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STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION <br />PROGRAM SUPPLMENT AND CERTIFICATION FORM <br />PSCF (REV. 01/2010) <br />Page 1of <br />IV: J 1 M I C l Uri 1 RVLLCR J VI'Y14C JAI E PKhPAKEI) PROJECT NUMBER. <br />Claims Audits 8/4/2016 1216000016 <br />3301 "C" Street, Rm 404 REQUISITION NUMBER / CONTRACT NUMBER. <br />Sacramento, CA 95816 RQS # 121700000033 <br />Department of Transportation <br />SUBJECT: <br />Encumbrance Document <br />VENDOR/LOCALAGENCY. <br />City of Santa Ana <br />CONTRACTAMOUNT: <br />$500,000.00 <br />PROCUREMENTTYPE. <br />I Assistance <br />ADA Notli For individuals with sensory disabilities, this document is available in alternate formats. For information, call (915) 654-6410 of TDD (916) -3880 or write <br />Records and Forms Management, 1120 N. Street, MS -89, Sacramento, CA 95814. <br />