STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PROJECT AUTHORIZATION/ADJUSTMENT REQUEST
DOT LAPM 3-A (REV 10/2024)
Local Assistance Procedures Manual
Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at [email protected].
Date
06/17/2026
Federal Project Number
BPMPL-5063(220)
Local Public Agency (LPA)
City of Santa Ana
Caltrans
District 12 Congressional
District 46
Project Contact
Alex Bangean
Title
Senior Civil Engineer
Email
[email protected]
Phone
(714) 647-5665
Project Title
Bridge Preventative Maintenance Program (BPMP) PE Phase HBP Project Location
Various Locations in Santa Ana
Bridge Number(s)
55C0055, 55C0423, 55C0115, 55C0372, 55C0047, 55C0365, 55C0163, and 55C0689 Description of Work
Chain Deck; Core Deck and Test for Chloride Content; Clean and replace joint seals; Apply Methacrylate to Deck Clean and Replace Longitudinal Joint and transverse expansion joints;
Functional Classification
Other Principal Arterial
Located
on NHS
Located
on SHS
CRS Map No. ITS Risk
N/A
Project Oversight
Locally Administered
Estimated Phase Completion Date
03/16/2029
PED
03/16/2030
Authorization
Adjustment
PE R/W CON CE NI
PE R/W CON CE NI
Advance
Construction
CTC Allocation
Required
Federal Amount
Requested $282,400.00
Invoking Section 1440 of the FAST ACT?
(aka At-Risk PE)? No
PROJECT FUNDING
Previously Authorized Phase(s) PE R/W CON CE NI
Federal
Fund Type Project Cost Federal
Participating Cost
Federal
Funds
State Match
Funds
Local Match
Funds Other Funds
Advance
Construction
Funds
Reimb.
Rate P/L
PE
TC
PREV AUTH $307,000.00 $307,000.00 $245,600.00 $61,400.00 80.00 HBP $353,000.00 $353,000.00 $282,400.00 $70,600.00 80.00 L PE subtotals $660,000.00 $660,000.00 $528,000.00 $0.00 $132,000.00 $0.00 $0.00 Total Project Cost $660,000.00 $660,000.00 $528,000.00 $0.00 $132,000.00 $0.00 $0.00 EXHIBIT 3
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PROJECT AUTHORIZATION/ADJUSTMENT REQUEST
DOT LAPM 3-A (REV 10/2024)
Date
06/17/2026
Federal Project Number
BPMPL-5063(220)
Americans with Disabilities Act (ADA) Notice: This document is available in alternative accessible formats. For more information, please contact the Forms Management Unit at (279) 234-2284, TTY 711, in writing at Forms Management Unit, 1120 N Street, MS-89, Sacramento, CA 95814, or by email at [email protected].
REQUIRED SUPPORTING DOCUMENTS
Include the following items with this form [(= required, ● = required if applicable)]. This list does not represent all documents required to be in the LPA's project files. The District Local Assistance Engineer may request additional documents for authorization/adjustment.
Project Document
FTIP Document (Include CMAQ Emissions Benefits Calculations, Back-up List and EPSP Approval if applicable)
Cost-Effectiveness/Public Interest Finding (LAPM Exhibit 12-F) For additional Federal funds requested for PE, provide justification (i.e. in the Remarks section or in separate email or letter to the DLAE).
PE
ADJ
RESPONSIBLE CHARGE CERTIFICATION
I certify that the information provided in this request is accurate and correct. Any changes to the project scope, cost, or schedule will be communicated to the District Local Assistance Engineer. This LPA agrees to comply with the applicable terms and conditions set forth in Title 23, U.S. Code, Highways, and the policies and procedures promulgated by the Federal Highway Administration (FHWA) and California Department of Transportation relative to the above-designated project.
I understand that this LPA is responsible for all costs incurred prior to receiving authorization to proceed. In addition, this LPA will be responsible for all costs in excess of the federal and/or state funds encumbered to complete the above-designated project.
Signature of Full-Time Public Employee in Responsible Charge Date 06/17/2026
Print Name
Alex Bangean
Title
Senior Civil Engineer
REMARKS
Digitally signed by Alex A. Bangean
Date: 2026.06.17 15:34:54 -07'00'