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20A - AA AND AMENDMENT TO FY 2019-20 CAP IMPROVEMENT PROGRAM
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02/18/2020
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20A - AA AND AMENDMENT TO FY 2019-20 CAP IMPROVEMENT PROGRAM
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Last modified
2/13/2020 4:59:43 PM
Creation date
2/13/2020 4:05:59 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20A
Date
2/18/2020
Destruction Year
2025
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COOPERATIVE AGREEMENT NO. C-9-1837 <br />EXHIBIT C <br />FINAL PROJECT REPORT FORM <br />OCTA <br />I hereby certify that the statements provided here are true and correct. <br />Proiect Title <br />Yes <br />No <br />NIA <br />1 <br />The project is designed to city/county and other participating jurisdictions' standards. <br />❑ <br />❑ <br />❑ <br />2 <br />The project contract was awarded or: ENTER DATE <br />❑ <br />❑ <br />❑ <br />The total cost of the contract is equal to or less than the total BCIP funds awarded and <br />❑ <br />❑ <br />❑ <br />3 <br />matching funds provided. <br />4 <br />The city/county provided matching funds to the project. <br />❑ <br />❑ <br />❑ <br />5 <br />Right-of-way was acquired in conformance with city/county procedures. <br />❑ <br />❑ <br />❑ <br />6 <br />All required environmental documentation is complete and certified. <br />❑ <br />❑ <br />❑ <br />7 <br />An updated project schedule is included with the final invoice. <br />❑ <br />❑ <br />❑ <br />The final invoice is attached with all the necessary documentation. Please provide all <br />❑ <br />❑ <br />❑ <br />invoices to Caltrans, all invoices from contractors, and proof of payment in the form of <br />8 <br />cancelled checks and/or a general ledger. <br />9 <br />If the final project scope deviated from the original approved scope, was this approved <br />❑ <br />❑ <br />❑ <br />by OCTA? <br />❑ <br />❑ <br />❑ <br />10 <br />A copy of the Notice of Completion has been provided to OCTA <br />11 <br />I Before and After Photos of the project site have been provided to OCTA <br />❑ <br />❑ <br />❑ <br />Name <br />Title JPublic Works Director <br />Signature Date <br />20A-24 <br />
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