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• <br /> ` STATE OF CALIFORNIA.DEPARTMENT OF TRANSPORTATION <br /> PROGRAM SUPPLEMENT AND CERTIFICATION FORM <br /> PSCF(REV.01/2010) <br /> Pape 1 of 1 <br /> TO: STATE CONTROLLER'S OFFICE DATE PREPARED: PROJECT NUMBER: <br /> Claims Audits 10/2/2013 0413000196 <br /> 3301 "C"Street, Rm 404 REQUISITION NUMBER/CONTRACT NUMBER: <br /> Sacramento, CA 95816 RQS-2660-041400000349 <br /> FROM: <br /> DEPARTMENT OF TRANSPORTATION <br /> SUBJECT: <br /> ENCUMBRANCE DOCUMENTS <br /> VENDOR! CONTRACTOR: <br /> City of San Leandro <br /> CONTRACT AMOUNT: <br /> 569,300.00 <br /> 1' <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 I PECT TASK I SUBTASK AMOUNT <br /> 21 2012 2660-102-890 2012-2013 2030010/550 2620/0420 S69.300.00 <br /> • <br /> ADA Notice <br /> For individuals with sensory disabilities.this document is available in alternate formats.For information,call(915)654-6410 of TDD(915).3880 or write <br /> Records and Forms Management.1120 N.Street,MS-89,Sacramento,CA 95814. <br />