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Art3_Fontana_FY17_BikePed_AlderSRTS_Inv7_APPROVED_230510TDA Article 3: Claims/Change Request Type of Request TDA Article 3: Claims Project Title Alder Middle School SRTS Project Type Bike and Pedestrian Project Contact Name William Castrillon Agency Fontana Contact Phone 9093507669 Contact Email wcastrillon@fontana.org Type of Claim Reimbursement Request Reimbursement Request Reimbursement Request Form Backup Documentation Completion Verification (if applicable) Minute Action Item (if applicable) Photos (for completed projects) Other Billing #7 -signed forms.pdf Billing #7 -signed forms and backup.pdf 318.14KB 3.05MB Approved 5/10/23 -Ginger Koblasz 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 t ns ructions: Pl ease compete 1 h t rouK h4bl eow. Amount 1) Article 3 Project Cost (amount being requested for reimbursement)$ 31,241 2)Local Match Project Cost $ 31,618 Total $ 62,860 Project Costs to Date (include amount requested above) 3) Article 3 $ 132,848 Local Match Amount Remaininjl 4) Local Match $ 131,903 Article 3 Balance Remainin11 Total $ 264,751 Total Amount Remainin11 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 04.01.22 to 09.30.22.xlsx Reimbursement Request Date: 3/29/23 Percent Local Match 50.3% 121,133 117,152 238,285 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 t ns ructions: Pl ease compete 1 h t rouK h4bl eow. Amount 1) Article 3 Project Cost (amount being requested for reimbursement)$ 31,241 2)Local Match Project Cost $ 31,618 Total $ 62,860 Project Costs to Date (include amount requested above) 3) Article 3 $ 132,848 Local Match Amount Remaininjl 4) Local Match $ 131,903 Article 3 Balance Remainin11 Total $ 264,751 Total Amount Remainin11 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 04.01.22 to 09.30.22.xlsx Reimbursement Request Date: 3/29/23 Percent Local Match 50.3% 121,133 117,152 238,285 Page 1 -------------- $134,451 ------------- $267,299 ------------ $118,585 ------------ $235,737 Fontana City Hall 8353 Sierra Ave. Fontana, CA 92335 Ph: {909) 350-7600 M-Th, Sam - 6pm San Bernardino Co Transportation Authority 1170 W 3rd Street, 2nd Floor San Bernardino, CA 924 I 0 Project Title: Alder Midlle School SRTS BUDGET 250,000.00 TOT AL INVOICE AMOUNT EXPENSES 04/01/22-09/30/22 31,241.19 31,241.19 Signa .l Jeff Kim Engineering Manager PREVIOUS PARTICIPATING YTD COST EXPENSE 101,606.51 132,847.70 (909)350-6724 Phone No. For questions regarding this invoice, please contact: Lina Chowdhury@ 909 350 6782 email /chowdhury@fontana.org BALANCE 117,152.30 ALL EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT DATE Total 36003367 246 A 8312 05/02/2022 1,936.55 8312 Total 1,936.55 8335 08/11/2022 29,681.80 8335 Total 29,681.80 A Total 31,618.35 B 7010 04/01/2022 587.16 04/15/2022 395.22 04/26/2022 6.55 04/29/2022 387.57 05/13/2022 563.70 05/20/2022 13.59 05/27/2022 376.56 06/10/2022 732.18 06/22/2022 7.06 06/24/2022 895.85 06/30/2022 260.56 07/08/2022 250.20 07/22/2022 950.80 07/31/2022 232.33 08/05/2022 