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Resolution No. 2019-_______________ <br />Attachment B <br />page 1 of 1 <br />TDA Article 3 Project Application Form <br />Fiscal Year of this Claim:FY 2019/20Applicant:City of San Leandro <br />Contact person:Michael Stella, P.E., Principal Engineer <br />th <br />Mailing Address:835 E. 14Street, San Leandro, CA 94577 <br />E-Mail Address:mstella@sanleandro.orgTelephone:510-577-3433 <br />Secondary Contact (in event primary not available)Keith Cooke, Director of Engineering & Transportation <br />E-Mail Address:kcooke@sanleandro.orgTelephone:510-577-3439 <br />Short Title Description of Project:San LeandroPedestrianCurb Ramp Upgrade Project <br />Amount of claim: $90,860 <br />Functional Description of Project: <br />The project will provide for the design, procurement, construction and inspection ofpedestriancurb ramps at various locations <br />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 budgetfor 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 /> <br />Project Elements: <br />Funding SourceAll Prior FYsApplication FYNext FYFollowing FYsTotals <br />TDA Article 3$90,860$90,860 <br />list all other sources: <br />1. <br />2. <br />3. <br />4. <br />Totals$90,860$90,860 <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 <br />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: February21, 2019 <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, 2020 <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 2014TDA Article 3 Model Resolution for Claimants Page 3 <br />