ATTACHMENT A
January 30, 2024
City of Victorville
14343 Civic Drive
PO Box 5001
Victorville, CA 92393- 5001
Billing No: 01
Term Loan Agreement No. 16- 1001481
Project: Green Tree Boulevard Extention
2/ 3 Loan
16- 1001481 ( Loan Agreement) Allocation
Authorization Date 09/ 07/ 2016
Participating cost from 06/ 01/ 2021
to 04/ 30/ 2023
2/ 3 Loan Amount:$ 12, 511, 320. 00
Amend. # 1 $ 747, 675. 00
TOTAL $ 13, 258, 995. 00
Total Costs $ 2, 500, 000. 00
Less: Participating Costs on
Previous Invoices $ 0. 00
Subtotal $ 2, 500, 000. 00
Reimbursement Ratio 100. 00%
Subtotal $ 2, 500, 000. 00 Total $ 2, 500, 000. 00
0. 00
2, 500, 000. 00
2, 500, 000. 00
Remaining 2/ 3 Loan Allocation Amount: $ 10, 758, 995. 00 I certify the charges for work billed are proper and that project progress is commensurate with cash disbursements being claimed on the " Net Amount due" line above.
Hilda Flores Date
Chief Financial Officer
For questions regarding this invoice, please contact Daniel Rodriguez ( 909) 884- 8276 EXT: 108 Total 2/ 3 Loan Amount Due:
Previous Draw Against 2/ 3 Loan Amount:
Current Loan Amount Due:
Victorville Loan 16- 1001481 BILLING SUMMARY 01/ 18/ 2024 City of Victorville 16-1001481
Invoice No: 01- 16- 1001481 ( Loan Agreement)
2/3 Loan
Vendor Invoice Period of Performance Check # Cost Reimbursement Ratio Total Reimbursement Amount City of Victorville 1 06/01/2021- 04/30/2023 1005815 2,500, 000. 00 100. 00% 2,500, 000. 00 Total 2,500, 000. 00$ 2,500, 000. 00$
Total 2,500, 000. 00$
Total To- Date Loan
Amount Due 2,500, 000. 00$
FINANCE DEPARTMENT
@;""
1170 W. 3rd Street, 2nd Floor Check No. 1005815
c
San Bernardino, CA 92410
909- 884- 8276
son bernardlno county
transportation authority
CHECK DATE CHECK NUMBER VENDOR NUMBER VENDOR CHECK VOUCHER NO. 7/ 11/ 2023 1005815 02324 CITY OFVICTORVILLE 1005815
INVOICE CONTRACT PURCHASE INVOICE INVOICE ACCOUNT DISTRIBUTION AMOUNT DOC NO. NO. ORDER NO. NUMBER DESCRIPTION DUE
117299 16- 1001481 1 4/ 30/ 23 GREEN TREE BOULEVARD EXTENTION TERN 4230. 50. 0550. 0516. 54840. 41100000 2, 500, 000. 00 Total 2, 500, 000. 00
ACCOUNTS PAYABLE CHECK NO. 1005815
INVOICE NUMBER DATE P. O. NUMBER DESCRIPTION DISCOUNT AMOUNT 1 4/ 30/ 23 06/ 28/ 2023 GREEN TREE BOULEVARD EXTENTION TEF 0. 00 2, 500, 000. 00 2, 500, 000. 00
