Claimant:
Type of Claim: Amount of Claim:
☒ STREETS & ROADS $ $334,037
☐ PEDESTRIAN & BICYCLE FACILITIES $
☐ OTHER (indicate purpose & TDA Section number ) $ ☐ TOTAL $
It is understood by this claimant that payment of the claim is subject to approval by MCAG, to such monies being on hand and available for distribution, and to the provision that such monies (and the interest earned on such monies subsequent to allocation) will be us ed only for those purposes for which the claim is approved and in accordance with the terms of the allocation instructions.
Further, the Chief Financial Officer of the claimant certifies that the financial information contained herein, is reasonable and accurate to the best of my knowledge.
Authorized Representative:
Signature
Print or type name
Title
Date
Signature of Chief Financial Officer
LOCAL TRANSPORTATION FUND CLAIM
CRRSAA SWAP
LTF STREETS & ROADS CLAIM
Claimant: City of Merced
Project Title, Location and Description (may use additional paper)
Project Cost by Funding Source
1. For entities with a population of more than 5,000, is the claim for streets and roads (exclusive of capital requirements for major new facilities) less than 50% of the total streets and roads expenditures?
☒ Yes ☐ No
2. Is the project in conformity with the MCAG Regional Transportation Plan?
☒ Yes ☐ No
Prepared by:
Sign ature
Signature
Michael Wegley
Type or print name
Project Title/Location: So uth Canal Street and East Childs Avenue Street Project
Description: Construct curb, gutter and sidewalk and install street lights where none exist on the southeast corner of South Canal Street and East Childs, modify intersection alignment and reconstruct the street pavement section, striping, legends, signage.
LTF
$ 334,037
General Fund $
Other
$ 763,364
TOTAL
$ 1,097,401