING AGENCY -STATE AGREEMENT <br />FOR STATE FUNDED PROJECTS NO.00289S <br />Return ORIGINAL A-2015-179-12 <br />executed coov to COTC, <br />M-30 <br />Adv Project ID Date: December 18, 2019 <br />1220000016 Location: 12-ORA-0-SA <br />Project Number: ATPSBIL-5063(196) <br />E.A. Number: <br />Locode: 5063 <br />0 <br />N <br />`M This Program Supplement, effective 12/0512019, hereby adopts and incorporates into the Administering Agency -State <br />Agreement No. 00289S 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 1 of the aforementioned Master Agreement under authority of <br />Resolution No.0 t!jj -O`j3 approved by the ADMINISTERING AGENCY on &-qq .`i j7,o (gSee 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: Standard Avenue from 3rd Street to Warner Avenue In the City of Santa Ana <br />TYPE OF WORK: Bike lane and protected intersection <br />SB1 funds $122,000.00 I LOCAL <br />$122,000.00 <br />CITY OR SANTA ANA <br />-I L <br />By <br />Title Acting Executive Director <br />Date <br />Attest <br />Daisy Gomez, MMR Kristine Ridge <br />Clerk of the Council City Manager <br />OTHER <br />$0.00 <br />)F CALIFORNIA <br />ueparrment 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 />(} ATTEST. <br />Accounting Officer- -�. /2/,. $122.000.00 <br />CLERK OF THE COUNCIL <br />Program Supplement 00-289S-T40- SERIAL Page 1 of 4 <br />