PLEASE DETACH BEFORE DEPOSITING
ACCOUNTS PAYABLE PAYABLE THROUGH 16- 24
1170 W. 3RD ST, 2ND FLOOR
WELLS FARGO BANK, N. A 1220
S
SAN BERNARDINO, CA 92410 VENDOR CHECK
909- 884- 8276
NUMBER DATE NUMBER CHECK AMOUNT
02324 07/ 11/ 2023 1005815 2, 500, 000. 00
PAY SUA PAYMENT NOTICE ONLY- DO NOT CASH *****
TO THE
CITY OF VICTORVILLE NON- NEGOTIABLE
ORDER P. O. BOX 5001
OF
VICTORVILLE, CA92393- 5001 NON- NEGOTIABLE
COPY COPY COPY COPY COPY
Measure I 2010- 2040
Mountain/ Desert Subarea
Major Local Highway Program
Request for Reimbursement
Form 403 Rev. 04/19 1 of 2
1. Agency named in SBCTA Funding Agreement.
2. Individual SBCTA should contact for questions regarding this request or the attached material.
3. SBCTA Contract #: 16-1001481 Agency Invoice #: 1
4. Project Name: Green Tree Boulevard Extension Project Project name as shown on SBCTA Funding Agreement.
5. Payment Amount Requested: $ 2,500,000
Total amount being requested for reimbursement for this project with this Request for Payment.
CHECK HERE IF FINAL INVOICE. Please see instructions in Funding Agreement regarding the Submittal of the Final Invoice and the Final Report of Expenditures, both due within 120 days following the
completion of those expenditures
6. Authorizing Signature: Date: 6/28/2023
Signature and date of the City/ Town Manager or Chief Administrative Officer.
7. Summary of Project Costs Table
Phase Agreement
Allocation
Total
Reimbursement
to Date
Current
Reimbursement
Request
from Summary)
Environmental Studies ( PA& ED) $ 0 $ 0 $ 0
Plans, Specs & Estimates ( PS& E) $ 0 $ 0 $ 0
Right of Way ( ROW) $ 0 $ 0 $ 0
Construction ( CON) $ 0 $ 0 $ 2,500, 000
TOTAL $ 13,258, 995 $ 0 $ 2,500, 000
8. INSTRUCTIONS:
a. Submit a copy of the contractor/ consultant invoices and associated checks. b. Submit a summary of the invoices using the form attached. c. Submit one summary for each project.
d. Please include a copy of any invoice to Caltrans relating to the invoices provided.
Agency Name: City of Victorville
Contact Person: Brian Gengler Phone: 760- 955 Email: bgengler@victorvilleca. gov Measure I 2010- 2040
Mountain/ Desert Subarea
Major Local Highway Program
Request for Reimbursement
Form 403 Rev. 04/19 2 of 2
INVOICE SUMMARY
VENDOR NAME 20203 SCOPE OF WORK INVOICE
NUMBER
INVOICE
AMOUNT
CHECK
NUMBER
SkanskaPay Estimate No. 1 June2021 1 635,629.05 782931
SkanskaPay Estimate No. 1.1 June2021 1.1 35,500.00 782295 SkanskaPay Estimate No. 2 July 2021 2 3,527,373.60 783494 SkanskaPay Estimate No. 3 August 2021 3 2,345,936.70 783677 SkanskaPay Estimate No. 4 September2021 4 1,891,578.51 783677 SkanskaPay Estimate No. 5 October 2021 5 900,670.11 328330 SkanskaPay Estimate No. 6 November 2021 6 768,321.10 328610 SkanskaPay Estimate No. 7 December 2021 7 875,286.96 328962 SkanskaPay Estimate No. 8 January 2022 8 2,068,742.55 328962 SkanskaPay Estimate No. 9 February 2022 9 900,162.65 329517 SkanskaPay Estimate No. 10 March 2022 10 680,706.83 330106 SkanskaPay Estimate No. 11 April 2022 11 2,586,641.53 330445 SkanskaPay Estimate No. 12 May 2022 12 2,068,637.52 331038 SkanskaPay Estimate No. 13 June2022 13 