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Home My WebLink AboutAGR-7634.A887 - CALIFORNIA DEPARTMENT OF TRANSPORTATION - 1226000019Docusign Envelope ID: 1C16F721-ACB6-4415-9AD8-343F7A060097oe- 140. 4. A007 PROGRAM SUPPLEMENT NO. 00000A887 Adv. Project ID Date: October 10, 2025 to 1226000019 Location: 12-ORA-0-ORA ADMINISTERING AGENCY-STATE AGREEMENT Project Number: HSIPSL-5073(105) 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: Twelve street aegments approximately 8.5 miles in length TYPE OF WORK: Install edgelines striping LENGTH: 0.0(MILES) Estimated Cost State Funds Matching Funds STATE 22,500.00 LOCAL OTHER 25,000.00 2,500.00 0.00 CITY OF ORANGE STATE OF CALIFORNIA Department off Transportation Signed by Eataea" By t C6E)Sf DE261BJEU Title City Manager For: Chief, Office of Project Management Oversight Division of Local Assistance Date 10/28/25 signed by. Attest cam. .Date 10/29/2025 DB2BEDCBBBE,43A City Clerk I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: Accounting Officer 7i4 . c5LG4 Date 10/10/2025 22,500.00 APPROVED AS TO FORM: DocuSipned by: I`Jaaff`'a'ffe°" fourian, City Attorney Program Supplement 12--507-A887-SERIAL Page 1 of 3 Docusign Envelope ID: IC16F721-ACB6-4415-9AD8-343F7A060097 12-ORA-O-ORA HSIPSL-5073(105) 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/hig hway-safety-i mprovement-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, RAN 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-A887-SERIAL Page 2 of 3 Docusign Envelope ID: 1C16F721-ACB6-4415-9AD8-343F7A060097 12-ORA-O-ORA HSIPSL-5073(105) 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-A887-SERIAL Page 3 of 3 RESOLUTION NO. 11507 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ORANGE APPROVING THE TERMS AND CONDITIONS OF THE MASTER AGREEMENT BETWEEN THE CITY AND THE STATE FOR STATE- FUNDED PROJECTS FROM THE STATE TRANSPORTATION IMPROVEMENT PROGRAM OR OTHER STATE-FUNDED PROGRAMS AND AUTHORIZING THE CITY MANAGER OR THE DIRECTOR OF PUBLIC WORKS TO EXECUTE ANY AND ALL PROGRAM SUPPLEMENT AGREEMENTS TO IMPLEMENT THE MASTER AGREEMENT WHEREAS, the City of Orange ("City") has applied to the State for funding from either the State Transportation Improvement Program or other State-Funded programs (hereafter jointly referred to as"State Funds")for use on eligible City transportation related projects; and WHEREAS, in order to receive such funds the City Council is required to approve the Master Agreement Administering Agency-State Agreement for State-Funded Projects" by and between the City and the State of California, acting by and through its Department of Transportation("Caltrans") (hereafter,the "Master Agreement"); and WHEREAS,the Master Agreement anticipates that project specific Program Supplement Agreements will be entered into by and between the City and Caltrans for the purpose of identifying eligible transportation projects and the types and amounts of State Funds that could be used to finance the project. A Program Supplement Agreement is the contractual basis for Caltrans to pay the City for work done and includes special covenants or clauses defining the City's and Caltrans' specific responsibilities in implementing and maintaining the project; and WHEREAS, the Master Agreement requires that a Program Supplement Agreement be approved by the City Council unless the City Council has delegated that responsibility to another City officer; and WHEREAS, the City Council desires to save time and work by authorizing the City Manager and the Director of Public Works to execute Program Supplement Agreements and such other and further documentation as they may deem necessary and appropriate for projects to be constructed by the City under the Master Agreement. NOW,THEREFORE,BE IT RESOLVED by the City Council of the City of Orange as follows: Section 1. Approval of the Master Agreement. The terms and provisions of the Master Agreement between the City of Orange and Caltrans in the form attached hereto as Exhibit "A" are approved. Accordingly,the Public Works Director is hereby authorized and directed to execute the Master Agreement on behalf of the City. Section 2. Authorization for Officers to Act. The City Council authorizes and directs the Director of Public Works or the City Manager,or their designees,to execute on behalf of the City all Program Supplement Agreements as they occur under the Master Agreement and to do any and all things and take any and all actions and execute any and all documents, which they, or any of them,may deem necessary or advisable or that Caltrans requires relevant to the implementation of the Master Agreement and to take any and all action deemed by any of them to be proper in connection with the Master Agreement. ADOPTED this 12th day of December 2023. el R. Slater,Mayor, City of Orange ATTEST: Pamela Coleman, City Clerk, City of Orange APPROVED AS TO FORM: Mike Vigliotta, City Attorney