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Return FULLLY EXECUTED A-2021-124-08 <br /> 0 P W Ct] Copy to COTC, M-30 <br /> PROGRAM SUPPLEMENT NO. 0000OA455 Adv. Project ID Date: February 13, 2024 <br /> to 1224000055 Location: 12-ORA-0-SA <br /> ADMINISTERING AGENCY-STATE AGREEMENT Project Number: ATPL-5063(216) <br /> FOR STATE FUNDED PROJECTS NO 12-5063S21 E.A. Number: <br /> Locode: 5063 <br /> z3 This Program Supplement, effective 01/2612024, hereby adopts and incorporates into the Administering Agency-State <br /> `" Agreement No. 12-5063S21 for State Funded Projects which was entered into between the ADMINISTERING AGENCY <br /> w and the STATE with an effective date of 07/19/2021 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. p24L j-051 approved by the ADMINISTERING AGENCY on (See copy 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: Jackson & Diamond Elementary safe routes to schools. <br /> TYPE OF WORK: Pedestrian Walkway LENGTH: 0.0(MILES) <br /> Estimated Cost State Funds Matching Funds <br /> STATE $100,000.00 LOCAL OTHER <br /> $100,000.00 $0.00 $0.00 <br /> CITY OF SANTA ANA STATE OF CALIFORNIA <br /> Department of Transportation <br /> t , Digitally signed by Ferdinand <br /> 1`ly Ferdinand Batatan Batatan <br /> B 4 ,17 A- By Date:2024.03.05 17:38:22-05'00' <br /> ItIe Executive Director Chief Office of Project Implementation <br /> for � J <br /> Date Division of Local Assistance <br /> Attest 1''" '" Date 03/05/2024 <br /> Jennifer L. <br /> ler of the Co I <br /> I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br /> Accounting Officer Date 2/13/2024 $100,000.00 <br /> Program Supplement 12--506-A455-SERIAL Page 1 of 4 <br />