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07-081, Stevens Creek Corridor Park & Restoration Project #40745-06 5 TAT E OF CALIFORNIA .. re~~tl}'S June 27, 2007 '.: ARNOLD SCHWARZENEGGER, Governor MIKE CHRISMAN, Secretary y Mr. David Knapp City Manager City of Cupertino 10300 Torre Avenue Cupertino, California 95014 Re: Stevens Creek Corridor Park and Restoration Project Dear Mr. Knapp: Enclosed is your copy of the fully executed Grant Agreement number 40745-06 in an amount not to exceed $798,500 for the Stevens Creek Corridor Park and Restoration Project. Please distribute copies within your organization as appropriate. Careful review of this Grant Agreement, and the Grant Guidelines previously provided to you, is critical, as they are the tools to ensure your compliance with the grant program requirements. These documents contain important information ranging from the obligations you have to report certain information to us, to correctly requesting payments and avoiding delays. The section in your Grant Agreement titled Special Provisions may contain restrictions on the availability of your grant funds and should be given special attention. Signage acknowledging the source of funding is subject to State approval. As such, we strongly encourage you to consult with us on the proposed locations, size, number of signs and verbiage prior to ordering the signs, to avoid incurring unnecessary costs. Funds for development projects will not be reimbursed until signage has been approved and installed. I have also enclosed various documents for your use, including a blank payment request form and a list detailing the documents, files, records, etc., required for review in the event your project is selected for audit by the Department of Finance. I look forward to working with you in the coming months and ask that you keep me apprised on the progress of this project. We welcome the opportunity to send a State representative to attend any ground-breaking ceremonies, dedications, grand openings, etc., related to this project. Should you have any questions, please do not hesitate to contact me at (916) 651-7584 orvia email atleah.northrop@resources.ca.Qov. Sincerely, ~ Leah Northrop Grants Administrator Bonds and Grants EI1dt'b~l!if~gtreet, Suite 1311, Sacramento, CA 9S814 Ph. 916.653.5656 Fax 916.653.8102 http://resources.ca.gov Baldwin Hills Conservancy' California Bay-Delta Authority' California Coastal Commission' California Coastal Conservancy' California Conservation Corps California Tahoe Conservancy' (oachel/o Valley Mountains Conservancy' Colorado River Board of California' Delta Protection Commission' Department of Boating & Waterways Department of Conservation' Department of Fish & Game' Department of Forestry & Fire Protection' Department of Parks & Recreation Department of Water Resources' Energy Resources, Conservation & Development Commission. Native American Heritage Commission. San Diego River Conservancy @ San Francisco Bay Conservation & Development Commission' San Gabriel & Lower Los Angeles Rivers & Mountains Conservancy' San Joaquin River Conservancy 51 Santa Monica Mountains Conservancy' Sierra Nevada Conservancy' State Lands Commission. Wildlife Conservation Board State of California The Resources Agency - GRANT AGREEMENT California Clean Water, Clean Air, Safe Neighborhood Parks, and Coastal Protection Act of 2002 River Parkways Grant Program (Proposition 40) APPLICANT: City of Cupertino PROJECT TITLE: Stevens Creek Corridor Park and Restoration Project AGREEMENT NUMBER: 40745-06 PROJECT PERFORMANCE PERIOD IS January 1. 2007 - Mav 1.2010 Under the terms and conditions of this agreement, the applicant agrees to complete the project as described in the project description, and the State of California, acting through the Resources Agency pursuant to the California Clean Water, Clean Air, Safe Neighborhood Parks, and Coastal Protection Act of 2002, agrees to fund the project up to the total state grant amount indicated. PROJECT DESCRIPTION: See project description on page 1 and Exhibit A of the Agreement Total State Grant not to exceed $ 798,500.00 (or project costs, whichever is less) The Special and General Provisions attached are made a part of and incorporated into the Agreement. CITY OF CUPERTINO STATE OF CALIFORNIA THE RESOURC ENCY SL'S:)ca~ B By Title David Knapp City Manager an ash Title De Assistant Secreta Date ltt . I ~. of. Date G J~ AMOUNT OF ESTIMATE AGREEMENT NUMBER FUND FUNDING $798,500.00 40745-06 6029 Resources Bond (Prop 40) ADJ. INCREASING APPROPRIAT~~ ENCUMBRANCE $ 006029~-101 ADJ. DECREASING FUNCTION ENCUMBRANCE $ Local Assistance UNENCUMBERED LINE ITEM ALLOTMENT CHAPTER STATUTE FISCAL YEAR BALANCE $ 0540-101-6029 38/39 2005 2005 T.B.A. NO. I B.R. NO. INDEX OBJ. EXPEND PCA PROJECTNVORKPHASE 0540 751 30745 474506 CERTIFICATION OF FUNDING I hereby certify upon my personal knowledge that budgeted funds are available for this encumbrance I ,/ {' 1/ / ..// . rJ;. ~/' /, r .- '-C. <' ,:,C / " ,-',., f" - SIGNATURE OF ACCOUNTING OFFICER ~.I?I' /J I :> { .- DATE Agreement No. 40745-06 State of California The Resources Agency - GRANT AGREEMENT California Clean Water, Clean Air, Safe Neighborhood Parks, and Coastal Protection Act of 2002 River Parkways Grant Program - (Proposition 40) Grantee Name: City of Cupertino Project Title: Stevens Creek Corridor Park and Restoration Project Agreement Number: 40745-06 PROJECT DESCRIPTION The project will construct 3,620 feet of an eight (8) foot wide native material multi-purpose trail, 400 linear feet of a split rail fence, fifteen (15) benches, one (1) drinking fountain, three (3) directional signs, two (2) interpretive signs, one (1) donor sign and a park entry kiosk on a slab foundation. The restroom will also be reconfigured to serve as a trailside amenity. The project will also realign 450 feet of Stevens Creek, create new pools and riffles within the stream and restore 275 feet of the creek bank at a 3: 1 slope. The demolition of the maintenance building for the golf course and the in-ground barbeques will also contribute to the creek realignment and stream bank restoration. Riparian planting will occur on .75 acres, with .25 acres of oak woodland plantings. A Bubbler irrigation system will also be installed. A detailed project scope and activities, project schedule and project budget are described and attached hereto as Exhibit A and Exhibit A 1. Grantee agrees that if the Grant Funds are received and the property is developed, such development will be for improvements that will include restoration of riparian habitat, enhancing/improving low-impact recreational usages, and to develop trails along the river for a minimum of twenty (20) years. TERMS AND CONDITIONS OF GRANT Special Provision 1. Recipients of Grant Funds shall post signs acknowledging the source of the funds pursuant to the program sign guidelines. Size, location and number of signs are subject to mutual written agreement by Grantee and the State. Signage during construction phase must be in place before Grant Funds for construction will be released. 