HomeMy WebLinkAboutCALIFORNIA, STATE OF (DEPARTMENT OF TRANSPORTATION) (2)STATE OF CALIFORNIA - CALIFORNIA STATE TRANSPORTATION AGENCY
A-2015-120-002
EDMUND G. BROWN Jr., Governor
DEPARTMENT OF TRANSPORTATION
Division of Local Assistance
1120 N STREET
P.O. BOX 942874, MS# 1
Sacramento, CA 94274-0001
TTY 711
(916) 654-3883
Fax (916) 654-2408
April 29, 2015
Mr. Fred Mousavipour
Director of Public Works
City of Santa Ana
PO Box 1988 M-21
Santa Ana, CA 92702
Attn: Mr. Zed Kekula
Dear Mr. Mousavipour:
File: 12-ORA-0-SA
ATPLNI-5063(165)
5th Street, Raitt Street, Orange
Street, Bishop Street, and St.
Andrews Place corridors
Enclosed are two originals of the Program Supplement Agreement No. ON36 Rev. 000 to Administering Agency -State
Master Agreement No.00289S .
Please sign both Program Supplement Agreements and return them to this office, Office of Local Programs - MS1within
90 days from receipt of this letter. If the signed Agreements are not received back in this office within 90 days, funds will
be disencumbered and/or deobligated. Alterations should not be made to the agreement language or funding. ATTACH
YOUR LOCAL AGENCY'S CERTIFIED AUTHORIZING RESOLUTION THAT CLEARLY IDENTIFIES THE PROJECT
AND THE OFFICIAL AUTHORIZED TO EXECUTE THE AGREEMENT. A fully executed copy of the agreement will be
returned to you upon ratification by Caltrans. No invoices for reimbursement can be processed until the agreement is
fully executed.
A copy of the State approved finance letter containing the fund encumbrance and reversion date information will be
mailed to you with your copy of the executed agreement.
Your prompt action is requested. If you have questions, please contact your District Local Assistance Engineer.
Sincerely,
04&L
OBERT NGUYEN, Chief (Acting)
Office of Project Implementation - South
Division of Local Assistance
Enclosure
c: OLP AE Project Files
(12) DLAE - Jim Kaufman
PROGRAM SUPPLEMENT NO. N36
to
ADMINISTERING AGENCY -STATE AGREEMENT
FOR STATE FUNDED PROJECTS NO 00289S
®pY
A-2015-120-002
Adv Project ID Date: April 21, 2015
1215000068 Location: 12-ORA-0-SA
Project Number: ATPLNI-5063(165)
E.A. Number:
Locode: 5063
This Program Supplement, effective , hereby adopts and incorporates into the Administering Agency -State
Agreement No. 00289S for State Funded Projects which was entered into between the ADMINISTERING AGENCY and
the STATE with an effective date of 01/19/10 and is subject to all the terms and conditions thereof. This PROGRAM
SUPPLEMENT is executed in accordance with Article I of the aforementioned Master Agreement under authority of
Resolution No. approved by the ADMINISTERING AGENCY on (See copy
attached).
The ADMINISTERING AGENCY further stipulates that as a condition to the payment by the State of any funds derived
from sources noted below encumbered to this project, Administering Agency accepts and will comply with the Special
Covenants and remarks set forth on the following pages.
5th Street, Raitt Street, Orange Street, Bishop Street, and St. Andrews Place corridors
TYPE OF WORK: Complete streets plans
Estimated Cost
State Funds
Matching Funds
$300,000.00
STATE $300,000.00
LOCAL
$0.0c
OTHER
$0.0C
CITY OF ANT ANA�
By
Title EXEC-p7RCQza'eOFPuuA
Date
Attest
STATE OF CALIFORNIA
Department of Transportation
By
Chief, Office of Project Implementation
Division of Local Assistance
Date
aerK of the councu
hereby certify upon my per I knort
budgeted funds are available for this encu brance:
Accounting Officer GCL Date a 3$300.000.00
Chapter
atu s
Item
Year
Program
BC
Category
Fund Source
AMOUNT
j7iorAss
AS TU I~Ut`Sans Program Supplement 00-289S-N36- SERIAL
ant City tivnrV
Page 1 of 3
STATE OF CALIFORNIA. DEPARTMENT OF TRANSPORTATION
PROGRAM SUPPLMENT AND CERTIFICATION FORM
PSCF (REV. 01/2010)
TO:
Pege _t_ of _t_
Claims Audits 412212015 1215000068
3301 "C" Street, Rm 404 REQUISITION NUMBER / CONTRACT NUMBER:
Sacramento, CA 95816 RQS # 121500000317
FROM:
Department of Transportation
SUBJECT:
Encumbrance Document
VENDOR/LOCALAGENCY
City of Santa Ana
CONTRACTAMOUNT: --
$300,000.00
PROCUREMENT TYPE:
Local Assistance
ADA NOtII For individuals with sensory disabilities, this document is available in alternate formals. For information, call (915) 654-6410 of TDD (916) -3880 or write
Records and Forms Management, 1120 N. Street, MS-89, Sacramento, CA 95814.
