Art3_Fontana_FY17_BikePed_AlderSRTS_Inv6_APPROVED_220524TFONTANA
CALIFORNIA
Description
San Bernardino County Trans Auth
1170 W 3rd Street, 2nd Fl
San Bernardino, CA 92410
I 1••11•
Billing #6 for Alder Middle School SRTS Project 36003367,
Grant Allocation #L 1 B-0702-0737-00.
City of Fontana
CALIFORNIA
INVOICE
11111111 •
Invoice Date Invoice No.
04/20/2022 PRGRS 59242
Customer Number
120098
Invoice Total Due
$2,517.55
Payment Terms
NET DUE IN 30
Amount Paid
$0.00
Due 05/20/2022
Quantity Price UOM Original Bill Adjusted Paid Amount Due
1 $2517.55 EACH $2,517.55 $0.00 $0.00 $2,517.55
This account is due and payable to: City of Fontana Invoice Total: $2,517.55
Remit Payment to:
CITY OF FONTANA
8353 Sierra Ave.
Fontana, CA 92335
Due to COVID we are accepting credit card payments over the phone. Call 909-350-7679 for payment processing.
If you have any questions, please call (909) 350-7683 or e-mail AccountsReceivable@fontana.org.
www.fontana.org
8353 Sierra Avenue, Fontana, California 92335-3528 (909) 350-7683 ORIGINAL
COPY
San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name: Alder Midd l e School SRTS Project
Cla ima nt : City of Fontana
Address: 8353 Sierra Avenue
Fontana, CA 92335-3528
Attention: Ma rgo Arispuro
Phone No: 909-350-6782
E-mail Address: ma rispuro@fo nt a na .org
Amount Requested for __________
Reimbursement: $ 2,517.55 .__ _______a_ __ __.
Purpose: Ple a se check one purpose.
Grant Allocation No:
(X) Article 3 Bicyc l e!Pedestrian Facilities, Public Utilities Code (PUC) 99233.3
( ) Tr a nsit Stop Access Improvements, PUC 99233.3
Authorizing Signature:
:
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s C d a l
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-- - - --
Date:
Jeff Kim, Engineering Ma na ger
Type Na me & Title
Condition of Approval:
L 18-0702-0737-00
Approv al of this cla im a nd pa yment by the County Auditor to this cla ima nt are subject to monies being avai l abl e a nd to
the provision that such monies wi ll be used on ly in a ccordance with the approved alloc a tion instruction.
Project Budget Report 10.01.21 to 03.31.22.xlsx
Claim Form Page 1
San Bernardino Associated Governments
Reimbursement Request
Article 3 Grant Program
Claimant: City of Fontana
Grant Information (completed by SANBAG)
Article 3
Total Project Award Percent Local Match
Project Name Cost Amount Article 3 Amount
Alder Middle School SRTS $ 503,036 $ 250,000 49.7% $ 253,036
I f nstruc ions: Pl I t 1 th ease comp e e h 4 b I roug1 eow.
Amount
1) Article 3 Project Cost (amount being requested for
reimbursement) $ 2,518
2) Local Match Project Cost $ 2,548
Total $ 5,065
Project Costs to Date (include amount requested above)
3) Article 3 $ 101,607 Local Match Amount Remaining
4)Local Match $ 100,285 Article 3 Balance Remaining
Total $ 201,892 Total Amount Remaining
I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge.
The same authority that signs the Claim Form must sign this form.
Project Budget Report 10.01.21 to 03.31.22.xlsx
Reimbursement Request
Percent Local
Match
50.3%
148,393
301,144
Page 1
________152,751
$102,833
---------- $150,203
------------ $298,596------------ $204,440
San Bernardino Associated Governments
Check List
Article 3 Grant Program
Claimant: City of Fontana Date: 411812022
Please see below instructions and checkmark the items included in your submittal.
X
X
X
X
NIA
NIA
NIA
1. Claim Form (one-time submission)
Please submit a completed Claim Form prior to requesting reimbursement of funds. An authorizing
resolution is required with the Claim Form (see #2).
2. Authorizing Resolution ( one-time submission)
Resolution authorizing the filing of the claim form and authorizing the submission of reimbursement
requests throughout the duration of the project. Please submit resolution with Claim Form.
