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v ti Kr, N <br /> STATE OF CALIFORNIA.DEPARTMENT OF TRANSPORTATION <br /> PROGRAM SUPPLEMENT AND CERTIFICATION FORM <br /> PSCF(REV.01/2010) Page 1 of 1 <br /> TO STATE CONTROLLER'S OFFICE DATE PREPARED: PROJECT NUMBER: <br /> Claims Audits 4/16/2013 0412000317 <br /> 3301 "C" Street, Rm 404 REQUISITION NUMBER/CONTRACT NUMBER: <br /> Sacramento, CA 95816 RQS-2660-041300000915 <br /> FROM: <br /> DEPARTMENT OF TRANSPORTATION <br /> SUBJECT: <br /> ENCUMBRANCE DOCUMENTS <br /> VENDOR/ CONTRACTOR: <br /> City of San Leandro <br /> CONTRACT AMOUNT: <br /> $66,330.00 <br /> PROCUREMENT TYPE: <br /> LOCAL ASSISTANCE <br /> I HEREBY CERTIFY UPON MY OWN PERSONAL KNOWLEDGE THAT BUDGETED FUNDS ARE AVAILABLE FOR THIS <br /> ENCUMBRANCE AND PURPOSE OF THE EXPENDITURE STATED ABOVE. <br /> CHAPTER STATUTES ITEM YEAR PEC/PECT TASK/SUBTASK AMOUNT <br /> 33 2011 2660-102-890 2011-2012 2030010/550 2620/0420 $66,330.00 <br /> ADA Notice For individuals with sensory disabilities,this document is available in alternate formats.For information,call(915)654-6410 of TDD(916)-3880 or write <br /> Records and Forms Management,1120 N.Street,MS-89,Sacramento,CA 95814. <br />