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Return ORIGINAL <br />executed co to COTC, A-2015-179-15 <br />INSURANCE NOT RE�IUIRED <br />M-30 <br />WORK MAY PROCEED <br />0. `441S`V64h,WCLERK OF CO�NCIL <br />PROGRAM SUPPLEMENT NO. T3 Adv Project ID Date: December 18, 2019 <br />to 1220000019 Location: 12-ORA-0-SA <br />NADMINISTERING AGENCY -STATE AGREEMENT Project Number: ATPSB1 L-5063(199) <br />C'FOR STATE FUNDED PROJECTS NO 00289S E.A. Number: <br />r <br />Locode: 5063 <br />This Program Supplement, effective 12/05/2019, 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 I of the aforementioned Master Agreement under authority of <br />Resolution No. r n� 5- Oy3 approved by the ADMINISTERING AGENCY on-AV9. 4) I-or(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: pedestrian and Bike safe routes to school traffic safety Improvements for Kennedy Elementary <br />School & Villa Fundamental Intermediate School in the City of Santa Ana, <br />TYPE OF WORK: Pedestrian/Bike safe routes to school including bulb -outs, sidewalks, <br />curb ramps'& bikeways. <br />SB1 funds $23,000.00 I LOCAL <br />CITY OFiSANTA ANA <br />By I -A c, h i (_ Q5y <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 />STATE OF CALIFORNIA <br />Department of Transportation <br />am <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />Date <br />I hereby certify upon my personal knowledge thatlludaeted funds are available for this encumbrance: <br />Accounting Officer_ �.¢..e� RKDa /L o� $23.000.00 <br />Program Supplement 00-289S-T39- SERIAL Page 1 of 4 <br />