3. Reimbursement Request Form (as needed)
This form is required for every reimbursement requested.
4. Back-up Documentation (required with Reimbursement Request Form)
Please attach documentation supporting the amount requested ( e.g., invoices, paychecks,
purchase orders, etc.)
5. Certified Copy of Minute Action (completed projects only)
Certified copy of minute action authorizing the filing of the final claim and verifying project completion.
6. Photos of Completed Project (completed projects only)
7. Other ( optional)
Attach any other information you wish to submit to support your claim.
Project Budget Report 10.01.21 to 03.31.22.xlsx
Check List Page 1
DocuSlgn Envelope ID: F9960710-FFB5-4FBO-BA81-42AC231E6869
RESOLUTION NO. 2017-066
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF FONT ANA,
ACCEPTING THE TRANSPORTATION DEVELOPMENT ACT (TDA), ARTICLE 3 GRANT FUNDS FOR TRANSIT STOP ACCESS PROGRAM
AND BICYCLE AND PEDESTRIAN FACILmES PROGRAM.
WHEREAS, San Bernardino County Transportation Authority (SBCT A) Board of
Directors approved funding from the Transportation Development Act (TOA), Article 3
Transit Stop Access Program and Bicycle and Pedestrian Facilities Program for the City
of Fontana; and
WHEREAS, SBCTA established grant procedures require the application to
certify by resolution the approval. authorization, and acceptance of the grant before acceptance of said grant; and
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Fontana that;
Section 1: Authorize acceptance of the grant, and
Section 2: Authorize the filing of the claim form and the submission of
reimbursement requests; and
Section 3: Delegates the authority to the Director of Engineering or Designee to conduct all negotiations, sign and submit all documents, including, but not limited to agreements, amendments. certify action authorizing the filing of the final ctaim,
verifying project completion, and payment requests which may be necessary for
the completion of the project.
APPROVED AND ADOPTED this 12 th day of December, 2017.
READ AND APPROVED AS TO LEGAL FORM:
City Attorney
I, Tonia Lewis, City Clerk and Ex-Officio Clerk of the City of Fontana, California,
do hereby certify that the foregoing Resolution is the actual Resolution duly and regularty adopted by the City Council at a regular meeting of said City Council on the 12 th day of December, 2017, by the following to-wit:
