HomeMy WebLinkAboutAgreement A-21-336 TDA Claim Form.pdfAgreement No. 21-336
Enter Date:l 10/15/2020! Claimant Name: .. l __ c_o_u_n_ty __ o_f_F_re_s_n_o __ _
TRANSPORTATION FUNDING CLAIM FOR FISCAL YEAR: 2020/21
Instructions : Please note that each page of this claim is a separate worksheet , please click through all tabs and
complete . Also note that light yellow fields require an entry if applicab le , light grey fields contain formulas that will
automatically calculate based on correspond i ng entries . A date and c laimant name field is at the top of the first
page , and automatically repeats on following pages , (date should be formatted 00/00/0000)
When completed, please print, sign and send signed original via mail to:
Les Beshears, Director of Finance, Fresno Council of Governments, 2035 Tulare Street, Suite 201, Fresno,
CA 93721
From: Applicant: County of Fresno, Department of Public Works and Planning
Address: 2220 Tulare Street, 6th Floor
City/State/Zip: Fresno, CA 93721
Contact Phone/email: Mohammad Alimi , 559-600-4505, MAlimi@co.fresno.ca.us
This applicant is an eligible claimant pursuant to Section 99203 of the Public Utilities Code and certifies that the
following transportation funds are available to be claimed:
Local Transportation Fund
Apportionment: $ 6 ,615 ,856 .00
Unexpended, Held by Claimant:
Other Agency, Coalinga PVSP: $ 110 ,252 .00
State Transit Assistance Fund
Estimate: $ 889 ,661 .00
Prior Year STA: $ 83 ,486 .00
Other Agency:
Audit Exception/Impairment (required General Fund Payback):~-------1
FCRTA/Clovis/FAX Transit Claims):._ _______ .....,
TOT AL $ 7,699,255.00 I
for the purposes and respective amounts specified in the attached claim be drawn from the Local
Transportation F d nd State Transit Assistance Fund.
Please print an
~Fresno Council {{! of Governments
ATTEST:
BERNICE E . SEIDEL
Clerk of the Board of Supervisors Cou c:::f.Fres ~o, State of California
By ~J r •116
Deputy
2035 Tulare St., Ste . 201 tel 559-233-4148
Fresno, California 93721 fax 559-233-9645
www.fresnocog.org
Enter Date: 10/15/2020! Claimant Name:._! ___ c_o_u_n_ty __ of_F_r_e_s_n_o __ ___.
TRANSPORTATION FUNDING CLAIM FOR FISCAL YEAR: 2020/21
PURPOSE
1. Bicycle & Pedestr ian Facilities :
2. Regional Transportation Pla n ning (RTP):
Article 3:
Arti cle Sa:
Audit Exceptions (General Fund Payback);
Unexpended Funds , Held by Cla i mant:
Total To Be Rece ived by PW&P :
AMOUNT
$ 132 ,115 .00
$ -
$ -
$ -
SUBTOTAL
$ 132,115.00 I
RTP~I $ ___ 1_84~,4_9_9_.o_o_L-s=======-=--=--=---= Total To Be Cla imed by COG : _ 1S4 ,499 .00 I
3. Community Transit Service (CTSA):
Article 4.5 : ~' $ ___ 3_3_3~, 7_7_5_.0_0 .... ,_1-1_-_-_-_-_-;..;_...;._.:.. ___ ..;.._...;_...;.-=
To tal To Be Cla imed by EOC & Clo vi s : . 333,775.00 I
4 . Public Transportati on Funds:
State Transit Assistance Funds (STA): $
Prio r Year STA: $
Audit Exceptions (General Fund Payback): $
Total To Be C laimed by T ransit Agencie s #5 : $
88 9 ,66 1.00
8 3,486.00
5 ,19 6 ,8 15 .00
5. To Be Claimed By Trans ·t A I 1<1enc1es:
Fresno County Rural Transit Agency (FCRTA): $ 1,196 ,563
Fresno Area Express (FAX) and Handi Ride $ 3 ,947 ,399
Clovis Roundup for Tarpey Village " $ 52 ,853 .0 0
Other Agenc i es $ -
Total To Be Cla imed by Trans it fo r Age ncies Listed :
6. Streets & Roads:
Article Sa: $ 1,74 1,7 99 .00
Audit Exceptions (General Fund Payback): $ -
Unexpended Funds Held by Claimant:
I Coalinga PVSP: ($110 ,252) $ 110,252.00
Total To Be Rece ived by PW&P :
7. Reserve in Fund PendinQ,.._F_u_rt_h_e_r _C_la_im_in_,g~---------------..----------,
! I$ I
GRAND TOTAL
Claim Total Must Agree With Total on First Page
Minus All Unexpended Funds not used for Transit Claims
GRAND TOTAL PAYABLE TO CLAIMANT
$ 5,196,815.oo I
$ 1,s52,051.oo I
$
$ 7,699,255.00
$ 7,699,255.00
$ 7,699,255.00
Allocation in structio ns and payment by the Fresno Co unty Auditor-Controller to the applicant is subject to such monies being a vailable for distrib ution ,
and to the provision s that such monies will be used only in accordance with the rules and regulations of the Transportation Developmen t Act.
