68700 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
Enclosed you should find the following documents:
• Program Agreement
• No-Fee Encroachment Permit
• Payment Voucher
• Invoice Form (Exhibit A)
• Authorization
to Release Voucher Funds/ Contractor Acknowledgment (Exhibits B/C) Please review the documents carefully. Once the sidewalk repairs have been completed, the following documents must be submitted to the City:
Fully executed Program Agreement
Completed Exhibit A
Encroachment
Permit with Inspection Signature
Authorization to
Release Voucher Funds OR Contractor Acknowledgment
Please MAIL/DROP OFF documents to the address below.
If you have any questions regarding the enclosed documents or instructions, please call (760)-770-0319 or email [email protected].
Sincerely,
Cathedral City
Engineering Department
CATHEDRAL CITYY
SIDEWALK REPAIR ASSISTANCE PROGRAM
AGREEMENT PACKET
City of Cathedral City
Engineering Department
68-700 Avenida Lalo Guerrero
Cathedral City, CA 92234
68700 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
PLEASE DO NOT STAPLE DOCUMENTS
TOGETHER
CATHEDRAL CITYY
SIDEWALK REPAIR ASSISTANCE
PROGRAM
AGREEMENT
Please print
Property Ow
ner:
Property Address:
Property Owner’s Obligations:
Property Owner agrees to complete sidewalk repairs as described in the Application Instructions within six months of the approved application date. To complete the Project, Property Owner shall submit the following to the City:
A fully executed original copy of this Program Agreement. An invoice identifying the costs incurred for the sidewalk repair. Attached as Exhibit A (Invoice).
Encroachment Permit with Inspection Signature
Within six months after Property Owner completes the sidewalk repair, Property Owner shall participate in a survey to be conducted by the City. Upon receipt of a survey card from the City, Property Owner shall complete and return the card to the City. The survey responses will assist the City in evaluating the success of the Program.
Property Owner agrees to remove damaged sidewalks and install new sidewalk to City Standards. Once the sidewalk repair is completed, Property Owner is responsible for calling the City Inspection Line, (760)-770-0379, for an inspection. If the sidewalk repair work passes inspection, the owner/owner's contractor can follow the steps on the next page to redeem the voucher. Property Owner is responsible for complying with all laws, policies, regulations or covenants that may apply. 68700 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
City’s Obligations:
The City will fund the Program by the issuance of a payment voucher to the Property Owner. The value of the payment voucher shall be equal to 75% of the total cost to repair the damaged sidewalk , up to a maximum amount of $800.
All costs to be considered when calculating the amount of the voucher must have been for expenses clearly related to the sidewalk repair consistent with City Standards. Only those expenses for which the Property Owner submits proof of payment, in a form acceptable to the City, shall be considered.
The City processes check on a bi-weekly basis. The processing of payment may take 2- weeks, depending on when all the required documents and payment voucher are submitted. Please note the following documents are required to be submitted to process payment:
• If work is completed by a Contractor and voucher is redeemed by the Property Owner: Proof of Full Payment to the Contractor, Contractor's Invoice, and Contract Acknowledgment (Exhibit B
)
• If work is completed by a Contractor and voucher is redeemed by the Contractor: Invoice, W-9 Form, and Authorization to Release Voucher Funds (Exhibit C) • If the work is completed by the Property Owner and voucher is redeemed by the Property Owner
: Receipt of Materials
All communications concerning this Program shall be directed to:
DECLARATION OF PROPERTY OWNER: The undersigned declares under penalty of perjury, under the laws of the State of California, that the foregoing information set forth in this application and in its attachments is true and correct.
