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MTC/City of San Leandro <br />Master Funding Agreement for FY 2021-22 to FY 2030-31 <br />Page 9 <br /> <br /> <br />EXHIBIT A <br />FORM OF SUPPLEMENT <br /> <br />SUPPLEMENT [insert number] TO MASTER FUNDING AGREEMENT <br /> <br /> This Supplement No. ___ to Master Funding Agreement (“Supplement or “Agreement”) is <br />entered into this ______day of _______, 20 , by and between the Metropolitan Transportation <br />Commission (hereafter “MTC”) and [AGENCY] (hereafter “AGENCY”) and supplements the Master <br />Funding Agreement, dated _______, 2017, by and between MTC and AGENCY. <br /> <br /> Pursuant to this Supplement, MTC agrees to provide an amount not to exceed _________ dollars <br />($_______) in [describe funding source] to AGENCY to fund the [brief description of Project] (as more <br />fully described in Annex I hereto, the “Supplement Project”). The estimated budget and payment <br />milestones for the Supplement Project scope of work is attached as Annex II hereto. <br /> <br /> MTC will reimburse AGENCY for its actual eligible costs incurred for completed Supplement <br />Project milestones or deliverables described in Annex II hereto. <br /> <br /> The Supplement Project work will commence [date], and be completed no later than ________, <br />20__. <br /> <br /> The clauses selected below and attached as exhibits to the Master Funding Agreement shall <br />apply to AGENCY’s performance of the applicable Supplement Project scope of work hereunder: <br /> <br /> Exhibit B-1, Additional Terms and Conditions (General), Paragraph A <br /> Exhibit B-1, Additional Terms and Conditions (General), Paragraph B <br /> Exhibit B-2, Additional Terms and Conditions (Federally Required Clauses) <br /> Exhibit B-3, Additional Terms and Conditions (State Required Clauses) <br /> Exhibit B-4, Additional Terms and Conditions (Prevailing Wage Rates, Apprenticeships, and <br />Payroll Records, Non-Federally-Funded Agreements) <br /> Exhibit B-5, Additional Terms and Conditions (Prevailing Wage Rates, Apprenticeships, and <br />Payroll Records, Federally-Funded Agreements) <br /> Exhibit B-6, Additional Terms and Conditions (Regional Toll Funds including RM1, RM2, and <br />AB1171) <br /> Exhibit B-7, Additional Terms and Conditions (Regional Discretionary Federal Funds including <br />STP and CMAQ) <br /> <br /> [Insert any additional covenants, conditions, restrictions or reporting requirements that apply to <br />the Supplement Project scope of work or funding source MTC is providing to AGENCY.] <br /> <br /> [Describe/attach any MTC or AGENCY resolutions, authorizations or approvals, or any other <br />key documents, relevant to the applicable Project scope of work or funding source MTC is providing to <br />AGENCY.] <br /> <br />382