2. Upon completion of detailed project design, plans and specifications, Grantee shall provide to the State for review and approval a revised detailed budget and work plan, detailed site plan and planting palette demonstrating use of native vegetation. Approval by State of such plans and specifications, or any other approvals provided for in this Grant Agreement, shall be for scope and quality of work and shall not relieve Grantee of the obligation to construct and maintain the facilities, or carry out any other obligations required by this Grant Agreement, in accordance with applicable law or any other standards ordinarily applied to such work or activity. Page 1 Agreement No. 40745-06 General Provisions A. Definitions 1. The term "Act" means the California Clean Water, Clean Air, Safe Neighborhood Parks, and Coastal Protection Act of 2002. 2. The term "Agreement" means grant agreement number 40745-06. 3. The term "Application" as used herein means the individual application form and its required attachments for grants pursuant to the enabling legislation and/or program. 4. The term "Development" means improvements to real property by construction of new facilities or renovation or additions to existing facilities. 5. The term "Grant Funds" means the money provided by the State to the Grantee in this Agreement. 6. The term "Grantee" means an applicant who has a signed agreement for grant funds. 7. The term "Other Sources of Funds" means all cash, donations, or in-kind contributions that are required or used to complete the project beyond the grant funds provided by this agreement. 8. The term "Project" means the acquisition, development or other activity described on page 1 of this Agreement to be accomplished with grant funds. 9. The term "State" means the State of California, Secretary of the Resources Agency. B. Project Execution 1. Subject to the availability of Grant monies in the Act, the State hereby grants to the Grantee a sum of money (Grant Funds) not to exceed the amount stated on the signature page in consideration of and on condition that the sum be expended in carrying out the purposes as set forth in the description of Project in this Agreement and its attachments and under the terms and conditions set forth in this Agreement. 2. Grantee shall assume any obligation to furnish any additional funds that may be necessary to complete the Project. 3. Grantee shall complete the Project in accordance with the time of Project performance set forth on the signature page, unless an extension has been formally granted by the State and under the terms and conditions of this Agreement. Extensions may be requested in advance and will be considered in the event of circumstances beyond the control of the Grantee, but in no event beyond May 1, 2010. 4. Grantee shall comply with the California Environmental Quality Act (Public Resources Code, Section 21000, et. seq. Title 14, California Code of Regulations, Section 15000 et. seq.) and other environmental laws before any Grant Funds for Acquisition or Development are made available. Grant funds for planning and document preparation may be available sooner if included in the grant work plan. CEQA compliance shall be completed within one (1) year from start date of the Agreement. 5. Grantee certifies that the Project plans comply with all current laws and regulations which apply to Development Projects, including, but not limited to, legal requirements for construction contracts, building codes, health and safety codes, and disabled access laws. Page 2 Agreement No. 40745-06 Grantee shall certify to the State prior to commencement of construction that all applicable permits have been obtained. 6. Grantee shall permit periodic site visits by the State to determine if Development work is in accordance with the approved Project Scope, including a final inspection upon Project completion. 7. Prior to the commencement of any work, Grantee agrees to submit in writing to the State for prior approval any deviation from the original Project Scope per Exhibit A and the Application. Changes in Project Scope must continue to meet the need cited in the original application or they will not be approved. Any modification or alteration in the Project as set forth in the Application on file with the State must be submitted to the State for approval. 8. Grantee shall provide for public access to the Project facilities. 9. Grantee must have (1) fee title, (2) leasehold, or (3) other interest to Project lands and demonstrate to the satisfaction of the State that the proposed Project will provide public benefits that are commensurate with the type and duration of the interest in land. 10. Grantee shall provide photographs of the site and the project during and after implementation of Project at the request of the State. C. Project Costs 1. The Grant Funds to be provided to Grantee under this Agreement will be disbursed for eligible costs as follows, but not to exceed in any event the amount set forth on the signature page of this Agreement: a. On a reimbursement basis for preliminary costs or construction and development costs, ten percent (10%) of the reimbursement amount will be held back and issued as a final payment upon completion of the Project. b. Remaining Grant Funds shall be paid up to the total amount of the Grant Funds or the actual Project cost, whichever is less, on completion of the Project, receipt of a detailed summary of Project costs from the Grantee found to be satisfactory by the State, and the satisfactory completion of a site inspection by the State. c. Advance payments may be made if warranted by compelling need at the discretion of the State. . d. Payment Documentation: All payment requests must be submitted using a completed Payment Request Form. This form must be accompanied by an itemized list of all charges documenting check numbers, amounts, dates, recipients, purpose of expenditures and clearlv identify charges to work plan tasks and elements. Any payment request that is submitted without the itemization will not be authorized. Copies of paid invoices or other records demonstrating proof of payment must accompany the payment request and support all charges. If the itemization or documentation is incomplete, inadequate or inaccurate, the State will inform the Grantee and hold the payment request until all required information is received or corrected. Any penalties imposed on the Grantee by a contractor because of delays in payment will be paid by the Grantee and is not reimbursable under this Agreement. 