Page 1 of 2
PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS PROJECT 36003367
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE Total
36003367 246 A 8312 10/06/2021
10/20/2021
11/29/2021
01/03/2022
8312 Total
A Total
246 Total
301 A 8312 10/06/2021
10/20/2021
11/29/2021
01/03/2022
8312 Total
A Total
301 Total
36003367 Total
Grand Total
SUMMARY OF EXPENSES
OPERATING EXPENSES FUND 246A
OPERATING EXPENSES FUND 301A
TOTAL PARTICIPATING OPERATING EXPENSES
1,117.82
622.88
623.09
184.14
2,547.93
2,547.93
2,547.93
1,104.49
615.46
615.66
181.94
2,517.55
2,517.55
2,517.55
5,065.48
5,065.48
2,547.93
2,517.55
5,065.48
1 of 1
ALL EXPENSES ALDER MIDDLE SCHOOL SRTS PROJECT 36003367
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE Total
36003367 246 B 7015 02/18/2022 41.18
03/01/2022 980.17
03/04/2022 37.37
03/18/2022 35.15
7015 Total 6,345.98
7017 10/01/2021 124.89
10/15/2021 124.89
10/18/2021 31.70
11/03/2021 14.09
11/10/2021 126.81
11/24/2021 126.81
12/10/2021 126.81
12/23/2021 126.81
01/07/2022 140.07
01/12/2022 10.57
01/21/2022 140.07
02/04/2022 140.07
02/18/2022 140.07
03/04/2022 140.07
03/18/2022 140.07
7017 Total 1,653.80
7018 10/01/2021 7.74
10/15/2021 6.77
10/18/2021 0.65
10/29/2021 3.14
11/03/2021 0.33
11/10/2021 6.97
11/24/2021 6.96
12/10/2021 6.61
12/23/2021 5.38
01/07/2022 3.38
01/12/2022 0.21
01/21/2022 9.18
02/04/2022 8.64
02/18/2022 7.60
03/04/2022 7.05
03/18/2022 6.72
03/24/2022 5.80
7018 Total 93.13
7020 09/30/2021 107.50
10/31/2021 107.50
11/30/2021 107.50
2 of 3
ALL EXPENSES ALDER MIDDLE SCHOOL SRTS PROJECT 36003367
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE Total
36003367 246 B 7020 12/31/2021 107.50
01/31/2022 107.50
02/28/2022 107.50
03/31/2022 107.50
7020 Total 752.50
8220 09/30/2021 434.17
10/31/2021 434.17
11/30/2021 434.17
12/31/2021 434.17
01/31/2022 434.16
02/28/2022 434.16
03/31/2022 434.16
8220 Total 3,039.16
B Total 17,353.98
246 Total 19,901.91
301 A 8312 10/06/2021 1,104.49
10/20/2021 615.46
11/29/2021 615.66
01/03/2022 181.94
8312 Total 2,517.55
A Total 2,517.55
301 Total 2,517.55
36003367 Total 22,419.46
Grand Total 22,419.46
SUMMARY OF EXPENSES
PAYROLL EXPENSES NON-PARTICIPATING 36003367-246-B 13,562.32
OPERATING EXPENSES NON-PARTICIPATING 36003367-246-B 3,791.66
OPERATING EXPENSES PARTICIPATING 36003367-246-A 2,547.93
OPERATING EXPENSES PARTICIPATING 36003367-301-A 2,517.55
TOTAL EXPENSES 22,419.46
3 of 3
NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE Total
36003367 246 B 7010 10/01/2021 468.24
10/15/2021 400.22
10/18/2021 19.64
10/29/2021 216.46
11/03/2021 12.81
11/10/2021 407.52
11/24/2021 407.52
12/10/2021 383.73
12/23/2021 284.88
01/07/2022 121.36
01/12/2022 6.55
01/21/2022 571.04
02/04/2022 530.16
02/18/2022 448.40
03/04/2022 407.52
03/18/2022 383.73
03/24/2022 399.63
7010 Total 5,469.41
7015 10/01/2021 43.03
10/15/2021 36.70
10/18/2021 1.71
10/29/2021 20.17
10/31/2021 980.17
11/03/2021 1.14
11/10/2021 37.37
11/24/2021 37.37
11/30/2021 980.17
12/10/2021 35.15
12/23/2021 25.94
12/31/2021 980.17
01/01/2022 980.17
01/07/2022 10.70
01/12/2022 0.57
01/21/2022 52.61
02/01/2022 980.17
02/04/2022 48.80
02/18/2022 41.18
03/01/2022 980.17
03/04/2022 37.37
03/18/2022 35.15
7015 Total 6,345.98
7017 10/01/2021 124.89
1 of 3
NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE Total
36003367 246 B 7017 10/15/2021 124.89
10/18/2021 31.70
11/03/2021 14.09