Attachment: Exhibit A Resolution No. 11507 2 STATE OF CALIFORNIA ) COUNTY OF ORANGE ) ss. CITY OF ORANGE I, PAMELA COLEMAN, City Clerk of the City of Orange, California, do hereby certify that the foregoing Resolution was duly and regularly adopted by the City Council of the City of Orange at a regular meeting thereof held on the 12th day of December 2023,by the following vote: AYES:COUNCILMEMBERS: Barrios,Dumitru,Tavoularis, Bilodeau,Gutierrez, Gyllenhammer,and Slater NOES:COUNCILMEMBERS: None ABSENT: COUNCILMEMBERS: None ABSTAIN: COUNCILMEMBERS: None nn Pamela Coleman, City Clerk, City of Urange Resolution No. 11507 3 5073105 PSA Final Audit Report 2025-10-29 Created: 2025-10-29 By: Gregory Nannini(s147991@dot.ca.gov) Status: Signed Transaction ID: CBJCHBCAABAAQsgB9A_xAPRsgrw6LtngkFuFGSNYsZTW 5073105 PSA" History Document created by Gregory Nannini (s147991@dot.ca.gov) 2025-10-29-5:59:00 PM GMT-IP address:149.136.17.248 E Document emailed to Ferdinand Batatan (ferdinand.batatan@dot.ca.gov)for signature 2025-10-29-5:59:30 PM GMT t Email viewed by Ferdinand Batatan (ferdinand.batatan@dot.ca.gov) 2025-10-29-6:51:11 PM GMT-IP address:149.136.17.252 be Signer Ferdinand Batatan (ferdinand.batatan@dot.ca.gov) entered name at signing as Ferdinand A. Batatan 2025-10-29-6:52:23 PM GMT-IP address:149.136.17.252 60 Document e-signed by Ferdinand A. Batatan (ferdinand.batatan@dot.ca.gov) Signature Date:2025-10-29-6:52:25 PM GMT-Time Source:server-IP address: 149.136.17.252 0 Agreement completed. 2025-10-29-6:52:25 PM GMT Cit. Powered by Adobe Acrobat Sign Docusign Envelope ID:1C16F721-ACB6-4415-9AD8-343F7A060097 CITY OF ORANGE DIGITAL SIGNATURE AGREEMENT TRANSMITTAL AGREEMENT WITH: State of California Department of Transportation CONTRACT ADMINSTRATOR: Maria Flores DEPT Traffic EXT 5541 0 CITY MANAGER APPROVAL AGENDA CITY COUNCIL APPROVAL COUNCIL MEETING DATE ITEM# ATTACHMENTS INCLUDED For each person who needs to sign,you must provide the following information: VENDOR NAME TITLE EMAIL For additional person(s) needing an electronic copy of the fully executed agreement,please provide the following: NAME TITLE EMAIL Q:\001 AGREEMENTS 0 docusign Certificate Of Completion Envelope Id: 1C16F721-ACB6-4415-9AD8-343F7A060097 Status:Completed Subject:Complete with Docusign:Program Supplement Agreement 5073105.pdf,DIGITAL SIGNATURE TRANSMITTAL... Source Envelope: Document Pages:4 Signatures:3 Envelope Originator: Certificate Pages:2 Initials:0 Lisa Tamburelli AutoNav:Enabled 300 E Chapman Ave Envelopeld Stamping:Enabled Orange,CA 92866 Time Zone:(UTC-08:00)Pacific Time(US&Canada) Itamburelli@cityoforange.org IP Address:67.52.190.252 Record Tracking Status:Original Holder:Lisa Tamburelli Location:DocuSign 10/27/2025 10:27:46 AM Itamburelli@cityoforange.org Signer Events Signature Timestamp Nathalie Adourian oviB1pnidby: Sent:10/27/2025 10:34:51 AM nadourian@cityoforange.org Viewed: 10/27/2025 11:00:43 AM Sr.Assistant City Attorney 0C307ocoA754ea.. Signed:10/27/2025 11:00:49 AM City of Orange Security Level:Email,Account Authentication Signature Adoption:Uploaded Signature Image None) Using IP Address:67.52.190.252 Electronic Record and Signature Disclosure: Not Offered via Docusign Jarad L.'Hildenbrand Signed by: Sent:10/27/2025 11:00:51 AM jhildenbrand@cityoforange.org Viewed: 10/28/2025 8:43:25 AM C6F25FDE2B4B4F0... City Manager Signed:10/28/2025 8:43:33 AM City of Orange Security Level:Email,Account Authentication Signature Adoption:Uploaded Signature Image None) Using IP Address:67.52.190.252 Electronic Record and Signature Disclosure: Not Offered via Docusign Pamela Coleman Signed by: Sent:10/28/2025 8:43:35 AM Pcoleman@cityoforange.org Viewed: 10/28/2025 9:29:15 AM DB2BEDCBeeEF43A City Clerk Signed:10/28/2025 9:29:25 AM City of Orange Security Level:Email,Account Authentication Signature Adoption:Uploaded Signature Image None) Using IP Address:67.52.190.252 Electronic Record and Signature Disclosure: Not Offered via Docusign Lisa Tamburelli Completed Sent:10/28/2025 9:29:26 AM Itamburelli@cityoforange.org Viewed: 10/28/2025 10:11:23 AM Recreation Services Supervisor Signed:10/28/2025 10:11:30 AM City of Orange Using IP Address:67.52.190.252 Security Level:Email,Account Authentication None) Electronic Record and Signature Disclosure: Not Offered via Docusign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Maria Flores COPIED Sent:10/28/2025 10:11:31 AM mpflores@cityoforange.org Viewed: 10/28/2025 10:11:58 AM Security Level:Email,Account Authentication None) Electronic Record and Signature Disclosure: Not Offered via Docusign Witness Events Signature Timestamp 7111111111111.111 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 10/27/2025 10:34:51 AM Certified Delivered Security Checked 10/28/2025 10:11:23 AM Signing Complete Security Checked 10/28/2025 10:11:30 AM Completed Security Checked 10/28/2025 10:11:31 AM Payment Events Status Timestamps