2. Grant Funds in this award have a limited period in which they must be expended. All Grantee expenditures must occur prior to the end of the term of this Agreement. Page 3 Agreement No. 40745-06 3. Except as otherwise provided herein, the Grantee shall expend Grant Funds in the manner described in the Project Budget approved by the State. The dollar amount of an item in the Project Budget may be increased by up to ten percent (10%) through reallocation of funds from another item or items, without approval by the State; however, the Grantee shall notify the State in writing when any such reallocation is made, and shall identify both the item(s) being increased and those being decreased. Any increase or decrease of more than ten percent (10%) in the amount of an item must be approved in writing by the State. In any event, the total amount of the Grant Funds may not be increased, nor may any adjustments exceed the limits for preliminary costs as described in the program's grant guidelines D. Project Administration 1. Grantee shall promptly submit written Project reports as the State may request. In any event Grantee shall provide State a report showing total final Project expenditures. 2. Grantee shall make property and facilities acquired or developed pursuant to this Agreement available for inspection upon request by the State. 3. Grantee agrees to use any Grant Funds advanced by the State under the terms of this Agreement solely for the Project herein described. 4. If Grant Funds are advanced, the Grantee shall place these Funds in a separate interest bearing account, setting up and identifying such account prior to the advance. Interest earned on Grant Funds shall be used on the Project, as approved by the State. Any overpayment of Grant Funds in excess of final Project costs shall be returned to the State within sixty (60) days of completion of the Project or the end of the Project performance period as shown on the signature page, whichever is earlier. 5. Grantee shall use any income earned by the Grantee from use of the Project to further Project purposes, or, if approved by the State, for related purposes within the jurisdiction. 6. Grantee shall submit all documentation for Project completion and final reimbursement within ninety (90) days of Project completion. 7. This Agreement may be amended by mutual agreement in writing between Grantee and State. Any request by the Grantee for amendments must be in writing stating the amendment request and reason for the request. The Grantee shall make requests in a timely manner and in no event less than sixty (60) days before the effective date of the amendment. 8. Grantee must report to the State all sources of other funds for the Project. The State will request an audit of any project that does not fully comply with this provision. E. Project Termination 1. Prior to the completion of construction of the project, either party may terminate this agreement for any reason by providing the other party with seven (7) days notice in writing. 2. If the State terminates the agreement prior to the completion of construction, the Grantee shall take all reasonable measures to prevent further costs to the State under the Agreement and the State shall be responsible for any reasonable and non-cancelable obligations incurred by the Grantee in the performance of this Agreement prior to the date Page 4 Agreement No. 40745-06 of the notice to terminate, but only up to the undisbursed balance of funding authorized in this Agreement. 3. If the Grantee fails to complete the project in accordance with this Agreement, or fails to fulfill any other obligations of this Agreement prior to the termination date, the Grantee shall be liable for immediate repayment to the State of all amounts disbursed by the State under this Agreement (plus accrued interest). The State may, at its sole discretion, consider extenuating circumstances and not require repayment for work partially completed. This paragraph shall not be deemed to limit any other remedies the State may have for breach of this Agreement. 4. Failure by the Grantee to comply with the terms of this Agreement or any other Agreement under the Act may be cause for suspension of all obligations of the State hereunder. 5. Failure of the Grantee to comply with the terms of this Agreement shall not be cause for the suspension of all obligations of the State hereunder if in the judgment of the State such failure was due to no fault of the Grantee. At the discretion of the State, any amount required to settle at minimum cost any irrevocable obligations properly incurred shall be eligible for reimbursement under this Agreement. 6. Because the benefit to be derived by the State, from the full compliance by the Grantee with the terms of this Agreement, is the acquisition and development of river parkways and the acquisition and restoration of Riparian habitat, Riverine aquatic habitat, and other lands in close proximity to rivers and streams and for river and stream trail projects available to the people of the State of California, and because such benefit exceeds to an immeasurable and unascertainable extent the amount of money furnished by the State by way of Grant Funds under the provisions of this Agreement, the Grantee agrees that payment by the Grantee to the State of an amount equal to the amount of the Grant Funds disbursed under this Agreement by the State would be inadequate compensation to the State for any breach by the Grantee of this Agreement. The Grantee further agrees therefore, that the appropriate remedy in the event of a breach by the Grantee of this Agreement shall be the specific performance of this Agreement, unless otherwise agreed to by the State. 