1,919,986.87 331306 SkanskaPay Estimate No. 14 July 2022 14 2,313,431.77 331768 SkanskaPay Estimate No. 15 August 2022 15 1,495,745.28 332211 SkanskaPay Estimate No. 16 September2022 16 1,080,619.09 332439 SkanskaPay Estimate No. 17 October 2022 17 1,036,172.23 332788 SkanskaPay Estimate No. 18 November 2022 18 429,339.24 333592 SkanskaPay Estimate No. 19 December 2022 19 608,771.62 333733 SkanskaPay Estimate No. 20 January 2023 20 1,207,566.64 333733 SkanskaPay Estimate No. 21 February 2023 21 1,121,707.66 334334 SkanskaPay Estimate No. 22 March 2023 22 1,111,788.91 334552 SkanskaPay Estimate No. 23 April 2023 23 1,117,861.99 334952 SkanskaPay Estimate No. 24 May 2023 24 569,833.85 Pending Total Construction Spent To Date 33,298,012.26
Billedto SBCTATermLoan
Invoice # Amt Retention Total
1 17,395.00$ 869.75$ 16,525.25$
2 353,190.59$ 17,659.53$ 335,531.06$
3 1,031,394.00$ 51,569.70$ 979,824.30$
4 792,373.12$ 39,618.66$ 752,754.46$
5 244,598.32$ 12,229.92$ 232,368.40$ To-date items billed to SBCTATerm Loan16-1001481. 6 257,669.48$ 12,883.47$ 244,786.01$ Amount-to-date exceedthe payment amount requested of $2,500,000. 7 153,866.83$ 7,693.34$ 146,173.49$
8 348,367.11$ 17,418.36$ 330,948.75$
9 181,494.21$ 9,074.71$ 172,419.50$
10 187,292.67$ 9,364.63$ 177,928.04$
11 364,500.52$ 18,225.03$ 346,275.49$
12 950,653.31$ 47,532.67$ 903,120.64$
13 448,932.06$ 22,446.60$ 426,485.46$
14 388,760.94$ 19,438.05$ 369,322.89$
15 403,568.64$ 20,178.43$ 383,390.21$
16 370,650.25$ 18,532.51$ 352,117.74$
17 271,066.80$ 13,553.34$ 257,513.46$
19 152,618.06$ 7,630.90$ 144,987.16$
20 462,052.76$ 23,102.64$ 438,950.12$
22 275,452.16$ 13,772.61$ 261,679.55$
23 472,387.65$ 23,619.38$ 448,768.27$
8,128,284.48$ 7,721,870.26$
GL Fund Program Task Sub Task Object Revenue Amount
Expense 4230 50 0550 0516 54840 41100000 2, 500, 000. 00) Project Level 1 Level 2 Object
GL Fund Program Task Sub Task Object Revenue Amount
Expense 4230 50 0550 0516 54840 42433003 2, 500, 000. 00 Project Level 1 Level 2 Object
0516 022 225 54840
Initial
Eden Post:
Initial Initial Initial
Prepared By:
Project Manager:
Director/ Task Manager:
EDEN Posting No.:
Budget Adjustment in
Process
Approved By:
Invoice Note
12/ 12/ 2023
Finance Use Only
FY Applicable to:
Name
12/ 12/ 2023
Date
Date
Name
12/ 12/ 2023
DateName
PA String if applicable)
Green Tree Term Loan
String Increase
Fund Source
Sub Task Description: MSI Mt/ Desert Allocation Term Loan Agreement 16 1001481 PA String if applicable)
MSI VV MLHP
Fund Source
Sub Task Description: MSI Mt/ Desert Allocation
Reason for Adjustment/ Reclassification
Invoice miscoded.
String Reduction
Transaction Date: Check Date: 7/ 11/ 2023
Invoice Date: Check Amount:$ 2, 500, 000.006/28/ 2023
6/ 25/ 2023
Vendor No.: Invoice Amount:$ 2, 500, 000. 00
Contract or PO: 1005815CheckNo.:16 1001481
02324
Request for General Journal Adjustments/ Reclassifications This form is only for GL Adjustments to Correct Paid Invoices Posted to Wrong Strings.
EDEN Invoice History MUST be Attached)
Invoice Detail
Vendor Name: Invoice No.: 1 4/ 30/23Cityof Victorville
Form 108 12/18 Refer to Procedure20005.