Enter Date:._! __ 1_0_11_s_12_0_20_.! Claimant Name:!County of Fresno
BICYCLE AND PEDESTRIAN FACILITIES FOR FISCAL YEAR: 2020/21
Two percent (2%) of the claimant's Local Transportation Fund apportionment must be spent on bicycle and pedestrian facilities
(PUC 99233 .3 and 99234); such claims are to be filed as Article 3 . Claims for projects in excess of 2% may be filed as Article 8a
(PUC 99400(a)). If other funding is to be used with Local Transportation Funds to implement projects , such funding should be
shown on the claim form .
PROJECT TITLE & BRIEF DESCRIPTION PROJECT COST
1. Various Bicycle & Pedestrian Facilities throughout the claimant's jurisdiction:
Article 3: .... I $ ______ 1_3"'""2,'"""1 _15_. o_o~I
AND/OR ·
Other -describe briefly if applicable: $ -
Other -describe briefly if applicable: $ -
Other -describe briefly if aPPlicable: $ -
TOT AL PROJECT COSTS $ 132 ,115.00
STREETS AND ROADS CLAIM FOR FISCAL YEAR: 2020/21
Local Transportation Funds coming to claimants within Fresno County may be used for streets and roads improvements and maintenance
pursuant to Article 8 (PUC 99400), but only after Fresno COG makes a finding that publ ic transportation needs with in the claimant's jurisdiction
are reasonably met by satisfying the service requirements set forth by the Regional Transportation Plan (PUC 99401.5).
PROJECT TITLE & BRIEF DESCRIPTION PROJECT COST
1. Development, Construction & Maintenance Facilities throughout the claimant's jurisdiction:
Article Sa: .... I $----_1....._,8_5_2,._0_51_. o_o_,I
AND/OR: $ -
Other -describe briefly if applicable: $ -
Other -describe briefly if applicable: $ -
Other -describe briefly if applicable: $ -
TOT AL PROJECT COSTS $ 1,852 ,051 .00
Enter Date:! 10115/2020! Claimant Name:!County of Fresno
CONTINGENCY PROJECT LISTING FOR FISCAL YEAR: 2020/21
CHECK ALL THAT APPLY (Enter "X" in yellow box)
BICYCLE AND PEDESTRIAN FACILITIES m Article 3
PUBLIC TRANSPORTATION D Article4
STANDARD ASSURANCES FOR CLAIMANTS
CLAIMANT ASSURANCES: (initial yellow box all that apply)
STREETS & ROADS m Article Ba
[!) A. Claimant certifies that it has submitted a satisfactory , independent fiscal audit, with required certification statement , to the RTPA
and to the State Controller , pursuant to PUC 99245 and 21 Cal. Code of Regulations Section 6664 for the prior fiscal year (project
year minus two). Claimant assures that this audit requirement will be completed for the current fiscal year (project year minus one).
[!) B. Claimant certifies that it has submitted a State Controller Report to the RTPA and to the State Controller, pursuant to PUC 99243 .
The undersigned hereby certifies that the above statements are true and correct.
Please print and sign after completing form
Authorized
Date: ~----~