7. Final payment may not be made until the Project conforms substantially to this Agreement as determined by the State. F. Hold Harmless 1. Grantee shall waive all claims and recourses against the State, including the right to contribution for loss or damage to persons or property arising from, growing out of or in any way connected with or incident to this Agreement, except claims arising from the gross negligence of State, its officers, agents and employees. 2. Grantee shall indemnify, hold harmless and defend State, its officers, agents and employees against any and all claims demands, damages, costs, expenses or liability costs arising out of the Acquisition, Development, construction, operation or maintenance of the property described in the Project description which claims, demands or causes of action arise under Government Code Section 895.2 or otherwise, including but not limited to items to which the Grantee has certified, except for liability arising out of the gross negligence of State, its officers, agents or employees. Grantee acknowledges that it is solely responsible for compliance with items to which it has certified. 3. Grantee agrees that in the event State is named as codefendant under the provisions of Government Code Section 895 et seq., the Grantee shall notify State of such fact and shall Page 5 Agreement No. 40745-06 represent State in the legal action unless State undertakes to represent itself as codefendant in such legal action, in which event State shall bear its own litigation costs, expenses and attorney's fees. 4. Grantee and State agree that in the event of judgment entered against the State and Grantee because of the gross negligence of the State and Grantee, their officers, agents or employees, an apportionment of liability to pay such judgment shall be made by a court of competent jurisdiction. Neither party shall request a jury apportionment. G. Financial Records 1. Grantee shall maintain satisfactory financial accounts, documents and records for the Project and to make them available to the State for auditing at reasonable times. Grantee shall also retain such financial accounts, documents and records for three (3) years after final payment and one (1) year following an audit. 2. Grantee and State agree that during regular office hours each of the parties hereto and their duly authorized representatives shall have the right to inspect and make copies of any books, records or reports of the other party pertaining to this Agreement or matters related thereto. Grantee shall maintain and make available for inspection by the State accurate records of all of its costs, disbursements and receipts with respect to its activities under this Agreement. 3. Grantee shall use any generally accepted accounting system. H. Use of Facilities 1. Grantee shall maintain, operate and use the property funded pursuant to this Grant for a minimum of twenty (20) years, consistent with the Land Tenure requirements included in the Application Guidelines. With the approval of the State, the Grantee, or the Grantee's successor in interest in the property, may transfer the responsibility to maintain and operate the property in accordance with this requirement. Grantee may be excused from its obligations for operation and maintenance of the Project site only upon the written approval of the State for good cause. "Good cause" includes, but is not limited to, natural disasters that destroy the Project improvements and render the Project obsolete or impracticable to rebuild. 2. The Real property (including any portion of it or any interest in it) may not be transferred without the approval of the State. 3. Grantee shall use the property for the purposes for which the Grant was made and shall make no other use or sale or other disposition of the property. This Agreement shall not prevent the transfer of the property from the Grantee to a public agency, if the successor public agency assumes the obligations imposed by this Agreement. If the use of the property is changed to a use that is not permitted by the Agreement, or if the property is sold or otherwise disposed of, an amount equal to (1) the amount of the grant (2) the fair market value of the real property, or (3) the proceeds from the sale or other disposition, whichever is greater, shall be reimbursed to the State. If the property sold or otherwise disposed of is less than the entire interest in the property funded in the Grant, an amount equal to either the proceeds from the sale or other disposition of the interest or the fair market value of the interest sold or otherwise disposed of, whichever is greater, shall be reimbursed to the State. 4. The Grantee shall not use or allow the use of any portion of the real property as security for any debt or for mitigation without the written permission of the State. Page 6 Agreement No. 40745-06 I. Nondiscrimination 1. The Grantee shall not discriminate against any person on the basis of sex, race, color, national origin, age, religion, ancestry or physical handicap in the use of any property or facility acquired or developed pursuant to this Agreement. 2. The Grantee shall not discriminate against any person on the basis of residence except to the extent that reasonable differences in admission or other fees may be maintained on the basis of residence and pursuant to law. 3. All facilities shall be open to members of the public generally, except as noted under the special provisions of this Agreement or under provisions of the Act. J. Application Incorporation The Grant Guidelines and the Application and any subsequent changes or additions to the Application approved in writing by the State is hereby incorporated by reference into this Agreement as though set forth in full in this Agreement. K. Severability If any provision of this Agreement or the application thereof is held invalid, that invalidity shall not affect other provisions or applications of this Agreement which can be given effect without the invalid provision or application, and to this end the provisions of this Agreement are severable. L. Waiver No term or provision hereof will be considered waived by either party, and no breach excused by either party, unless such waiver or consent is in writing and signed on behalf of the party against whom the waiver is asserted. No consent by either party to, or waiver of, a breach by either