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Resolution No. 2015- <br />Attachment B <br />Page 1 of 1 <br />TDA Article 3 Project Application Form <br />Fiscal Year of this Claim: 15/16 Applicant: City of San Leandro <br />Contact person: Keith R. Cooke <br />Mailing Address: 835 E. 14th Street, San Leandro CA 94577 <br />E-Mail Address: KCooke@SanLeandro.org Telephone: 510-577-3439 <br />Secondary Contact (in event primary not available) Kirsten Foley <br />E-Mail Address: KFoley@SanLeandro.org Telephone: 510-577-3432 <br />Short Title Description of Project: San Leandro Pedestrian Accessibility Improvements FY15/16 <br />Amount of claim: $76,556 <br />Functional Description of Project: <br />The project will provide for the design, procurement, construction and inspection of curb ramps, sidewalk bulb-outs, in-pavement <br />lighted crosswalks, pedestrian safety signage, accessible pedestrian traffic signal equipment and sidewalks at various locations <br />through out the City. <br />Financial Plan: <br />List the project elements for which TDA funding is being requested (e.g., planning l, engineering, construction, contingency). Use the table below to <br />show the project budget for the phase being funded or total project. Include prior and proposed future funding of the project. <br />Project Elements: Engineering, Procurement, Construction and Inspection <br />Funding Source All Prior FYs Application FY Next FY Following FYs Totals <br />TDA Article 3 $76,556 $76,556 <br />list all other sources: <br />1. <br />2. <br />3. <br />4. <br />Totals $76,556 $76,556 <br />Project Eligibility: YES?/NO? <br />A.Has the project been approved by the claimant's governing body? (If "NO," provide the approximate date approval is <br />anticipated). <br />Yes <br />B.Has this project previously received TDA Article 3 funding? If "YES," provide an explanation on a separate page.No <br />C.For "bikeways," does the project meet Caltrans minimum safety design criteria pursuant to Chapter 1000 of the California <br />Highway Design Manual? (Available on the internet via: http://www.dot.ca.gov). <br />N/A <br />D.Has the project been reviewed by a Bicycle Advisory Committee (BAC)? (If "NO," provide an explanation). Enter date the <br />project was reviewed by the BAC:__April 29, 2014______________________________ <br />Yes <br />E.Has the public availability of the environmental compliance documentation for the project (pursuant to CEQA) been <br />evidenced by the dated stamping of the document by the county clerk or county recorder? (required only for projects that <br />include construction).(This type of project has been previously approved and the recorded documentation will be submitted) <br />N/A <br />F.Will the project be completed before the allocation expires? Enter the anticipated completion date of project (month and <br />year) <br />Yes <br />G.Have provisions been made by the claimant to maintain the project or facility, or has the claimant arranged for such <br />maintenance by another agency? (If an agency other than the Claimant is to maintain the facility provide its name: <br />) <br />Yes <br />October 2014 TDA Article 3 Model Resolution for Claimants