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INSURANCE NOT REQUIRED <br />WORK MAY PROCEED® <br />CLERK Of COUNCIL <br />PROGRAM SUPPLEMENT NO. F169 <br />DEC 19 2011n <br />ADMINISTERING AGENCY -STATE AGREEMENT <br />FOR FEDERAL -AID PROJECTS NO 12-5063F15 <br />A-2017-372 <br />Adv Project ID Date: November 9, 2017 <br />1218000004 Location: 12 -ORA -0 -SA <br />Project Number: HSIPL-5063(187) <br />E.A. Number: <br />Locode: 5063 <br />This Program Supplement hereby adopts and incorporates the Administering Agency -State Agreement for Federal Aid <br />which was entered into between the Administering Agency and the State on 04/28/17 and is subject to all the terms and <br />conditions thereof. This Program Supplement is executed in accordance with Article I of the aforementioned Master <br />Agreement under authority of Resolution No. approved by the Administering Agency on <br />(See copy attached). <br />The Administering Agency further stipulates that as a condition to the payment by the State of any funds derived from <br />sources noted below obligated to this PROJECT, the Administering Agency accepts and will comply with the special <br />covenants or remarks set forth on the following pages. <br />PROJECT LOCATION: <br />Along Flower St. from Civic Center Dr. to Warner Ave. <br />TYPE OF WORK: Bike Path <br />LENGTH: 0.0(MILES) <br />runs <br />ZS30 $143,100.00 1 LOCAL I I OTHER <br />$159,000.001 1 $15,900.00 1 $0.00 <br />CITY OF NT ANA <br />Fay <br />Title ��% X GLUT v G Pt R Gc�2 <br />Date <br />OZ - <br />Attest �I vNtprta D. 7 <br />I hereby Sey�upo ihmi <br />Accounting Officer a <br />Chapter ( Statutes <br />STATE OF CALIFORNIA <br />Department of Transportation <br />By <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />.� .' ✓ _ _® <br />,_, Raul Godinez <br /><� City Manager Date .-----......-_-_-_ _.—__.....,..... <br />ii knowledge that budgeted funds are available for this encumbrance: <br />(Y7 C. ' V05 '.....v Date 11-q?011 $143.100.00 <br />Item Year Program BC Category Fund Source AMOUNT <br />Please return an original <br />executed agreement to <br />our office (145-30/ T'll) <br />Program Supplement 12.5063F15 -F169- iSTEA Page 1 of 6 <br />