party, whether expressed or implied, will constitute consent to, waiver of or excuse of any other, different or subsequent breach by either party. M. Assignment This Agreement is not assignable by the Grantee either in whole or in part. Page 7 Agreement No. 40745-06 Exhibit A Page 1 STATE OF CALIFORNIA RESOURCES AGENCY GRANT AGREEMENT California Clean Water, Clean Air, Safe Neighborhood Parks, and Coastal Protection Act of 2002 - River Parkways Grant Program (Proposition 40) GRANTEE NAME: CITY OF CUPERTINO PROJECT TITLE: STEVENS CREEK CORRIDOR PARK AND RESTORATION PROJECT AGREEMENT NUMBER: 40745-06 PROJECT SCOPE: The project will construct 3,620 feet of an eight (8) foot wide native material multi-purpose trail, 400 linear feet of a split rail fence, fifteen (15) benches, one (1) drinking fountain, three (3) directional signs, two (2) interpretive signs, one (1) donor sign and a park entry kiosk on a slab foundation. The restroom will also be reconfigured to serve as a trailside amenity. The project will also realign 450 feet of Stevens Creek, create new pools and riffles within the stream and restore 275 feet of the creek bank at a 3:1 slope. The demolition of the maintenance building for the golf course and the in-ground barbeques will also contribute to the creek realignment and stream bank restoration. Riparian planting will occur on .75 acres, with .25 acres of oak woodland plantings. A Bubbler irrigation system will also be installed. PROJECT SCHEDULE: Activity Description Timeline for Completion CEQA (Mitigated Negative Declaration) Complete Design, Planning and Engineering September - October 2007 Final Reviews and Permits November - December 2007 Advertise for Bids/Award Construction Contract March - April 2008 Site Preparation May - July 2008 Demolition of Maintenance Building/Parking Lot June - August 2008 Stream Restoration and Realignment October - December 2008 Finish Trail Construction December 2008 - February 2009 Revegetation of Habitat January - March 2009 Install Interpretive Elements, Signs and Park Kiosk January - March 2009 Open Park and Trail April - May 2009 Monitor and Replace/Replant Habitat Restoration Area May 2009 - March 2010 Complete Project March 2010 Agreement No. 40745-06 Exhibit A Page 2 PROJECT BUDGET (Summary): River Parkways Other Funding Task Grant Sources Total Creek Channel Construction and Restoration: Mobilization $30,000 $95,000 $125,000 Dewaterinq and Erosion Control $80,421 $126,379 $206,800 Gradina, Rip-Rap and Rock Placement $193,050 $376,950 $570,000 Restoration Work $40,300 $82,350 $122,650 Monitorina $29,000 $25,000 $54,000 Removal of Brick BBQ Pits $3,000 $8,250 $11,250 Gradina/Demo of Maintenance Buildina $15,000 $0 $15,000 Subtotal: $390,771 $713,929 $1,104,700 Park Amenities: Wood Split Rail Fence $10,800 $30,200 $41 ,000 Benches $9,000 $0 $9,000 Siqns (includina acknowledqement and maps) $30,199 $0 $30,199 Drinkina Stations $2,000 $3,000 $5,000 Restroom Reconfiguration $20,000 $0 $20,000 Park Entrv Kiosk $40,000 $20,000 $60,000 Irriaation $15,000 $78,840 $93,840 Subtotal: $126,999 $132,040 -$259,039 Eiaht-foot wide Trail: Excavation $48,000 $1,680 $49,680 Decomposed Granite with Stabilizer $38,000 $0 $38,000 Aaareaate Base $55,000 $2,000 $57,000 Weed Control Fabric $60,130 $350 $60,480 Plastic Header/CurblWooden Bulkhead $37,100 $82 $37,182 Stripina $500 $88 $588 French Drain $11,000 $0 $11,000 Subtotal: $249,730 $4,200 $253,930 InsDection, Permitting, Surveying $31,000 $5,000 $36,000 TOTAL: $798,500 $855,169 $1,653,669 1 Creek Channel Construction and Restoration -~-- Item Planning and Design Quantit y Unit Cost 1 74,500 Unit each Total Cost River Pkwy SCVWD DWR UPA $74,500 0 0 $74,500 0 $125,000 $30,000 0 0 $95,000 _ __ $69,500 $0 $0 $0 $0 __~ $33,750 $0 0 0 __ _ 0 $33,750 $23,650 $0 0 0 _ _ 0 $23,650 $9,600 $0 o1-_______ 0 0 $9,600 ~2,500 $0 0 ~~ _ _ ____ 0 $2,500 $196~ $73,421 $0 $32,800 $78,500 $11,579 $151,300 $40,000 0 $32,800 $78,500 $0 $45,000 $33,421 _.9. ___ ___ 0 0 $11,579 __~~ $7,000 $0 $0 __ __ __ $0 $3,500 $7,000 $7,000 0 0 0 $0 $3,500 $0 0 0 0 $3,500 $39,500 $0 _____ 0 0 O_~ $6,000 __________ $0 0 0 0 _ _ _~ $26,000 $0 ____ ~Q. _ 0 0 $26,00Q $7,500 $0 ____ __~___ 0 0 $7,500 _____ $3~!-,~ $168,050 0 ~ _ ~_ _Il _ _ ~~!.~~~ $133,500 $94,050 0 ~ .Jl. _____m~__ _ $3~4~ $108,000 $70,0()Q ~ .Jl.~ JJ. 0 $~~,P_O.Q _ $4~.ll.()Q $4,000 0 0 _ Q _ $~!,Q.~~ $30,000 ____--.!Q _ ~ --.9. 0 0 $30,000 $16,000 $5,000__ 0 _m__ _:__u___~__ .Jl. $11,000 $8,000 ___~ $5,OQQ _ 0 __ ____ 0 0 $3,000 c~--- ~_~ ~ _~~~ ~_ 0 $8,000 $237,500 __!2.Q.,~~0 _ __ $0 $217,500 $0 $0 $35,000___ JJ. ____ 0 ____~35,000 0 ~ !9. $22,500______Q __ _ C!._. $22,500 ~ ~ $67,500 0 0 $67,500 _~ ~+ $0 __ $112,500 $20,000 i $92,500 4 - ~ ~ $102,600 $0 0 0 __ _jOj: $102~~ $30,000 $0 _~ __ _ __ 0 ______ _ 0 ~~ $9,600 $0 .Q ~ _m_ _Q __ __ _ 0 _~~ $54,000 $0 ~..Jl.__ _ _ _Q __ _ _ _ Q _m_ $54,~ $9,000 $0 0 0 0 $9 , 0.QCl - - f------- ~:~::::: _- ::::~~~~~~--~~~~~ -- :~::i - -- -~.!~:~ $32,150 $0 $0 i $32,150. $0 $0 -$12,500 ----$10,650 -----=m= - $0 i - -$O~ $(850 c~ m$29,000- -'-=_~t~~$2~0~--=~~ =n_::!D.:~ _ ___114,000 __ _ $14,000__01____~ n~_~ __---.!().QCl.. $10,000 _ $5,000 01 _ __.P' _ _n __ ~O __ $5...000.00 _!~_~,-~Op n_~_1~,OOO _u__ 0__ 0 0 _ _ _ _~ ~--- ----~- ~ ~--- ---- -- - -- ~ - $1,400,550 $403,771 $0 $381,950 $221,850 $392,979 $199,325 $199,325 $323,960 $0 0 ~ _.....!Q ~,960 $523,285 $0 $0 $0 $0 $523,285 ~__ . _ $1,923,835 $403,77.!.1-- ~ $381,950 $221,850 ~9~,_2_~ Agreement No. 40745-06 Exhibit A 1 City of Cupertino o --- Mobilization Site Preparation Subtotal tree removal clear and grubbing construction staking protective fencing Dewatering Subtotal equipment, materials, and installation operation labor Temporary Erosion Control Subtotal silt fencing _____ . _ ___~ fiber rolls/hay bales Demolition Subtotal _____~n_ f-- ----.- concrete weir demolition _ c:::Y: _ 30 $200 ~ ~alt road crossing demolition (x3) __<::L__ 260 $100 loading and hauling off-site c.y. ____1.50 $50 Rough Grading Subtotal _ __ _ _ _ ___ __ _____ f-- ___~ backhoe bulk excavation ______ _.____~_~___ c.y. 180001-_ EJJQ ~II, 30~'_haul_ _________n__~__ c.y. 18000 _n_J~OO+- compaction 8" lifts, 3 passes____..________~_~__c:.y__'____ ~Q $2.50 n__ water truck days 30 $1,000 Rip-Rap Drop Structure Subtotal - -- -I~r--- --. -------- ~ - -i"-~ ...... --- -~- removing, hauling, and stockpiling rip-rap____j~X._ __ __ 80 placing rip-rap __.m___ c.y. 80 Finish Grading and Rock Placement Subt.