00000A305
FOR STATE FUNDED PROJECTS NO 04-5014S21
0424000079
October 10, 2023
04-ALA-0-ALA
HSIPSL-5014(049)
5014
This Program Supplement, effective , hereby adopts and incorpora tes into the Administering Agency-State Agreement No. 04-5014S21 for State Funded Projects which was entered into between the ADMINISTERING AGENCY and the STATE with an effective date of and is subject to all th e 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.
Four intersections: Santa Clara Avenue/Grand Street, Otis Drive/Willow Street, Otis Drive/Park Street, and Fernside Blvd./San
Pedestrian Walkway 0.0(MILES)
State FundsEstimated Cost Matching Funds
CITY OF ALAMEDA
By ________________________________ By _______________ _________________ Title _______________________________
Date _______________________________
Attest _______________________________ Date __________ _____________________ Division of Local Assistance
I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance:
Accounting Officer _______________________ Date ______ _________ PROGRAM SUPPLEMENT NO.
to
ADMINISTERING AGENCY-STATE AGREEMENT
Adv. Project ID Date:
Location:
Project Number:
E.A. Number:
Locode:
PROJECT LOCATION:
TYPE OF WORK: LENGTH:
LOCAL OTHER
$371,750.00 $122,674.00 $0.00
Chief, Office of Project Implementation
STATE OF CALIFORNIA
Department of Transportation
$249,076.00
$249,076.00STATE
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____________________________________________________________________ ____________________ _____ ____________________________________________________________ 10/10/2023
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SPECIAL COVENANTS OR REMARKS
04-ALA-0-ALA
HSIPSL-5014(049)
1. A. This PROJECT has received STATE funds from Highway Safety Improvement Program (HSIP). The ADMINISTERING AGENCY agrees to administer the PROJE CT in accordance with the Highway Safety Improvement Program (HSIP) Guidelines, the Local Assistance Procedures Manual (LAPM), the Local Assistance Program Guidelin es (LAPG), and this PROGRAM SUPPLEMENT.
B. The STATE funds for this PROJECT may be provided under one o r more phases, which are Preliminary Engineering (PE), Right-of-Way (R/W) and Constr uction (Con).
A phase-specific fund allocation is required, in addition to ot her requirements, before reimbursable work can occur for the phase identified. Each allo cation will be assigned an effective date and identify the amount of funds allocated per p hase. Unless otherwise determined, the effective date of the phase-specific allocation will constitute the start of reimbursable expenditures for the phase. The STATE funds availa ble 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 Pr oject, this PROGRAM SUPPLEMENT, a STATE-approved Allocation Letter and STATE Financ e Letter are prepared to allow reimbursement of eligible PROJECT expenditures for the phase allocated.
D. STATE and ADMINISTERING AGENCY agree that any additional fun d allocations made after the execution of this PROGRAM SUPPLEMENT, for the phase t hat 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://dot.ca.gov/pr ograms/local-assistance/fed- and-state-programs/highway-safety-improvement-program/delivery-requirements-status- approved-projects.
F. Award information shall be submitted by the ADMINISTERING AG ENCY to the District Local Assistance Engineer immediately after project contract aw ard and prior to the submittal of the ADMINISTERING AGENCY'S first invoice for the constructio n 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 no later than 180 days after the end of expenditure the phase. For const ruction costs, the ADMINISTERING AGENCY has 180 days after project completion or c ontract acceptance to make the final payment to the contractor, prepare the final Rep ort of Expenditures and final invoice, and submit to STATE for verification and
2Page of 3Program Supplement 04--501-A305- SERIAL
SPECIAL COVENANTS OR REMARKS
04-ALA-0-ALA
HSIPSL-5014(049)
payment.
H. ADMINISTERING AGENCY agrees to submit the final report docum ents 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 impo sing sanctions upon ADMINISTERING AGENCY in accordance with the current LAPM provis ions.
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 a grees to provide the STATE, upon request, with the information related t o the PROJECT for the purpose of project evaluation or other purposes.
K. The ADMINISTERING AGENCY shall construct the PROJECT in acco rdance 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 ine ligible for reimbursement. 3Page of 3Program Supplement 04--501-A305- SERIAL