11/10/2021 126.81
11/24/2021 126.81
12/10/2021 126.81
12/23/2021 126.81
01/07/2022 140.07
01/12/2022 10.57
01/21/2022 140.07
02/04/2022 140.07
02/18/2022 140.07
03/04/2022 140.07
03/18/2022 140.07
7017 Total 1,653.80
7018 10/01/2021 7.74
10/15/2021 6.77
10/18/2021 0.65
10/29/2021 3.14
11/03/2021 0.33
11/10/2021 6.97
11/24/2021 6.96
12/10/2021 6.61
12/23/2021 5.38
01/07/2022 3.38
01/12/2022 0.21
01/21/2022 9.18
02/04/2022 8.64
02/18/2022 7.60
03/04/2022 7.05
03/18/2022 6.72
03/24/2022 5.80
7018 Total 93.13
7020 09/30/2021 107.50
10/31/2021 107.50
11/30/2021 107.50
12/31/2021 107.50
01/31/2022 107.50
02/28/2022 107.50
03/31/2022 107.50
7020 Total 752.50
8220 09/30/2021 434.17
2 of 3
NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS
FROM 10/01/21 TO 03/31/2022
Sum of EXPENSES
PROJECT FUND MISC. ACCOUNT DATE
36003367 246 B 8220 10/31/2021
11/30/2021
12/31/2021
01/31/2022
02/28/2022
03/31/2022
8220 Total
B Total
246 Total
36003367 Total
Grand Total
SUMMARY OF EXPENSES
PAYROLL EXPENSES NON-PARTICIPATING 36003367-246-B
OPERATING EXPENSES NON-PARTICIPATING 36003367-246-B
TOTAL EXPENSES
Total
434.17
434.17
434.17
434.16
434.16
434.16
3,039.16
17,353.98
17,353.98
17,353.98
17,353.98
13,562.32
3,791.66
17,353.98
3 of 3
City of Fontana PAGE: 1 OF 1
INVOICE DATE
CHECK NUMBER: 00130313
INVOICE AMOUNT
08/31/2021 0020980-IN PN 3367 Alder Middle School Sidewalk ROW
PO#: 22001177 -ENGINEERING
GL#:24636099 -8312 $1,117.82
$1,104.49
$2,222.31
101311
T City of Fontana
Accounts Payable
8353 Sierra Ave.
FR�J,-t.�f Fontana, CA 92335
(909) 350-7600
GL#:30136099 -8312
*Two Thousand Two Hundred Twenty-two Dollars and 31 Cents*
Pay Paragon Partners Ltd
To the 5660 Katella Ave., Ste 100 Order Of Cypress, CA 90630
130313 10/12/2021 $2,222.31
Vendor Number
101311
Check Date
10/12/2021
Check Number
130313
$2,222.31
FILE COPY
NON-NEGOTIABLE
INVOICE PARAGON PARTNERS INVOICE NUMBER: 0020980-IN
INVOICEDATE.: 08/31/2021
City of Fontana
Accounts Payable
8353 Sierra Avenue
Fontana, CA 92335
CONTACT: JeffKim
JOB DESC: Adler Middle School Sidewalk
CONTRACT#: MS-184-DE 20
ORIGINAL CONTRACT AMOUNT:
TOTAL CHANGE ORDERS
REVISED CON1RACT AMOUNT:
sol
2 22e•31x
0•497=
1 1 04 e 4 8,8)1(•+
2 2 22 • 3 l:11),+
1 104 • 4 9,0
"2-i.l b 1 l 1 7 • 8.2 0:lH·
l O 4 " 4 9:(iJ:;t
TAXABLE AMOUNT:
NON-TAXABLE AMOUNT:
AMOUNT BILLED THIS INVOICE:
INVOICE TOTAL.
Task Order 2.2
54,130.00
8-,940.00.
63,070.00
0.00
2,222.31
2,222.31
2,222.31
CUSTO!v1ER NO: 00-CIOFFON
JOB NUMBER: 2000201
TERMS: Net 30
c:f I I I 04-, 4-Cf .rt ,, 117, 1
1 117•820+
2 2 22 • 3 1 (}.* +
Entffll::_ __________ Baldi# q Lf.q.3
Budget Jnformation for this Project
Total budget for this project:
Previously invoiced:
Current invoice:
Total invoiced to date:
Budget remaining:
63,070.00
54,093.62 /2,222.31
56;315.93 . I6,754.07
5660 Katella Avenue, Suite 100 I Cypress, California 90630
714.379.3376 I 888.899.7498 I Fax 714.908.8484 I www.paragon-partners.com
Page: 1
INVOICE DETAIL
JOB DESC: Adler Middle School Sidewalk INVOICE NUMBER: 00209.80-IN
INVOICE DATE: 08/31/2021
JOB NUMBER: 2000201
Page: 1
DESCRIPTION U/M UNITS BILLRATE TRANDATE
DETAIL
PROFESSIONAL SERVICES RENDERED 6/1/21-8/31/21
M.Fernandez, Principal Acq.REF:
Postage
REF:
HOUR
COST
19.25
1.00
2 273•750+
8•560+
2 __ 2220310*+
115.000
BILLAMOUNT
08/31/2021 2,213.75
Labor Subtotal: 2,213.75
08/31/2021 8.56
Postage & Frt. Subtotal: 8.56
NET INVOICE: 2,222.31