~ta..!._~_ _ finish grading surfaces __ __ _n_ fi.y. 14000 removing, hauling, and stockpiling rock _ _ _ _ __ C!f: 150 buying/hauling boulders + gravels c.y. 450 t,lacing rock for pools and riffles c.y. 450 ___lln-Channel Diversion Structure/Woody Debris Subtotal I------=- --- equipment, materials, and installation ~b.__ 1 $30,000 operation labor ______ ~._ 160 $60 ___ ~ced in channel___ each _ _ 54 $1,000 buyinglhauling of trees each _ __ 9 $1,000 -- Restoration Work _ - -- - -~-- ~-"-'fMonitoring - Restoration Plant~ ~ Hand Watering HR Weed Control Fabric SF ~------- --------~------ ~-- Construction Inspection + Permilting~ t- Survey and Construction S~ ~-- Creek Channel Construction/Restoration Subtotal: -i-- Individual item contingency subtotal _ _________._____ n_ _.______ 20% Contingency: __n _ _ . Total Contingency subtotal: Creek Channel Construction/Restoration Total: ! -. ------~------ each acres days I.f. each month~ I.f. --- I.f. 63000 300 50000 -- 1---1 I -r I - - L::.... 45 4.3 6 500 $750 $5,500 $1,600 $5.00 1--2 Est of Quant Demo.1Clearing and Grubbing Iten Description Unit 1 RemoveConcrete ______~____ __ SF 13491 $1.20 $16,189 $Ol--__~_Q_____ ..!Cl____!~1.!l.9 __._____...:!Q ~ ::~~~:~~rb ______u___ ------- m_ ~~ 18~~: :~:~~ $22$~~: :~ _~ ~__u~~ $9,2~~IJ12$i~i -~- 4 Relocate Palm trees EA 2 $250 $500 $0 $0 $0 _~ $500 : ::~:::::, oom"", ,"",m, p,mpho,re ~d y'" ~ '; $10:'~: ----'2O,'i~ ---~----~ ro - - ~ -- ~ -it ~~,'::: 7 Remove water pump, pumphouse, pressure tank __ LS ._ 0 $110,000 $0 __!Q. _=:::-=-~-=~__.::_u---~O :::::::::=----~~_:::~_~;~~--~~ 8 Clear and Grub _ _ __~__ _______ ~__.. 1 $~~ $75,000 -..!Qe--- _~ $0 $0 I $75,000 1--9 Remove Picnic TableS-i-Portablei---- ------~-- EA 282 $25 $7,050 $0 $0 $0 ---so -$7.050 10 Remove Picnic Tables (Permanent) . ~ -~ 31 $30 $930 ~____ _JQ_ ___~1c[_-----$0----'$930 11 Remove wooden counter _ EA 14 ~ $280 $0 _ _ !CJ. _ ._~Q; ________!9. _____~ 12 Remove Propane tanks EA 6 $100 $600 $0 $0 $0 $0 $600 13 Remove Brick BBQ P~~_ ______u__ EA ___.!E _u_!Z~___ $11,250 $3,000 $0 $0 $0 $8,250 14 Remove Rock BBQ Pits EA 9 _~ --~()QC----- $0 $0_ ________!Q.________!9. ___~ .!~lRemove Spilt Rail fencem ___fI____ _ 181~__..$1.50 ____~~ _______~.. $0_. $0 $0 $2,724 16iRemoveWoodenFence___________~______ fl.____ _~ $1.50 ._u___!:1~Q $0 --.!Q $0 $0 $120 17 Remove Chain Link Fence FT 2540 $1.50 $3,810 $0 $0 $0 $0 $3,810 1 $151,~QCl. 5 $9,000 500 500 $4.00 $7.00 $100 $100 $2.50 $150 $150 1---- $250 $1 $100 ~-_._."_.- $0 , i f---~ 18 Remove Sink Unit EA Quantit y ___ Unit Cost 3 $75 19 Remove Service Building 20 Remove Lights, Poles, fixtures and attachments 21 Remove Chain Link Fence and Horse Shoe Pits --- 22 Remove Covered Shed 23 Remove Ped Bridges 24 Remove Speed Bumps 25 Demolish Fence Goat Pen & Path 26 Remove Goat Pens 27 Relocate Garden Plots EA EA EA EA --- EA SF FT LOT LOT 28 pumphouse tanks) 29 Water Tank Cover (15' dia, 1" thick Steel) 30 Demolish Bla<::ks,!,ith Shop (including foundation) -- -- ------- LF LS LS 6 14 5 1 2 184 o o o $1,500 $500 $200 $500 $25,000 $1 $5 $10,000 _$10,000 Total Cost $225 $9,000 $7,000 $1,000 $500 $50,000 $184 $0 ---- $0 $0 $10,800 $20,000 $25,000 River Pkwy $0 SCVWD $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 Agreement No. 40745-06 Exhibit A 1 City of UPA Cupe~ -----.!Qe-- $225 DWR $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 ~.Q $0 -~-*- $0 -~ $7,000 $1,000 $500 $50,000 ~ $0 $0 $0 $0__ _ -----.!Qf- $10,800 $0 ___ ____.!9.f-.- $~ $0 $0 $25,000 --- ----- - ---- -- Subtotal _ __ $289,248 $3,000 $0 $0 $25,400 $260,848 15% Contingency $43,387 $0 _____ $0 $0 ___ $0 $43,387 ______Demolition/C/earing and Grubbing TOTAL:__ i $332,635 $3,000__ _ $0 $0 ~~5,400 $304,235 ~kstim. of Quant. for Water P()II.ution Control - - .. - - tl --- - - - ---1 -- t - Subtotal Cost - - -- -- --~ -- -- $32,600 - - - ~Q - -- -jQj-- ----=:!Qt--~~J$O -- --~ Design Contingency 15% _ $4,8901 n__~ $0 .!Q $0 _ ~"-,890 _. - i - --- Wat"er=p'ollution Control TotaT-- TOTAL: - ~0490 $0 $0 $0 f--- $0 _ $~!!.4!!iJ. ~~,:m"'ofQ",",";:"'u,,~" -==--L -- -~~_$78.075i~ - $0 ____- ~'i:;'~ ~S32:ill ~p.TER ~ _ -------------l------ _ !~6,~~_ $0 $0 ___ $0 $53,8001 $32,650 ELECTRICAL ' $39,279 $0 $0 $0 $15,100 $24,179 --------~ ----- -------------~-- --- -----c- -------- ~!\~_____n _________1--___ _______ $5,650 on _____ $0 $0 $0 _ $0 $5,650 OTI;lERS_ _ ______ __ _ __ $29,060 $0 $0 _~O__ $0 $29,060 i____Subtotal Cost for Utilities ____ __ _ $238,514 $0 -~t---- -------.!Qt-- $114,000 $124,514 _____ Design Contingency _ _ 25% _ $59,629 _...!Q $0 $0 $59,ll~ Utilities ~C!tal TOTAL: $298,143 $0_ __ $0 $0 $114,000_ $184,!~ 5 ",,~!i.~Use Bridge n __I--- MOBILIZATION (10%) ~~:J-=-=-_. SUBTOTAL STRUCTURE ITEMS TINGENCIES (25%) STRUCTURE TOTAL ($250.84/S0 FT) Multi-Use Bridge TOTAL --!= 6_(~()lf Course Maintenance Building ____ I _I Demolition/Si~~_Grading for Stream Restoration___ CY 600.00 _ _1..___________ _ ~DESiGN CON~~:~~~~~ ~__ ~----- __I-___~..!>If Course Maintenance Building TOTAL ,_______ __ ___ 7 LANDSCAPING & PARK AMENITIES I PARKING LOT: [REPAIR POTHOLES W/AC PAVING AND BASEROCK -----.-- 14 X 6 PTDF HEADER ___n___ ---_._---_._-_..~ ----- BIOSWALE: L.F. --- -- 1_ __ PLANTING: I-- -~----- FROM PLUGS EA. TOPSOIL IMPORT C.Y. TREE WELLS EA. PERMEABLE PAVING: Subtotal for parking lot PARK AMENITIES: _._u_ ..______ __ I---_ ROOF FOR TRASH ENCLOSURES u____ EA. POOL CONCRETE & TRASH ENCLOSURE SLABS: 4" PI SF EXCAVATION FOR POOL & TRASH CONCRETE ~ e-- WOOD SPLIT RAIL FENCE (3' H) L.F. _ ~HAIN LINK FENCE (BLACK, VINYL-CLAD, TYPE CL--6) (-'=-'=___ __ SPECIAL FENCING L.F. -.- ---- BENCHES EA. TRASH RECEPT. EA. ENTRY SIGN EA. TRAIL MAPS AND SIGNS: 1 DONOR,2 INTERPRETIVE,3 DIRECTIONAL -- - 825 30 ~--- 21 -- --------- I--- 4 11915 300 2050 300 60 15 o 1 300 1 1 $36 $20,000 $25,000 $130,950 $12,770 $143,720 25% $35,930 $179,650 (ONE BLDG DESIGN) $25 $15,000 $0 $0 $0 $0 $0 $15,000 $0 $0 $0 t---- $0 $0 $0 $0 $0 $0 $0 ---~--- n_~ $0 -- ---iot $130,950 --- f----- ___ __19. ....!Cl,- $12,~.Q $0 _ _ _ $0 $143,720 $0 $0 $35,930 $0 $0 $179,650 $5.000 $8,000 ~~5_5..Q ------- $0 $0 - $0 $0 $0 $0 ------.--- ---- - $0.4 $199,222 $15,929 _ ___ $79,6~.9.t-- $0 __ $278,!I.!! __ $15,000 _ _____19. $0 $0 $0 _____n_~I---~ $~~~:;;~--$63,9~ $0"- -- --~-$O ___ !~QIJ~Q.o. __ $63,911 -- --- --~---- ---------- 1 1000 $5,000 ----~ $8 --.---- $6 $25 ......