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Resolution No. 2016 - 052 <br /> Attachment B <br /> page 1 of 1 <br /> TDA Article 3 Project Application Form <br /> Fiscal Year of this Claim: FY 2016/17 Applicant: City of San Leandro <br /> Contact person: Michael Stella,P.E., Principal Engineer <br /> Mailing Address: 835 E. 14th Street,San Leandro,CA 94577 <br /> E-Mail Address: mstella a(�.sanleandro.orq Telephone: 510-577-3433 <br /> Secondary Contact(in event primary not available) Keith Cooke,Director of Engineering&Transportation <br /> E-Mail Address: kcooke(a)sanleandro.orq Telephone: 510-577-3439 <br /> Short Title Description of Project: San Leandro Sidewalk Repair Program <br /> Amount of claim:$72,426 <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 lighted cross- <br /> Walks,pedestrian safety signage,accessible pedestrian traffic signal equipment,and sidewalks at various locations throughout the City. <br /> Financial Plan: <br /> List the project elements for which TDA funding is being requested(e.g.,planning,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. Planning funds may <br /> only be used for comprehensive bicycle and pedestrian plans. Project level planning is not an eligible use of TDA Article 3. <br /> Project Elements: <br /> Funding Source J All Prior FYs Application FY Next FY Following FYs Totals <br /> TDA Article 3 $72,426 $72,426 <br /> list all other sources: l h, i a _ E1111 1 l e l k <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> Totals $72,426 $72,426 <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 Yes <br /> anticipated). <br /> B. Has this project previously received TDA Article 3 funding? If"YES,"provide an explanation on a separate page. Yes <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 intemet 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 No <br /> project was reviewed by the BAC: <br /> E. Has the public availability of the environmental compliance documentation for the project(pursuant to CEQA)been Project is <br /> evidenced by the dated stamping of the document by the county clerk or county recorder? (required only for projects that Categorically <br /> include construction). Exempt <br /> F. Will the project be completed before the allocation expires? Enter the anticipated completion date of project(month and Yes <br /> year)June 30,2017 <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 />