Date of this Agreement:
Signature Authorized Property Owner
_________________________________________________________________ Armando Garcia Baldizzone, City Engineer
City of Cathedral City
City of Cathedral City
ATTN: Engineering Department
68-700 Avenida Lalo Guerrero, 92234
(760)-770-0319
[email protected]
68700 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
BILL TO:
City of Cathedral City
68-700 Avenida Lalo Guerrero
Cathedral City, CA 92234
Invoice Number
PLEASE DO NOT STAPLE RECEIPTS
TO INVOICE FORM
CATHEDRAL CITY
SIDEWALK REPAIR ASSISTANCE PROGRAM
AGREEMENT
Total amount spent on project
(see reverse side for additional instructions)
Voucher Amount:
(see reverse side for additional instructions)
Please initial here confirming that you are the
property owner of the property address listed
above. You must be listed as one of the
property owners in order to receive payment of
funds for this project.
Initial
(see reverse side for additional instructions)
Make reimbursement check payable to:
Property Owner:
Property Address:
Phone Number:
Date:
The above information and all supporting documentation is subject to the declaration under penalty contained in the Program Agreement.
EXHIBIT A
INVOICE FORM
68700 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
Total amount spent on project: The total cost to complete the sidewalk repair. Contractor Invoice or Receipt of Materials
required for documentation.
Voucher Value: The voucher value is 75% of the total cost to complete the sidewalk repair, up to $800.00.
• In order to receive the maximum value of the voucher ,$800, you must be able to attach to this invoice form:
o If work is completed by a
Contractor and voucher is redeemed by the Property
Owner: Proof of Full Payment to the Contractor, Contractor's Invoice, and Contract Acknowledgment (Exhibit B)
o If work is completed by a Contractor and voucher is redeemed by the Contractor: Invoice, W-9 Form, and Authorization to Release Voucher Funds (Exhibit C)
o If the work is completed by the
Property Owner and voucher is redeemed by the
Property Owner: Receipt of Materials
• Receipts
must have a direct nexus to the sidewalk repair.
• The
maximum voucher value per property owner is $800.
PAYMENT VOUCHER
Amount:
Property Owner:
Approved By: Signature:
CATHEDRAL CITY SIDEWALK REPAIR ASSISTANCE PROGRAM
Property Address:
Redeemed By:
Contractor:
6870 0 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
Contractor Acknowledgment Receipt
I, __________________________, the Contractor, Business License # is ______________________________ , acknowledge receipt of all payments for sidewalk repairs from the Property Owner_________________________ at Property Address _______________________________. The Property Owner, who is presently holding the payment voucher worth $ , may redeem the payment voucher through Cathedral City’s Sidewalk Repair Assistance Program, pursuant to the terms of the Program Agreement between Cathedral City and the Property Owner hereto, dated _____ day of ________________ , 2022.
I,__________________________ (Contractor Name), understand that Cathedral City will release the value of the payment voucher from the Cathedral City Sidewalk Repair Assistance Program to ____________________________________ (Property Owner Name) and agree to hold (him)(her)(them) harmless for the release of the payment voucher funds.
Date: ___________________________________________
Property Owner: Contractor:
Printed Name: Printed Name:
Signature: Signature:
CATHEDRAL CITY
SIDEWALK REPAIR ASSISTANCE PROGRAM
AGREEMENT
EXHIBIT B
687 00 Avenida Lalo Guerrero | Cathedral City | California | 92234 www.cathedralcity.gov
Auth
orization to Release Voucher Funds
I, __________________________, the Property Owner, of the Property located at ______________________________ , a
m presently holding the payment voucher worth $ , awarded through Cathedral City’s Sidewalk Repair Assistance Program, pursuant to the terms of the Program Agreement between Cathedral City and the Property Owner hereto, dated _____ day of ________________ , 2022.
I,__________________________ (Property Owner Name), authorize Cathedral City to release the value of the payment voucher from the Cathedral City Sidewalk Repair Assistance Program to ____________________________________ (Contractor Name) and agree to hold (him)(her)(them) harmless for the release of the payment voucher funds.
Date: ___________________________________________
Property Owner: Contractor:
Printed Name: Printed Name:
Signature: Signature:
CATHEDRAL CITY
SIDEWALK REPAIR ASSISTANCE PROGRAM
AGREEMENT
EXHIBIT C