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Resolution No. 2004-057 Attachment B page 4 of 5 TDA Article 3 Project Application Form Fiscal Year of this Claim: 04/05 Applicant: City of San Leandro Contact person: Keith R. Cooke Mailing Address: 835 East 14th Street, San Leandro, CA 94577 E-Mail Address: kcooke@ci.san-leandro.ca.us Telephone, (510) 577-3439 Secondary Contact (in event primary not available) Reh-Lin Chen E-Mail Address: rchen anci.san-leandro.ca us Telephone: (510) 577-3438 Short Title Description of Protect: Pedestrian Crosswalk Improvements Amount of claim $ 41,438 Functional Description of Project: Curb ramps, bulb-outs, in-pavement lighted crosswalks and safety signage at various locations throughout the City. Financial Plan: List the project elements for which TDA funding is being requested (e.g., planning, environmental, engineering, right-of-way, construction, construction management, contingency). Use the table below to show the project budget. Include prior and proposed future funding of the project. If the project is a segment of a larger project, include prior and proposed funding sources for the other segments (make certain the use of the currently requested funding is made clear in the "Project Elements" section below, and include any other clarifying information on the next page). Elements: Construction Fundin Source All Prior FYs A lication FY Next FY Followin FYs Totals TDA Article 3 $41,438 $41,438 list all other sources: 1. 2. 3. 4. Totals $41,438 $41,438 Project Eligibility: YES?INO? A. Has the project been approved by the claimant's governing body? (If "N0," on the next page provide the approximate dale approval is anticipated). Yes B. Has this project previously received TDA Article 3 funding? If "YES," provide an explanation on the next page. No C. For "bikeways," does the project meet Caltrans minimum safety design criteria pursuant to Chapter 1000 of the California Highway Design Manual? (Available on the Internet at: httpalwww.dot.ca.gov/hg/oppd/hdm/chapters/t1001.htm). NIA D. Has the project been reviewed by a Bicycle Advisory Committee? (If "N0," provide an explanation on the next page). N/A E. Has the public availability of the environmental compliance documentation for the project (pursuant to CEQA) been evidenced by the dated stamping of the document by the county clerk or county recorder? (If "NO" provide and explanation on the next page; and note that MTC cannot allocate funds to a project which lacks environmental clearance). N/A F, Will the project be completed within the three fiscal year time period (including the fiscal year of funding) after which the allocation expires? Enter the anticipated completion date of project (month and year) 06/06 Yes G. Have provisions been made by the claimant to maintain the project or facility, or has the claimant arranged for such maintenance by another agency? (If an agency other than the Claimant is to maintain the facility provide its name: Yes Page ~