HomeMy WebLinkAboutAGR-7634.A885 - CALIFORNIA DEPARTMENT OF TRANSPORTATION - 1226000017Docusign Envelope ID:2ADB1 D98-4FA2-4125-8239-3283B504556C Q,//^,,p 7(O M Q STllf^ `'• Ages-
PROGRAM PROGRAM SUPPLEMENT NO. 00000A885 Adv. Project ID Date: October 10, 2025
to 1226000017 Location: 12-ORA-0-ORA
ADMINISTERING AGENCY-STATE AGREEMENT Project Number: HSIPSL-5073(103)
FOR STATE FUNDED PROJECTS NO 12-5073S21
E.A. Number:
Locode: 5073
This Program Supplement, effective 9/30/25, hereby adopts and incorporates into the Administering Agency-State
Agreement No. 12-5073S21 for State Funded Projects which was entered into between the ADMINISTERING AGENCY
and the STATE with an effective date of 01/08/2024 and is subject to all the terms and conditions thereof. This PROGRAM
SUPPLEMENT is executed in accordance with Article I of the aforementioned Master Agreement under authority of
Resolution No. 11507 approved by the ADMINISTERING AGENCY on 12/12/2023 (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.
PROJECT LOCATION: Four crossing locations.
1)Shaffer St. & Everett PI.
2)Walnut Ave. &Harwood St.
3)Shaffer St. 130' N/o Almond Ave.
4) Rancho Santiago Blvd. &Orange Grove Ave.
TYPE OF WORK: Install rectangular rapid flashing beacons (RFFBs) LENGTH: 0.0(MILES)
Estimated Cost I State Funds Matching Funds
STATE 42,300.00 LOCAL OTHER
47,000.00 4,700.00 0.00
CITY OF ORANGE STATE OF CALIFORNIA
Department of Transportation` ''
Signed by erd 4. 8&W r riA,
By
C5F25FDE254B4F0
Title City Manager For: Chief, Office of Project Management Oversight
Division of Local Assistance
Date 10/28/25
10/29/2025
Attest Date
DB2BEDCB$BEF43A
City Clerk
I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance:
Accounting Officer FiG Date
10/10/2025 42,300.00
APPROVED AS TO FORM:
zg...
d by
tie Adourian,City Attorney J
Program Supplement 12--507-A885-SERIAL Page 1 of 3
Docusign Envelope ID:2ADB1D98-4FA2-4125-8239-3283B504556C
12-ORA-0-ORA
HSIPSL-5073(103)
SPECIAL COVENANTS OR REMARKS
1.A. This PROJECT has received STATE funds from Highway Safety Improvement Program
HSIP). The ADMINISTERING AGENCY agrees to administer the PROJECT in accordance
with the Highway Safety Improvement Program (HSIP) Guidelines, the Local Assistance
Procedures Manual (LAPM), the Local Assistance Program Guidelines (LAPG), and this
PROGRAM SUPPLEMENT.
B. The STATE funds for this PROJECT may be provided under one or more phases, which
are Preliminary Engineering (PE), Right-of-Way (R/W) and Construction (Con).
A phase-specific fund allocation is required, in addition to other requirements, before
reimbursable work can occur for the phase identified. Each allocation will be assigned an
effective date and identify the amount of funds allocated per phase. Unless otherwise
determined, the effective date of the phase-specific allocation will constitute the start of
reimbursable expenditures for the phase. The STATE funds available 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 Project, this PROGRAM
SUPPLEMENT, a STATE-approved Allocation Letter and STATE Finance Letter are prepared
to allow reimbursement of eligible PROJECT expenditures for the phase allocated.
D. STATE and ADMINISTERING AGENCY agree that any additional fund allocations made
after the execution of this PROGRAM SUPPLEMENT, for the phase that 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/programs/local-assistance/fed-
and-state-programs/highway-safety-improvement-program/delivery-req u irements-status-
approved-projects.
F. Award information shall be submitted by the ADMINISTERING AGENCY to the District
Local Assistance Engineer immediately after project contract award and prior to the submittal
of the ADMINISTERING AGENCY'S first invoice for the construction 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 construction costs, the
ADMINISTERING AGENCY has 180 days after project completion or contract acceptance to
make the final payment to the contractor, prepare the final Report of Expenditures and final
invoice, and submit to STATE for verification and
Program Supplement 12--507-A885-SERIAL Page 2 of 3
Docusign Envelope ID 2ADB1D98-4FA2-4125-8239-3283B504556C
12-ORA-O-ORA
HSIPSL-5073(103)
SPECIAL COVENANTS OR REMARKS
payment.
H. ADMINISTERING AGENCY agrees to submit the final report documents 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 imposing sanctions upon
ADMINISTERING AGENCY in accordance with the current LAPM provisions.
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 agrees to
provide the STATE, upon request, with the information related to the PROJECT for the
purpose of project evaluation or other purposes.
K. The ADMINISTERING AGENCY shall construct the PROJECT in accordance 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 ineligible for reimbursement.
Program Supplement 12--507-A885-SERIAL Page 3 of 3