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Art3_Redlands_FY24_Orange_Blossom_Trail_Phase_IV_Inv1_RedactedDate: Please see below instructions and checkmark the items included in your submittal. 1. 2. 3. 4. 5. 6. 7. 8. Backup Summary itemizing reimbursement request expenses. Claimant: Authorizing Resolution (one-time submission) – required within SIX months of the project award by SBCTA Board or prior to requesting reimbursement of funds, whichever comes first. Resolution should authorize the filing of the claim form, authorize the submission of reimbursement requests and designate the individuals authorized to certify project completion (Authorized Agent). Sample language is available upon request. Claim Form (one-time submission) – required prior to, or along with, your first reimbursement request. Reimbursement Request Form (as needed) – this form is required every time a reimbursement is requested. Please note, progress payments are only eligible on awards over $200,000, the requested amount must be a minimum of 20% of the award total, and the local match share percentage must be met regardless of reimbursement amount requested. Additionally, there is a 20% retention until project completion. Backup Documentation (required with Reimbursement Request Form) – invoices, paychecks, purchase orders, contracts, etc. to support both the reimbursement and match amounts noted on the Reimbursement Request Form. Please note, staff administration and/or contract project management expenses are NOT eligible match expenses. However, staff expenses may qualify for local match under select circumstances. Please identify whether supporting documentation includes staff expenses under one of the following allowable conditions: Photos of Completed Project (completed projects only) – required when project is complete and should be attached to final reimbursement request. Other (optional) – Claimants may attach additional information not included in this list to support the claim or reimbursement request. SBCTA may request additional information as necessary. Award is for an ATP Safe Routes to School (SRTS) program project, not a SRTS infrastructure project. City of Redlands Necessary staff time directly related to in-house completion of design, right-of-way acquisition, or construction including inspection and/or construction management. Note: No travel costs or per diems allowed for staff time Certification of Completion (completed projects only) – prior to filing the final request for reimbursement, written verification of project completion by the agency’s Authorized Agent is required (see Authorizing resolution above). Sample language is available upon request. San Bernardino County Transportation Authority Claim Form Article 3 Grant Program Project Name:Orange Blossom Trail Phase IV Grant Allocation No:L24-0702-0746-00 Claimant: City of Redlands Address: Attention: Phone No: E-mail Address: 1,089,700.00$ Purpose:Please check one purpose. Note: this form only needs to be completed and submited with the full award amount once. Authorizing Signature: (Authorized Agent specified in Authorizing Resolution) Date: Signature Gerard Nepomuceno,Senior Civil Engineer Type Name & Title 35 Cajon St., Suite 15A Approval of this claim and payment by the County Auditor to this claimant are subject to monies being available and to the provision that such monies will be used only in accordance with the approved allocation instruction. Transit Stop Access Improvements, PUC 99233.3 Gerard Nepomuceno (909)798-7584 x4 gnepomuceno@cityofredlands.org Condition of Approval: Article 3 Bicycle/Pedestrian Facilities, Public Utilities Code (PUC) 99233.3 Award Amount Art3_Redlands_FY23_BikePed_OBT IV_Claim Updated Form.xlsx Claim Form Page 1 San Bernardino County Transportation Authority ATTACHMENT 1 Reimbursement Request Article 3 Grant Program Allocation #: Complete fields in yellow below. Total Project Cost Percent Local Match Local Match $1,282,000.00 15.00%$192,300.00 Section 1: Required for ALL Reimbursement Requests Section 2: Required for Progressive Reimbursements ONLY A: Current Request for Reimbursement $799,299.27 100%1) Overall % Completed $141,052.81 0.82 2) Mileage Completed (if applicable)Share Completed:149.09% $0.00 $940,352.08 Enter total only *Shares will be automatically calculated based on non-rounded formula. $799,299.27 73.4% $141,052.81 73.4% $0.00 0.0% $940,352.08 73.4% $217,940.00 TDA Article 3 $290,400.73 26.6% $51,247.19 26.6% $0.00 0.0% $341,647.92 26.6% 5) Check to verify expenses claimed are consistent with the approved scope below. Total Project Miles (if applicable).55 By signing below, I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge. Signed:Date:8/18/26 (Authorized Agent specified in Authorizing Resolution) ATP Funds (if applicable) Local Match Total Installation of Class I recreational multi-use trail from I-10 to California St, resulting in about 8 miles of continuous Orange Blossom interconnect trail. Article 3 Award Amount $1,089,700.00 L24-0702-0746-00 ATP Funds (if applicable) $0.00 Grant Information (completed by SBCTA) Project Name Claimant:City of Redlands Orange Blossom Trail Phase IV C: Balance Remaining B: Summary of Project Status 3) If either number turned red above, please provide a project schedule that demonstrates how the project will be completed on schedule within the budget. Provide attachments as needed. TDA Article 3 Reimbursement Amount Requested Local Match B: Project Costs to Date (include amount requested above) ATP Funds Utilized 4)ATP (if applicable) 2) TDA Article 3 3) Local Match Total 1) Total Spent* C: Provide a copy of any contract(s) associated with reimbursable work. A: Project Completion (turns red if % completed is significantly less than invoice) The Orange Blossom Trail 4 has been completed through a construction contract with Tryco General Engineering in the original amount of $960,245.00. The contract included $75,000 of contingency to be used for unforeseen work. After Project completion, $23,292.92 of the contingency fund remained unused. The actual final cost of the Project is $936,852.08. Also included in this reimbursement request is $3,500 for permit fees issued to San Bernardino Flood Control District. Progressive Reimbursement Invoice should be for a minimum of 20% of TDA Article 3 award amount Progressive Reimbursement must not go below 20% retention until project completion $217,940.00 Art3_Redlands_FY23_BikePed_OBT IV_Claim Updated Form.xlsx Reimbursement Request Page 1 Due to a rounding error, the reimbursement amount was reduced by $0.02 resulting in an amount of $799,299.25 and the TDA Article 3 balance increased to $290,400.75. New amount $799,299.25 New amount $799,299.25 New balance $290,400.75 Project Title: Date Recipient's Name Brief Description of Purchase Amount Include proof of payment with redacted account number. 8/29/24 San Bernardino County Permit Fees 3,500.00$ 9/11/25 Tryco General Engineering Project Construction 144,067.50$ 10/30/25 Tryco General Engineering Project Construction 113,715.00$ 1/8/26 Tryco General Engineering Project Construction 359,345.10$ 4/16/26 Tryco General Engineering Project Construction 237,677.65$ 6/18/26 Tryco General Engineering Project Construction 35,204.23$ 7/23/26 Tryco General Engineering Project Construction 46,842.60$ 940,352.08$ Orange Blossom Trail Phase IV Total VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: MP Pay To The Order Of Vendor Number 248306 09/11/2025 $144,067.50 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 08/29/2025 708 1) ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $144,067.50 22502009 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 248306 Check Date 09/11/2025 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $144,067.50*** One Hundred Forty-Four Thousand Sixty-Seven Dollars And Fifty Cents *** PAGE:1 OF 1 VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: MP Pay To The Order Of Vendor Number 249492 10/30/2025 $113,715.00 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 10/02/2025 709 2)ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $113,715.00 22502009 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 249492 Check Date 10/30/2025 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $113,715.00*** One Hundred Thirteen Thousand Seven Hundred Fifteen Dollars And Zero Cents *** PAGE:1 OF 1 VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: PO #: MP Pay To The Order Of Vendor Number 250826 01/08/2026 $533,765.10 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 11/30/2025 714 1) 2025 CIP SEWER PIPELINE REPLACEMENT PROJECT $174,420.00 22650509 - MUNICIPAL UTIL & ENGINEERING 12/10/2025 715 3) ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $359,345.10 22502009 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 250826 Check Date 01/08/2026 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $533,765.10*** Five Hundred Thirty-Three Thousand Seven Hundred Sixty-Five Dollars And Ten Cents *** PAGE:1 OF 1 VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: MP Pay To The Order Of Vendor Number 252983 04/16/2026 $237,677.65 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 03/30/2026 725 4)ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $237,677.65 22502009 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 252983 Check Date 04/16/2026 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $237,677.65*** Two Hundred Thirty-Seven Thousand Six Hundred Seventy-Seven Dollars And Sixty-Five Cents *** PAGE:1 OF 1 VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: MP Pay To The Order Of Vendor Number 254307 06/18/2026 $35,204.23 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 06/02/2026 731 5) ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $35,204.23 22502009 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 254307 Check Date 06/18/2026 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $35,204.23*** Thirty-Five Thousand Two Hundred Four Dollars And Twenty-Three Cents *** PAGE:1 OF 1 VENDOR NUMBER VENDOR NAME INVOICE AMOUNTINVOICE DATE INVOICE NUMBER DESCRIPTION PO #: PO #: MP Pay To The Order Of Vendor Number 255050 07/23/2026 $105,661.78 CHECK NUMBER CHECK DATE CHECK AMOUNT 3494 TRYCO GENERAL ENGINEERING 06/17/2026 732 6R)ORANGE BLOSSOM TRAIL PHASE 4-TYRCO $46,842.60 22502009 - MUNICIPAL UTIL & ENGINEERING 06/17/2026 733 6R) 2025 CIP SEWER PIPELINE REPLACEMENT PROJECT $58,819.18 22650509 - MUNICIPAL UTIL & ENGINEERING VOID IF NOT CASHED WITHIN SIX MONTHS U.S. Bank, N.A., 800 Nicollet Mall BC-MN-H20I, Minneapolis, MN 55402 90-3582/1222 | 153210005234 VOID CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL… City Treasurer P.O. Box 3005 Redlands, CA 92373 3494 Check Number 255050 Check Date 07/23/2026 TRYCO GENERAL ENGINEERINGPO BOX 391RIMFOREST, CA 92378 $105,661.78*** One Hundred Five Thousand Six Hundred Sixty-One Dollars And Seventy-Eight Cents *** PAGE:1 OF 1