- $400 $20,000 $10 $54 $20 $36 $50 ----'------ $600 $600 $2,500 $30,000 $14,100____ ~- $750 $8,400 $14,640 $47,290 --~ $0 $0 ----"$ot---- $0 $0 $0 ----- nn__ $0] $0 $0 $0 $5,000 _n___ $0 $8,000 ~ __ $5,~Q $0 $0 $0 $0 _~._n_._19. $0 $0 -----.-.-- - $0 $0 -~_._------ -------- --- $0 $0 -- $0 $14,100 $0 $4,950 ---'- ---'------'--- $0 $750 $0 $8,400 $0 $14,640 $0 $47,290 $80,000 $119,150 $16,200 $41,000 $10,800 $3,000 $9,000 $0 $2,500 $0 ----- $0 $01---- $0 $0 ... --$0 --- $10,800 $0 $0 $0 $0 ----$0- $9,000 $0 $0 $0 __!9.___ _-.!Q $30,000 2 $30,000 $0 $0 $0 $0 $75,120 $0 $0 $0 . ____!9. $0 $0 $0 $0 ----- $0 $0 _~______ _ $0 $0 $0 $0 $80,000 $44,030 $16,200 $30,200 -- ----,--'------ $10,800 $3,000 -~ $0 $2,500 $0 $0 Quantit Item__ Unit y Unit Cost Total Cost River Pkwy SCVWD add resources agency bond sign EA. 1 $199 ~ $199 $199 DRINKING FOUNTAIN EA. 0 $0 $0 $0 $0 $0 $0 - ---- CMU WALLS__ L.F. 90 $100 __ $9,000 $0 $0 un $0 $0 ~~ INTERPRETIVE EXHIBIT EA. ~ 1 $2,50~ $2,500 __ $0 $0 $0 $0 _ $2,500 SERVING TABLES _ _ _ EA. __ __ 8 $600 $4,800 $0 $0 ~ __ $0 $4,800 BIKE RACKS_~_ EA. _ 1 $2,500 _ $2,500 $O___~I-- $0 $0 $2,500 BARBECUE TYPE ONE EA. 4 $3,000 $12,000 $0 _ _ $0 $0 $0_ ~~ BARBECUE TYPE TWO EA. _ 5 $2,000 $10,000 $0 m $0 $0 $0 $10,000 DRINK STATIONS __ EA. 1 $5,000 $5,000 $2,000 $0_ $0 $0 $3,0_~ BLACK VINYL CLAD CHAIN LINK FENCE - 10' HIGH L.F. 675 __ $50 $33,750 $0 $0 $0 $0 $33,750 BLACK VINYL CLAD CHAIN LINK FENCE- 6' HIGH L.F. 60 $36 $2,160 $0 $0 $0 $0 $2,160 VOLLEYBALL COURT EA. 1 $5,000 $5,000 $0 $0 $0 $0 $5,000 _~ HORSESHOE TOSS EA. 3 $2,000 $6,000 __ $0 $0 $0 $0 $6,000 SINKS AND PRECAST COUNTERTOPS/PREP TABLES EA. 7 $3,000 $21,000 $0 $0 $0 $0 $~~ PCC HANDICAP RAMP __ S.F. _.75 $16 $1,200 $0 $0 $0 $0 $1,200 HANDRAIL L.F. 22 $30 $660 $0 $0 $0 $0 $660 CATERING ARBOR EA. 1 $12,000 $12,000 $0 $0 $0 $0 $12,000 TEE ARBOR EA. 1 $4,000 $4,000 $0 $0 $0 __ $0 $4,000 __ _CMU COLUMNS ___ EA._~ 12 $1,200 $14,4~~_~Q $0 ~_ $0 $0 __~ GATEWAY FEATURE EA. 1 $100,000 $100,000 $0 $69,600 $0 _~~ $0 $~ =REsTROOMRECONFIGURA1.:16~NTOSERVEA~I~~l:)~_~M_ENlrq $20~~~~20,OOO $20,000 $O~~_ ~ __ $0 ~ $0 =~-~park Entry Kiosk _ _ l t- $60,000 $60,000 $40,000 $0 $0 u_ $0 $20,000 ~~~GAT~;~~H~EE Y:::::T::NITIE~~~TOTP.~ ~~1;:- __:~+~~-=:-~~:~ _~1;11~:; $6~9,~~~ _~: ~~~~ --$~ =tI~~!<3~TION:_!,_ERMANEN1.:~'~STEM _~ ___~~___l _ __ J35,420____1<>>- ___$0 _.~ $0 $35,4~0 , t~~~~:UBS= ~ _,"RIGA TIONS"btotoI~_ I -c 1_ ~_=!3,B40 ,~15000, _ "_ ~,~ =-__ $0 I _$7~8iQ :~~~~~~:~~ & WEED F:~~I~~-~ - - L Y I ~EA. - 781 i_~~~ $6$~~~ _u. . ~ t$~o~--~-I$~ol=~::~--t$~O ~--:~~:~$~0'-:--C$-61$-'---'~5~2~4 1 GALLON TREES_W/ROOT PROTECTION ONLY EA 127 . m -----$1,524 -- + . - $0--$O----W-----~-$5D.a<< -~~~~ECTION & WEED FABRIC -- ----t% 4~~~7 ---:~~ :~~:~;: n_ $0 --$0-- - $O----sor--- $15.m _-j-i' GALLON SHRUBS W/ROOT PROTECTION ----r--EA 539 ----s25 $13,475 $O-~-n- .---w - -=J=$O --~ __ TREE PROTECTION __~_~_ _ __ 1 $5,000 $5,000 $0 $0 $0 __ $0 __~ __ BARK MULCH ___~__ C.Y. 500 $35 $17,500 $0 $0 $0 ~ $0 $17,500 ___ WEED FABRIC __~____ S.F. 52,400 $0 $13,100 $0 $0 $0 $0 $13,100 SOD LAWN __ S.F. 22,89,5 $1. _ $22,895 $0 $0 $0 $0 $22,895 90 DAY MAINTENANCE PERIOD LS 1 $21,000 $21,000 $0 $0 $0 $0 I $21,000 - 7.5' HIGH DEER FENCING---- L.F. 12,000 __ $6 -- $72,000 __~_ $O__..!<l.__ _~-_ $72~000 _._~-~ $0 $75,000 -------- -.--- $0_ ~__!~ $0 $0 $196,668 _~ -----w -- ~ $510,51~ ..- ~_. -~ SITE IMPROVEMENTS/LANDSCAPING AT ENV BLDG (P LS ~~. _. _____ PLANTINGS SUBTOTAL: ~_-=-~=--=-==----- CO~~~!;~____ $75,000 $75,000 $0.18 $313,848 $196,668 $510,516 88ft. Trail 1 Excavation f---~---'------ .- CUYD 920 $54 _.~_n $49,680 2 Decomposed Granite w/stabilizer (2" THI~_ CUYD 190 __.~ ___. $38,000 3 AGGREGATE BASE (4" THICK) ____.. _f.l!YD -380 $150 $57,000 4 Weed Control Fabric .____~ SOFT 30240' .!2_ ___ $60,480 5 2 X 4 PLASTIC HEADER FT 8200 __....E.._ $20,500 6 TypeA1-150Curb _.__n_______ _ ~_ _..._~_.~- .~__ $1,682 7 Chain Link fence ____.______ fI 40 $25 $1,000 8 Striping-Detail27B._ _ ____~.__~___.. $1 $588 f-~- French Drain __ fI..._. 200 $55 $11,000 c_10 Wooden Bulkhead (STA 16+0,Q to 19+00)_ ___~_ __~O $50 $15,000 11 Fence Along Path at Goat pen area .~ FT _~ $25 _. $0 12 Garden Fencing __. FT __ 0 $25 $0 __ _______~ Contingency ~_I--- __m 15% $76,730 .__ ___ _ 8 FOOT TRAIL SUBTOTAL _____~_ $331,660 _._.__n .____~ -.. --.. .-..-- .. __~NDSCAPING/PARK AMENITIES SUBT.o~__ $1,621,125 --------- TOTAL GRANT AMOUNT' ~ --- $4,671,789 ._~ -- _._----~~~. ---- 3 Agreement No. 40745-06 Exhibit A 1 DWR UPA City of Cupertino --_._-'-~ $0 $0 $0 $0 $0 .~-- $0 $0 $48,000_~__._ ;~- -.;t_-m;; $38,000 n1<> _ _~ n ~O . _1<> $55,000 ~.--!()_____..1<>... $0_. _~~ $60,130~ n____~O' . $0 _. ~ $2.0'~00 ._1<> __m----'-=-. $0_...... mo..... _..--'-C..$O m~~o.f----1<>- .~ __ $O___$~ . -~f- ~ .____~_ ..$0 __$~ $500 ~ ...!<l. _ n ~ __ $0 ~ .~ $11,()()Qf-- mm_....1<> _ $.<J ____~.Q,___..!Q $15,000 $0 ___ __nn._!Q _ ~ $Ol--_~____~_u_~ ___~ $0 $0_.1<>._._ $0 ._~ $O~___._...Q. _~_ 0 $76,730 $249,?~ ~_ ...!Q._ ___~ _ $0 $8~~ --- ~---"- $376,729 $69,600 _ $0 $75,120 $1,099,676 $798,~ ..--..s_6..9,600 $381,950 $636,370 $2,785,369 .--. -- State of California The Resources Agency Proposition 40 - River Parkways Grant Program See instructions on reverse PAYMENT REQUEST FORM 1. GRANT NUMBER 2. DATE RANGE OF EXPENDITURES 3. GRANTEE 4. PROJECT TITLE 5. TYPE OF PAYMENT D Advance D Reimbursement 6. PAYMENT REQUEST NUMBER D Final a. Grant Project Amount $ b. Funds Received To Date $ c. Available (a. minus b.) $ d. Amount Of This Request $1 e. Remaining Funds After This Payment (c. minus d.) $ PAYEE NAME STREET ADDRESS CITY/STATE/ZIP CODE ATTENTION EMAIL ADDRESS PHONE NUMBER 9. By my signature below, I certify that I have full authority to execute this payment request on behalf of the Grantee. I declare under penalty of perjury, under the laws of the State of California, that this report, and any accompanying documents, for the above-mentioned Grant are true and correct to the best of my knowledge, and all disbursements have been made for the purposes and conditions as outlined in the Grant Agreement. NAME OF PERSON AUTHORIZED IN RESOLUTION TITLE SIGNATURE OF PERSON AUTHORIZED IN RESOLUTION DATE Withhold Funds: DYES D NO Requested: $ Less Amt: $ Approved Amount: $ Code: DATE PAYMENT APPROVAL SIGNATURE ~ Revised 9-2006 State of California The Resources Agency PAYMENT REQUESTS One Payment Request Form must be submitted for each grant project. The following instructions are keyed to corresponding items on the Payment Request Form: 1. PROJECT NUMBER - The number assigned by the State to this project. 