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Resolution No. 2015-089 <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(a,SanLeandro.orq Telephone:510-577-3439 <br /> Secondary Contact(in event primary not available)Kirsten Foley <br /> E-Mail Address: KFoleyna,SanLeandro.orq Telephone:510-577-3432 <br /> Short Title Description of Project:San Leandro Pedestrian Accessibility Improvements FY15116 <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 siqnage,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 I,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?INO? <br /> A. Has the project been approved by the claimant's governing body? (If"NO,"provide the approximate date approval is Yes <br /> anticipated). <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 N/A <br /> Highway Design Manual?(Available on the internet via: http://www.dot.ca.gov). <br /> D. Has the project been reviewed by a Bicycle Advisory Committee(BAC)?(If"NO,"provide an explanation). Enter date the Yes <br /> project was reviewed by the BAC: April 29,2014 <br /> E. Has the public availability of the environmental compliance documentation for the project(pursuant to CEQA)been N/A <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 /> F. Will the project be completed before the allocation expires? Enter the anticipated completion date of project(month and Yes <br /> year) <br /> G. Have provisions been made by the claimant to maintain the project or facility,or has the claimant arranged for such Yes <br /> maintenance by another agency? (If an agency other than the Claimant is to maintain the facility provide its name: <br /> ) <br /> October 2014 TDA Article 3 Model Resolution for Claimants <br />