12-ORA-0-SA
ATPLNI-5063(165)
04/21 /2015
SPECIAL COVENANTS OR REMARKS
�• A. This PROJECT will be administered in accordance with the applicable CTC STIP
guidelines and the Active Transportation Program guidelines as adopted or amended, the
Local Assistance Procedures Manual (LAPM), the Local Assistance Program Guidelines
(LAPG), and this PROGRAM SUPPLEMENT.
B. This PROJECT is programmed to receive State funds from the Active Transportation
Program (ATP). Funding may be provided under one or more components. A
component(s) specific fund allocation is required, in addition to other requirements, before
reimbursable work can occur for the component(s) identified. Each allocation will be
assigned an effective date and identify the amount of funds allocated per component(s).
This PROGRAM SUPPLEMENT has been prepared to allow reimbursement of eligible
PROJECT expenditures for the component(s) allocated. Unless otherwise determined,
the effective date of the component specific allocation will constitute the start of
reimbursable expenditures.
C. STATE and ADMINISTERING AGENCY agree that any additional funds made
available by future allocations will be encumbered on this PROJECT by use of a STATE -
approved Allocation Letter and STATE Finance Letter. ADMINISTERING AGENCY
agrees that STATE funds available for reimbursement will be limited to the amount
allocated by the California Transportation Commission (CTC) and/or the STATE.
D. Upon ADMINISTERING AGENCY request, the CTC and/or STATE may approve
supplementary allocations, time extensions, and fund transfers between components.
Funds transferred between allocated project components retain their original timely use of
funds deadlines, but an approved time extension will revise the timely use of funds criteria
for the component(s) and allocation(s) requested. Approved supplementary allocations,
time extensions, and fund transfers between components made after the execution of this
PROGRAM SUPPLEMENT will be documented and considered subject to the terms and
conditions thereof. Documentation will consist of a STATE approved Allocation Letter,
Fund Transfer Letter, Time Extension Letter, and Finance Letter, as appropriate.
E. This PROJECT is subject to the timely use of funds provisions enacted by the Active
Transportation Program guidelines, as adopted or amended, and by approved CTC and
State procedures as outlined below.
Funds allocated for the environmental & permits (E&P), plan specifications & estimate
(PS&E), and right-of-way components are available for expenditure until the end of the
second fiscal year following the year in which the funds were allocated.
Funds allocated for the construction component are subject to an award deadline and
contract completion deadline. ADMINISTERING AGENCY agrees to award the contract
within 6 months of the construction fund allocation and to complete and accept the
construction within 36 months of award.
F. Award information shall be submitted by the ADMINISTERING AGENCY to the District
Program Supplement 00-289S-N36- SERIAL Page 2 of 3
12-ORA-0-SA 04/21/2015
ATPLNI-5063(165)
SPECIAL COVENANTS OR REMARKS
Local Assistance Engineer immediately after project contract award and prior to the
submittal of the ADMINISTERING AGENCY'S first invoice for the construction contract.
Failure to do so will cause a delay in the State processing of invoices for the construction
phase.
G. The ADMINISTERING AGENCY shall invoice STATE for environmental & permits
(E&P), plans specifications & estimate (PS&E), and right-of-way costs no later than 180
days after the end of last eligible fiscal year of expenditure. For construction costs, the
ADMINISTERING AGENCY has 180 days after project completion or contract acceptance
to make the final payment to the contractor prepare the final Report of Expenditures and
final invoice, and submit to STATE for verification and payment.
H. ADMINISTERING AGENCY agrees to submit the final report documents that
collectively constitute a "Report of Expenditures" within one hundred eighty (180) days of
PROJECT completion. Failure of ADMINISTERING AGENCY to submit a "Final Report
of Expenditures" within 180 days of PROJECT completion will result in STATE imposing
sanctions upon ADMINISTERING AGENCY in accordance with the current LAPM and the
Active Transportation Program (ATP) Guidelines.
I. ADMINISTERING AGENCY agrees to comply with Office of Management and Budget
(OMB) Circular A-87, Cost Principles for State and Local Governments, and 49 CFR,
Part 18, Uniform Administrative Requirements for Grants and Cooperative Agreements to
State and Local Governments. Notwithstanding the foregoing, ADMINISTERING
AGENCY will not be required to comply with 49 CFR, Part 18.36 (i), subsections (3), (4),
(5), (6), (8), (9), (12), and (13).
J. By executing this PROGRAM SUPPLEMENT, ADMINISTERING AGENCY agrees to
comply with all reporting requirements in accordance with the Active Transportation
Program guidelines, as adopted or amended.
Program Supplement 00-289S-N36- SERIAL Page 3 of 3