677.44 08/19/2022 754.97 09/02/2022 527.17 09/16/2022 299.37 09/30/2022 518.98 7010 Total 8,437.26 7015 04/01/2022 1,034.28 04/15/2022 36.12 04/26/2022 0.57 04/29/2022 36.12 05/01/2022 980.17 05/13/2022 51.83 05/20/2022 1.18 05/27/2022 34.48 06/01/2022 980.17 06/10/2022 67.53 06/22/2022 0.59 06/24/2022 82.59 06/30/2022 23.19 07/08/2022 22.44 07/22/2022 86.96 07/31/2022 974.67 08/05/2022 61.79 ALL EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND 36003367 246 MISC ACCOUNT B 7015 7015 Total 7017 7017 Total 7018 DATE 08/19/2022 08/31/2022 09/02/2022 09/16/2022 09/30/2022 04/01/2022 04/15/2022 04/26/2022 05/13/2022 05/20/2022 05/27/2022 06/10/2022 06/22/2022 06/24/2022 06/30/2022 07/08/2022 07/22/2022 07/31/2022 08/05/2022 08/19/2022 09/02/2022 09/16/2022 04/01/2022 04/15/2022 04/26/2022 04/29/2022 05/13/2022 05/20/2022 05/27/2022 06/10/2022 06/22/2022 06/24/2022 06/30/2022 07/08/2022 07/22/2022 07/31/2022 08/05/2022 08/19/2022 09/02/2022 09/16/2022 Total 68.98 953.83 48.00 27.02 47.80 5,620.31 140.07 140.07 11.64 140.07 23.43 140.07 140.07 11.64 140.07 176.61 140.07 140.07 130.07 140.07 139.12 139.12 139.12 2,031.38 9.40 6.89 0.22 5.62 9.05 0.38 6.68 11.23 0.23 13.28 5.62 5.05 14.20 4.69 10.65 11.63 8.66 5.69 ALL EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT DATE 36003367 246 B 7018 09/30/2022 7018 Total 7020 04/30/2022 05/31/2022 06/30/2022 07/31/2022 08/31/2022 7020 Total 8220 04/30/2022 05/31/2022 06/30/2022 8220 Total B Total 246 Total 303 A 8312 05/02/2022 8312 Total 8335 08/11/2022 8335 Total A Total 303 Total 36003367 Total Grand Total SUMMARY OF EXPENSES PAYROLL EXPENSES NON-PARTICIPATING 36003367-246-B OPERATING EXPENSES NON-PARTICIPATING 36003367-246-B OPERATING EXPENSES PARTICIPATING 36003367-246-A OPERATING EXPENSES PARTICIPATING 36003367-303-A TOTAL EXPENSES Total 7.53 136.70 107.50 107.50 107.50 101.67 203.34 627.51 434.17 434.17 434.17 1,302.51 18,155.67 49,774.02 1,913.45 1,913.45 29,327.74 29,327.74 31,241.19 31,241.19 81,015.21 81,015.21 16,225.65 1,930.02 31,618.35 31,241.19 81,015.21 PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT 36003367 246 A 8312 8312 Total 8335 8335 Total A Total 246 Total 303 A 8312 8312 Total 8335 8335 Total A Total 303 Total 36003367 Total Grand Total SUMMARY OF EXPENSES OPERATING EXPENSES FUND 246A OPERATING EXPENSES FUND 303A TOTAL PARTICIPATING OPERATING EXPENSES DATE 05/02/2022 08/11/2022 05/02/2022 08/11/2022 Total 1,936.55 1,936.55 29,681.80 29,681.80 31,618.35 31,618.35 1,913.45 1,913.45 29,327.74 29,327.74 31,241.19 31,241.19 62,859.54 62,859.54 31,618.35 31,241.19 62,859.54 NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT DATE Total 36003367 246 B 7010 04/01/2022 587.16 04/15/2022 395.22 04/26/2022 6.55 04/29/2022 387.57 05/13/2022 563.70 05/20/2022 13.59 05/27/2022 376.56 06/10/2022 732.18 06/22/2022 7.06 06/24/2022 895.85 06/30/2022 260.56 07/08/2022 250.20 07/22/2022 950.80 07/31/2022 232.33 08/05/2022 677.44 08/19/2022 754.97 09/02/2022 527.17 09/16/2022 299.37 09/30/2022 518.98 7010 Total 8,437.26 7015 