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PROGRAM SUPPLEMENT NO. F43 <br />to <br />ADMINISTERING AGENCY-STATE AGREEMENT <br />FOR STATE FUNDED PROJECTS NO. 002185 <br />Date:November 13, 2008 <br />Location : 04-ALA-O-SLN <br />Project Number:TLSPL-5041(032) <br />E . A . Number : 04-074574 <br />Locode:5041 <br />This PROGRAM SUPPLEMENT, effective / / , hereby incorporates into the Administering Agency -State Agreement No. <br />00218S for State Funded Projects which was entered into between the ADMINISTERING AGENCY and the STATE with an <br />effective date of / / and is subject to all the terms and conditions thereof. This PROGRAM SUPPLEMENT is executed in <br />accordance with Article I of the aforementioned Master Agreement under authority of Resolution No. approved by the <br />ADMINISTERING AGENCY on (See copy attached). <br />The ADMINISTERING AGENCY further stipulates that as a condition to the payment by the State of any funds derived from <br />sources noted below encumbered to this project, it accepts and will comply with the Special Covenants and Remarks set forth on the <br />following pages. <br />PROJECT LOCATION: <br />ATMS Expansion <br />TYPE OF WORK: <br />Estimated Cost State Funds Matching Funds <br /> <br />$558,000.00 STATE $350,000.00 LOCAL <br />$24,000.00 Other Fund <br />$184,000.00 OTHER <br />$0.00 <br />CITY OF SAN LEANDRO <br />Sy <br />Date <br />Title <br />STATE OF CALIFORNIA <br />Department of Transportation <br />By <br />Chief, Office of Project Implementation <br />Division of Local Assistance <br />Date <br />I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance: <br />Accounting officer '` r t:T~---- ~ Date ~ ~ ° l ~ `~ ~ $350,000.00 <br />Chapter Statutes Item Year Pr gram BC Category Fund Source AMOIINT <br />268 2008 2660-125-664 2008-2009 20.30.210.400 C 262040 664-B 350,000.00 <br />Program Supplement 00-2185-F43- SERIAL Page 1 of 5 <br />