HomeMy WebLinkAboutCALTRANS (3)0 ki1JA(, : OUjREO Return ORIGINAL A-2021-129
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PROGRAM SUPPLEMENT NO. 00000OW57 Adv Project ID Date: May 10, 2021
to 1221000089 Location: 12-ORA-0-SA
ADMINISTERING AGENCY -STATE AGREEMENT Project Number: HSIPSL-5063(204)
FOR STATE FUNDED PROJECTS NO 12-5063S21 E.A. Number:
Locode: 5063
This Program Supplement, effective05/06/21, hereby adopts and Incorporates into the Administering Agency -State
Agreement No. 12-5063S21 for State Funded Projects which was entered into between the ADMINISTERING
AGENCY and the STATE with an effective date of 07/19/21 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. 2021-039 approved by the ADMINISTERING AGENCY on July 6, 2021 (See
copy attached).
The ADMINISTERING AGENCY further stipulates that as a condition to the payment by the Stale 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.
PROJECT LOCATION: Bristol Street and Santa Clara Avenue
TYPE OF WORK: Upgrade Signals
Estim_ated Cost State Funds Matching Funds
STATE $23.800.00 LOCAL OTHER
$23,800.00
$0.00
CITY OF SANTA ANA
By A —
Title PWA- EtecutiveDirector
SO
Date � lh I �S, _ f
IL
Attest
�' ;� APPROY®!1S TD FORM
Daisy Gomez 1��`-
Clerk of the Council 7oae bi. Fmk Mwuor Ciry Atrmney
$0.00
STATE OF CALIF RNI
Departme of T nsp
By --
Chief ffice of Project Implementation
Divis n of Local Assistance
Date — 7/30/2021
I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance:
Accounting Officer ,-e t/ JV Date s A c /2 CL
S23.800.00
Program Supplement 12--506-W57- SERIAL Page 1 of 3
12.ORA-0-SA
HSIPSL-5D63(204)
SPECIAL COVENANTS OR REMARKS
A. This PROJECT has received STATE funds from Highway Safety Improvement
Program (HSIP), The ADMINISTERING AGENCY agrees to administer the PROJECT in
accordance with the Highway Safety Improvement Program (HSIP) Guidelines, the Local
Assistance Procedures Manual (LAPM), the Local Assistance Program Guidelines
(LAPG), and this PROGRAM SUPPLEMENT.
B. The STATE funds for this PROJECT may be provided under one or more phases,
which are Preliminary Engineering (PE), Right -of -Way (R/W) and Construction (Con).
A phase -specific fund allocation is required, in addition to other requirements, before
reimbursable work can occur for the phase identified. Each allocation will be assigned an
effective date and identify the amount of funds allocated per phase. Unless otherwise
determined, the effective date of the phase -specific allocation will constitute the start of
reimbursable expenditures for the phase. The STATE funds available for reimbursement
will be limited to the amount allocated by the STATE for the phase.
C. At the time of the first fund allocation approval for the Project, this PROGRAM
SUPPLEMENT, a STATE -approved Allocation Letter and STATE Finance Letter are
prepared to allow reimbursement of eligible PROJECT expenditures for the phase
allocated.
D. STATE and ADMINISTERING AGENCY agree that any additional fund allocations
made after the execution of this PROGRAM SUPPLEMENT, for the phase that has been
authorized in the first fund allocation approval or for a new phase, will be encumbered on
this PROJECT by use of a STATE -approved Allocation Letter and a STATE Finance
Letter and are subject to the terms and conditions thereof.
E. This PROJECT is subject to the delivery requirements enacted by the HSIP guidelines.
The delivery requirements may be accessed at: https:Hdot.ca.gov/programs/local-
assistance/fed-and-state-prog rams/highway-safety-i mprovement-program/d elivery-
req uirements-status-approved-projects.
F. Award information shall be submitted by the ADMINISTERING AGENCY to the District
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 PE, R/W and CON costs nc
later than 180 days after the end of expenditure the phase. 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
Program Supplement 12--506.W57- SERIAL Page 2 of 3
12-ORA-0SA
HSIPSL-5063(204)
SPECIAL COVENANTS OR REMARKS
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
provisions.
I. ADMINISTERING AGENCY agrees to comply with the requirements in 2 CFR Part 200,
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards (applicable to Federal and State Funded Projects).
J. By executing this PROGRAM SUPPLEMENT, ADMINISTERING AGENCY agrees to
provide the STATE, upon request, with the information related to the PROJECT for the
purpose of project evaluation or other purposes.
K. The ADMINISTERING AGENCY shall construct the PROJECT in accordance with the
scope of work presented in the application and approved by the State. Any changes to
the approved PROJECT scope without the prior expressed approval of the State are
ineligible for reimbursement and may result in the entire PROJECT becoming ineligible
for reimbursement.
Program Supplement 12. 506-W57- SERIAL Page 3 of 3
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