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INSURANCE N()7 H OUIP ED <br />WORK MAY <br />CLERK (F GOUNGIL <br />DEC 19 2011 <br />PROGRAM SUPPLEMENT NO. F170 <br />to <br />ADMINISTERING AGENCY -STATE AGREEMENT <br />FOR FEDERAL -AID PROJECTS NO 12-5063F15 <br />A-2017.373 <br />Adv Project ID Date: November 9, 2017 <br />1218000005 Location: 12 -ORA -0 -SA <br />Project Number: HSIPL-5063(188) <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. JbIll CW 6 approved by the Administering Agency on 09.-1, 2 <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 />Various locations in the city of Santa Ana <br />TYPE OF WORK: Upgrade non-standard 8" vehicle head with 12" vehicle head LENGTH: 0.0(MILES) <br />assembly and associated hardware <br />ZS30 $117,000.00 <br />$117, <br />111541410 <br />OTHER <br />$0.00 <br />CITY S# TA ANA STATE OF CALIFORNIA <br />Departmen of Transpo ation <br />By <br />By <br />Title -- -..— Chief, Office of Project implementation <br />Date Division of Local Assistance <br />Attestt// '<' Raul Godinez 11 <br />.Y'S UMaria D. ui ai City Manager Date- <br />-- Clerk of the Council - - - <br />I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br />Accounting Officer Date �' ��� $117,000.00 <br />Chapter Statutes Item Year Program BC Category Fund Source AMOUNT <br />PIease return an origin at <br />executed agreement to <br />our office (M-30fT11) <br />Program Supplement 12.5063F15 -F170- ISTEA Page 1 of 6 <br />