04/01/2022 1,034.28 04/15/2022 36.12 04/26/2022 0.57 04/29/2022 36.12 05/01/2022 980.17 05/13/2022 51.83 05/20/2022 1.18 05/27/2022 34.48 06/01/2022 980.17 06/10/2022 67.53 06/22/2022 0.59 06/24/2022 82.59 06/30/2022 23.19 07/08/2022 22.44 07/22/2022 86.96 07/31/2022 974.67 08/05/2022 61.79 08/19/2022 68.98 08/31/2022 953.83 09/02/2022 48.00 09/16/2022 27.02 09/30/2022 47.80 NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT DATE Total 36003367 246 B 7015 Total 5,620.31 7017 04/01/2022 140.07 04/15/2022 140.07 04/26/2022 11.64 05/13/2022 140.07 05/20/2022 23.43 05/27/2022 140.07 06/10/2022 140.07 06/22/2022 11.64 06/24/2022 140.07 06/30/2022 176.61 07/08/2022 140.07 07/22/2022 140.07 07/31/2022 130.07 08/05/2022 140.07 08/19/2022 139.12 09/02/2022 139.12 09/16/2022 139.12 7017 Total 2,031.38 7018 04/01/2022 9.40 04/15/2022 6.89 04/26/2022 0.22 04/29/2022 5.62 05/13/2022 9.05 05/20/2022 0.38 05/27/2022 6.68 06/10/2022 11.23 06/22/2022 0.23 06/24/2022 13.28 06/30/2022 5.62 07/08/2022 5.05 07/22/2022 14.20 07/31/2022 4.69 08/05/2022 10.65 08/19/2022 11.63 09/02/2022 8.66 09/16/2022 5.69 09/30/2022 7.53 7018 Total 136.70 7020 04/30/2022 107.50 05/31/2022 107.50 06/30/2022 107.50 NON-PARTICIPATING EXPENSES ALDER MIDDLE SCHOOL SRTS FROM 4/01/22 TO 09/30/2022 PROJECT FUND MISC ACCOUNT DATE 36003367 246 B 7020 07/31/2022 08/31/2022 7020Total 8220 04/30/2022 05/31/2022 06/30/2022 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 101.67 203.34 627.51 434.17 434.17 434.17 1,302.51 18,155.67 18,155.67 18,155.67 18,155.67 16,225.65 1,930.02 18,155.67 PROJECT FUND MISC ACCOUNT DATE PA JOURN, PA JOURNAL REFERENCE 1 PA JOURN, PA JOURN, PA JOURNAL CHECK Expenses PA JOURNAL COMMENT PA JOURNAL VENDOR NAME 36003367 246 A 8312 05/02/2022 API 101311 22001177 88799 134719 1,936.55 PN 3367 Alder Middle School Ri Paragon Partners Ltd 36003367 303 A 8312 05/02/2022 API 101311 22001177 88799 134719 1,913.45 PN 3367 Alder Middle School Ri Paragon Partners Ltd 134719 Total 3,850.00 36003367 246 A 8335 08/11/2022 API 100433 97685 136986 29,681.80 PN 3367 Alder Middle School Do Southern California 36003367 303 A 8335 08/11/2022 API 100433 97685 136986 29,327.74 PN 3367 Alder Middle School Do Southern Californla 134719 Total 59,009.54 Grand Total 62,859.54 City of Fontana PAGE: 1 OF 1 CHECK NUMBER: 00134719 INVOICE DATE INVOICE NUMBER DESCRIPTION INVOICE AMOUNT 03/31/2022 0021843-IN PN 3367 Alder Middle School Right of Way Svcs. $3,850.00 PO#: 22001177 -ENGINEERING GL#:24636099-8312 GL#:30336099-8312 Vendor No. I Vendor Name 101311 I Paragon Partners Ltd T City of Fontana Accounts Payable 8353 Sierra Ave. l"ONTANA cAL1r,,.,.... Fontana, CA 92335 (909)350-7600 *Three Thousand Eight Hundred Fifty Dollars and 00 Cents* Pay Paragon Partners Ltd To the 5660 Katella Ave .