2. DATE RANGE OF EXPENDITURES - List by month and year the start and end dates in which the expenditures occurred for which payment is requested. 3. GRANTEE - Grantee name as shown on the grant agreement. 4. PROJECT TITLE - Title of project for which payment is requested. 5. TYPE OF PAYMENT - Check appropriate box. Please note that Advance Payments and Final Payments require additional documentation. Please see your Grant Agreement for details. 6. PAYMENT REQUEST NUMBER - Indicate the number of payment requests. 7. PAYMENT INFORMATION *Please note that all payment requests are subject to a ten percent withhold amount to be paid upon project completion. The payment information entered on lines 7.a-e should not reflect current or previous 10% withhold amounts. a. Grant Project Amount - The amount of state grant funds assigned to this project. b. Funds Requested to Date - Total amount already requested for this project. c. Available - (a. minus b.) d. Amount of This Payment Request - Amount currently requested. e. Remaining Funds After This Payment - (c. minus d.) 8. SEND PAYMENT TO - Payee name, address and contact person. Please include the email and phone number of the contact person. If payment is to be sent directly to an escrow company for acquisition projects, provide escrow company name and escrow account number. 9. SIGNATURE OF PERSON AUTHORIZED IN RESOLUTION - Must be an original signature by the person authorized in the application resolution. If the application resolution authorizes a position, the person who currently holds that position must sign. 10. REQUIRED ATTACHMENTS - The following documents must be submitted with the Payment Request Form: a. Itemized List of Project Expenditures (all payment requests) b. Approved Cost Estimate Detailing Line Items and Categories of Expenditures (all payment requests) c. Equipment Costs Form (if requesting payment for grantee-owned or rental equipment on project) d. Labor Costs Form (if using in-house staff on project) Revised 9-2006 RESOURCES AGENCY California Clean Water, Clean Air, Safe Neighborhood Parks and Coastal Protection Act of 2002 - Proposition 40 River Parkways Grant Program - Project Closeout Document CERTIFICATION FORM FOR DEVELOPMENT PROJECTS NAME OF GRANTEE: GRANT NUMBER: PROJECT NAME: GRANTEE ADDRESS: PHONE:L) FAX: L) EMAIL: Grantee Contact for Audit Purposes NAME: TITLE: PHONE: L) EMAIL: PROJECT DESCRIPTION - List facilities/amenities developed (attach additional pages, as necessary): PROJECT COSTS FUNDED BY RIVER PARKWAYS $ PROJECT COSTS FUNDED BY OTHER SOURCES OF FUNDS $ TOTAL PROJECT COSTS $ INTEREST EARNED ON ADVANCE GRANT FUNDS $ HAS A NOTICE OF COMPLETION BEEN FILED FOR THE ABOVE PROJECT? YES NO IF NO, PLEASE EXPLAIN (attach additional pages as necessary): REQUIRED ATTACHMENTS (submit one copy of each item listed below): 1. Certification statement that "As Built" plans are available and maintained by the responsible agency 2. Itemized List of Project Expenditures Form 3. Summary of Expenditures from All Project Funding Sources Form 4. Labor Costs Form 5. Equipment Costs Form CERTIFICATION: I hereby certify that all grant funds were expended on the above named project(s), that the project(s) complies with the California Environmental Quality Act and all other environmental laws, including but not limited to obtaining all necessary permits, that the project(s) is complete and we have made final payment for all work done. I represent and warrant that I have full authority to execute this Project Certification of project completion on behalf of the Grantee. I declare under penalty of perjury that the foregoing project certification of project completion for the above-mentioned Grant is true and correct. Signature of Grantee Fiscal Representative Title Date Print Name and Title State of California The Resources Agency Proposition 40 - River Parkways Grant Program - Project Closeout Document SUMMARY OF EXPENDITURES FROM ALL PROJECT FUNDING SOURCES Grantee Name: Grant Number: Pro.ect Name: Please Submit This Form with the Project Closeout Package. Indicate below all costs charged to other funding sources, including: Grantee's own funds, State or Federal funds, in kind sources, other grants, etc. Fundin Source Amount SUBTOTAL FOR ALL OTHER PROJECT FUNDING SOURCES: $ TOTAL PROJECT COSTS FUNDED BY PROP 40 RIVER PARKWAYS GRANT PROGRAM (as Indicated on the Project Certification Form): $ GRAND TOTAL FOR RIVER PARKWAYS PROJECT: $ State of California The Resources Agency Documents Required for the Department of Finance Audit Please have the following documents, files, records, and other resources available for the Department of Finance during their audit of the grant. Internal Controls: 1. Grantee's organization charts. 2. Written internal procedures and flowcharts for the following procedures: a. Grantee's receipts and deposits b. Grantee's disbursements c. Grantee's invoice preparation 3. Audit reports covering the Grantee's internal control structure and/or expenditures within the last two years. Contracts: 1. Original contract between the Grantee and the State, including any amendments. 2. All contract documents between the Grantee and any subcontractors. 3. Listing of all active or completed contracts funded by Proposition 12, 13, 40, and 50. Budgets: 1. Budget modification documents. Invoices: 1. 2. 3. Invoices from the Grantee to the State for payments made under the grant. Invoices from the subcontractors to the Grantee for payments made under the grant. All supporting documentation associated with the above invoices. Cash Documents: 1. Receipts showing payments received from the State. 2. Deposit slips showing deposit of the payments received from the State. 3. Canceled checks or disbursement documents showing payments made to vendors for contract disbursements. 4. Bank statements showing the deposit of the receipts and interest earned on any monies held by the Grantee. Accounting Records: 1. Ledgers showing entries for cash receipts and cash disbursements. Travel/Per Diem: 1. Grantee travel policies. 2. Travel claims for travel costs charged to the contract organized by the Grantee Invoice on which the travel was charged. 3. Mileage logs, if mileage for grantee employees claimed and paid with Grant funds. Project Files: 1. All supporting documentation maintained in the project files.