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Return ORIGINAL <br />DEC 10 2020�' ',:iiArae REQUIRED Executed copy to COTC <br />WOf :' oROCEEO tM-3er i <br />p PwRt 1tt.n ;u l �� COUNCIL <br />PROGRAM SUPPLEMENT NO. T42 Rev. 1 Adv Project ID Date: <br />to 1220000018 Location: <br />ADMINISTERING AGENCY -STATE AGREEMENT Project Number: <br />FOR STATE FUNDED PROJECTS NO 00289S E.A. Number: <br />Locode: <br />A-2015-179-17 <br />November 10, 2020 <br />12-ORA-0-SA <br />ATPSBIL-5063(198) <br />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. 2015-043 approved by the ADMINISTERING AGENCY on 08/04/15 (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: McFadden Avenue from Harbor Boulevard to Grand Avenue in the City of Santa Ana <br />TYPE OF WORK: Cl. 4 Protected Bike Lane & Cl. 3 Bike Blvd. including signing, <br />striping, bike detection, con't: > <br />Estimated Cost <br />S131 funds $1,124,000.00 <br />CITY OF SANTA ANA <br />By H4 L".s yh <br />Title Executive Director of Public Works Agency <br />Date \A Z 1 1_-1-o-2<, <br />Attest <br />Daisy Gomez, MMC <br />LOCAL <br />OTHER <br />$0.00 <br />J STATE OF CALIFORNIA <br />Department 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 />e u t., e P ( I /1 2/Zo2-0 <br />Accounting Officer Date % $1.124.000.00 <br />I <br />Program Supplement 00-289S-T42-R1-SERIAL Page 1 of 4 <br />