• Ste 100 Order Of Cypress, CA 90630 I I Check No. I 134719 I Vendor Number 101311 $1,936.55 $1,913.45 Check Date I 0512412022 I Check Date 05/24/2022 Check Amount $3,850.00 Check Number 134719 $3,850.00 FILE COPY NON-NEGOTIABLE INVOICE A PARAGON , ,, PARTNERS. INVOICE NUMBER: 0021843-IN V INVOICE DATE 03/31/2022 ,/" City ofFontana Accounts Payable 8353 Sierra Avenue Fontana, CA 92335 CONTACT: Jeff'Kim JOB DESC: Adler Middle School Sidewalk CUSTOMER NO: 00-CIOFFON JOB NUMBER: 2000201 TERMS: Net 30 CONTRACT#: MS-184-DE-20 Task Order 2.2 PO 22001177-01 301 ORIGINAL CONTRACT AMOUNT: 54,130.00 TOT AL CHANGE ORDERS 8,940.00 REVISED CONTRACT AMOUNT: 63,070.00 TAXABLE AMOUNT: 0.00 NON-TAXABLE AMOUNT: 3,850.00 AMOUNT BILLED THIS INVOICE: 3,850.00 • p •INVOICE TOT Al; 3,850.00 :> 8 • ( \ I Page: 1 9J:eL1 u- l q 6· a u 4tfl3,. ss- g/.2 + ,, (j/3.�S" q13•4 U () 6 • ' (l 8 Qo(lf(I t Budget Information for this Project Total budget for this project: Previously invoiced: Current invoice: Total invoiced to date: Budget remaining: 59,159.10 3,850.00 63,009.10 63,070.00 60.90 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 INVOICE DETAIL JOB DESC: Adler Middle School Sidewalk: INVOICE NUMBER: 0021843-IN INVOICµ DATE: 03/31/2022 JOB NUMBER: 2000201 Page:1 DESCRIPTION U/M UNITS BILL RATE TRANDATE DETAIL PROFESSIONAL SERVICES RENDERED 3/1/22 -3/31/22 Outside Service COST 0.00 INV: CA06-2I-01 68ED" Penner & A .I BILLAMOUNf 03il5/2022 3,850.00 Outside Service Subtotal 3,850.00 $TlNV0ICE: 3,850.00 PAGE: 1 OF 1 CHECK NUMBER: 00136986 468878 PN 3367 Alder Middle School Document #7590433538 GL.#:24636099 -8335 $29,681.80 $29,327.74 T City of Fontana Accounts Payable 8353 Sierra Ave. FONTANA c..a,r,Hl<U Fontana, CA 92335 (909)350-7600 GL.#:30336099 -8335 Document#7590433538 *Fifty-nine Thousand Nine Dollars and 54 Cents* Pay Southern California Edison Co To the Accounts Receivable Order Of PO Box 800 Rosemead, CA 91n1-0001 Vendor Number 100433 Check Date 08/30/2022 Check Number 136986 $59,009.54 FILE COPY NON-NEGOTIABLE ElroiSON· lt&t.lHIIO#�� Sovlhcm Qiljbitia Edism CCJ1r4)'11'1y 33S3 SIERRA AVE FONT ANA CA 9233S D1Kument# lnolceT-: Cast.aer Nam�: c.Jtomer laid: hvokeDate: SO: Contact: Telepliene: IIIStalJ -BtWni Optloa: 7S90-433S38 90Days FONTANA, CITY OF ACCOUNTSPAYAB�ONTAN'A.ORO OS/23/2022 V Cbristopbe[ Ramos SCEINSTALL Dlstrlc:t Addre$t: 79Sl REDWOOD AVENUE FONTANA CA 92336 Call the Edison company at l-800-655-4555 to make application for electrical setvice. An Edison Inspector most approve all underground systems. Please call your dcsiguatcd inspector 48 ho\lCS prior to ction to schedule an inspcd.ion. By paying this invoice, customer acknowledges and agrea Chat if this pcojcct is c:mceled by customer for any reason or docs not proceed with the project completion. Any expense incurred by SCE, including, but not limited to, CXP= related to engineering. inspection and coostruction ·or to the project cancellation or completion will be deducted from any applicable n:fuod due to the custom«. To msun: worker aoo public safety, please mainta.in the appropriate clearance dislallce from utility infrastructure during our constmction project to avoid encroachments that may result in serious injury or damage. If relocation of existing lllility infrastruct� is pending, please adjust