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Return FULLLY EXECUTED <br /> 0, pw#1�1) Copy to COTC, M-30 A-2021-124-11 <br /> [ <br /> -0z4n PROGRAM SUPPLEMENT NO. 0000OA469 Adv. Project ID <br /> 1 Date: February 23, 2024 <br /> to 1223000064 Location: 12-ORA-0-SA <br /> ADMINISTERING AGENCY-STATE AGREEMENT Project Number: CRASL-5063(207) <br /> FOR STATE FUNDED PROJECTS NO 12-5063S21 E.A. Number: <br /> ti Locode: 5063 <br /> 0 <br /> N <br /> This Program Supplement, effective 03/27/24, 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 /> 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. approved by the ADMINISTERING AGENCY on .f���I (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: Grand Ave from 1st to Mcfadden Ave <br /> TYPE OF WORK: Road Rehabilitation LENGTH: 0.O(MILES) <br /> Estimated Cost State Funds Matching Funds <br /> STATE $972,882.00 LOCAL OTHER <br /> $2,425,125.00 $1,452,243.00 $0.00 <br /> CITY OF SANTA ANA STATE OF CALIFORNIA <br /> Department of Transportation <br /> Digitally signed by Ferdinand <br /> Ferdinand Batatan Batatan <br /> By Date:2024.03.27 12:31:18-07'00' <br /> Executive Director <br /> Title for Chief, Office of Project Implementation <br /> Date <br /> 3f Z4 Division of Local Assistance <br /> Attest �y Date 03/27/2024 <br /> ennifer L. 11 j <br /> Clerk e Co cil <br /> I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br /> Accounting Officer Date 2/26/2024 $972,882.00 <br /> Program Supplement 12- 506-A469-SERIAL Page 1 of 3 <br />