your work. around the proposed IClocation scbedut appropriate. If you have any questions, please contact the designated SCE repceseotativc assigned lo youc project. F'cl nJ " lnstractions ror wire or ACH payments: JP Morgan Chase Bank New York.NY ABA#: 021000021-Acct#: 323-394434 SCE Taxpayer ID No. 9S-1240335 SCE Contact: Christopher Ramos Document#: 7590433538 59 29 29 *** Failure to properly identify your document number and SCE contact may delay the application of funds and initiation of your project Sptti.:ll lnstructioRS for overnight delivery methods: Southern California Edison Attn: Accounts Receivable 8631 Rush Street G-53 Rosemead. CA 91770 009•540+ 3'/7 /l LJ- 681 ·BOO*+ Please detach and return payment stub with payment Payment Please pay total amount now due: $59,009.54 Stub Doi:u.meot # 7590433538 FONTANA, CITY OF 8353 SIERRA A VE FONTANA CA 9233S Thank you for paying promptly Make check payable to Southern California Edison ATIN: Accounts Receivable P0Box800 Rosemead, CA. 91771-001 Doamacnt# · 75911433S38 hyolce Term; 90Days Cmtom.er Name: l'ONTANA.:cn:Y OF hl.,BDtioll VUE1lllli:tJON,U..JJ Sou\hmi ca!ifomia.EdisOII Company Customer Em2ll: ACCOTJNTSPAYABLE@FONl'ANA.ORO m-j SIBRRA A'Vli FONTANA CA 92335 lm'olca.J);gc; SCE Cantaa: Tdqihoue: Inrtall-BllllD;'Optlon: OSl23f.W22 Chmtophci-Jwnos SCB INSTAL,L · DlstrfctAcldr 79SI REDWOOD AvmroEFONTANA Ca92336 SetvkoRcqualNIIIDoo-iJ268S18 Projrct.Dc,cripli11 q[REETUGHTPROJi!Cr :Project1-tlo11! ALDER&MILl.EJ!.&.LAURBI. XSl'R.T.FONTANACA92336 Design ti: 1494353 Dcslp n / STREETUOHTPR.OJECT Prudo',:tll: 1%7317-:-STLTINSTALLATION V (nvolc : 468878- IaQ!: Thisamount.rcpmcm:sthe-totalSCEillbcrRqUirtdlocompleteilu:. AR-· e i--·--"·· ·· .. · · · .. amlteads .are illcludtcl In the loial SCE lal!or amouin.6dlirs !11',ATEIUAL; 1'bis OOICUlltiepusmlS lbe lald SCEmatmal mpml fo COi!JPlelle llle-worlc ri:quest. .All applk:iblc'1mlleti;ll .related ·01 919 also uichide4 in ihe h>la} SCI! rnalcml llll1D\l!lL .!l!l!.!'A This IIIOlllll reprcscms the tollll SCE olbcrcostsnquiml lo compli;tc tk1nmd,IC11UC.U.. InlD0$1 cases, this olhcr amount will of ali-.wlilional rcquir,,nlenlSlll:1:dcd forcomplciing IIR:wolirequ,:st. This olber typically c:mm.,u SCJ?_ 2. ITCC on Net Conslruction (Less Non Taxable Amoont) COMMENTS! • Em:lomi arc two c:qpii:s of )'l)U('in kc. Pf.easc.re!W'D mie copy of the mY!)ice \Villi y.olir payma1 to ACCOlll\ls ReccmJ!!e hi tb. cllCl!lfflisdum-llddrcsscd nvelope. The O!hcr oflhclnvoicc is lbr =oril:s.. *AIJ.PIUCl!S/uUfAP.l!LICABIEFORAPF.RIODOr90DAYSFROMnnsD.Al'EA'NDAIU!SUBJECTTOCHANOE THBREAPTER. "All pa)'Ill'!!1ls mn:st be@!iveml'11y m:w. idteinatepos!Dl mclliw,.or one of our el nk:p;l)']DCotopllons. Walk-in an:no.loogeratcq,tcdalanySCEiocaliou.mdudingAceounlskeivablc.. • Pl CClll}lkle all applic.illmis Ind/or C/IO!cn:ls mid retnm Ii> yourpl;nnmg office, -using lhe cru:losed .return-nddres&ed enwlq,e. + Jfutr«tllghh,orkonle: is = iatol with lhlsprojcd, conlrKts for ,pn, will be IOlied. I SO.flO S0.00 24.00% $3:Z,.488.48 521).87..95 24.00%