HomeMy WebLinkAboutCALTRANS - State of California - Department of Transportation - 2011-06-06i Keep this portion for your records
¢« California Department of Transportation
(800) 404-7787
Outside CA: (916) 2274227
CITY OF HUNTINGTON BEACH
7280 EDINGER AVENUE
ATTN: TODD BROUSSARD
HUNTINGTON BEACH CA 92647
Invoice Number: 12001406
Invoice Date: 10-07-11
invoice uescription
Utility Agreement #'s 12-UT-1140, 12-UT-1144 and
12-UT-1149 EA OL0804 Project 1200020019
Invoice for Advance Deposits
Return this portion with your payment
State of California
Department of Transportation
Department of Transportation
ATTN: Cashiering Office
PO Box 168019
Sacramento CA 95816-8019
Make check payable to Department Of Transporation
To make payment by Visa or Mastercard,
include your card number, exp. date, and signature:
$87,200.00
CITY OF HUNTINGTON BEACH
7280 EDINGER AVENUE
ATTN: TODD BROUSSARD
HUNTINGTON BEACH CA 92647
Amount: $87,200.00
Invoice Number: 12001406
Signature Daytime Phone
12001406 000 00000008720000 0
State of California — Department of Transportation
UTILITY RELOCATION MEMORANDUM
TO: ACCOUNTS RECEIVABLE/PAYABLE DATE: September 22, 2011
Telephone # 916-227-9336
Federal Participation
On the Project ❑ Y or MN
Attn: Amy Biggar, Sr. Accounting Officer On the Utilities ❑ Y or ® N
Fed. Proj. No.: NIA
FROM: RIGHT OF WAY UTILITIES - DISTRICT 12 Dist/Co/Rte/Post : 12-ORA-39-P.M-0.0/3.2
EA: OL0804
SUBJECT: INVOICE or ❑ REFUND REQUEST Utility Agreement#: 12-UT-1140
Bill: City of Huntington Beach - Sewer Dept. ❑ DO NOT MAIL
Public Works Utilities Division
7280 Edinger Avenue ® MAIL
Huntington Beach, CA 92647 .
Attn: Todd Broussard, P.E. TOTAL AMOUNT:
$ 23,000.00
SPECIAL INSTRUCTIONS:
• SEND COPY OF ACCOUNTS RECEIVABLE BILL TO REQUESTOR
® DO NOT SEND ACCOUNT TO COLLECTION IF NOT PAID ON TIME
REASON FOR REQUEST: (Please attach supporting documents)
ABATEMENTS: REFUNDS:
❑ Audit findings ❑ Overpayment of advance deposit
❑ Overpayment of final billing (work done by owner)
REIMBURSEMENTS: ($ owed by Owner to Department)
El Property rights -fee -or easement Construction Relocation by Caltrans-Owners Liability
❑ Permit installation by Department ® Advance deposit
❑ Depreciation/Betterments ❑ Final billing
❑ Potholing -Owner liability
❑ Department designed engineering for Owner
❑ Discovered Work performed by Department ❑ *OTHER (Describe below)
❑ CCO R/W DELAYS caused by Owner
COMMENTS: Reimbursement for State's relocation/adjustment of City of Huntington Beach's sewer manhole covers
for State's construction project of AC overlay on State Route 39 (Beach Blvd.) from Pacific Coast Highway (SR-01)'to Ellis
Avenue/Main Street, in the City of Huntington Beach, County of Orange.
PREPARED BY UTILITY COORDINATOR: REV B UTILITY COORDINATOR SUPVR:
Signs �(r'v�—Date: 09/22/2011 Sign: r Date: 09/22/2011
Print: Franci Coleman Telephone: (949)'724-2710 Print: Robert Enriq ez Telephone: (949) 724-2406
District 12 Fax: (949) 724-2622 District 12 Fax: (949)724-2622.
Coding Information
.,..
'@
�Sp�,UNIHT���CD;EP�;��1S„lJ_BJO,B��"SPEC`IAL�Dt�,11F�A��t�;�AO,,�;SUB�AGCzT�AMdUNT
£) 5
° t
M, ig i 35
_ Y .y
N 4 ,' P
I v1
- S . _.
.� a
n,
,,F�:
12
3031
1 .tJ
OL0804
7
054
$23,000.00
2012
.!i5?
I
"
�r�D4NOTWRITEBEL®W�s"�
' ty"^.e 1 d
.w..i4�F�i..#S.".Tiy<'i'as
L i ?k i
�.
ENTERED BY:
INVOICE #:
DATE:
R 1471 It
jD76d
STATE OF.GALIFORNIA ► DEPARTMENT OF TRANSPORTATION Page 1.of 3
UTILITY AGREEMENT
RW 93-5 (Rev.'10/95)
Dist Co Rte P.M. EA
12 ORA 39 0.0t3.2 01,4804
(3-200020019)
�federal_Aid No. rYa
Owners File:
Fg DES. i ARTICIPATIOI*t: 't n the Project0 Yes ® No
On th,e V iiities' Yes 9 :No
A4.a-ti��i.lak i'l...I'' ViC YY Yltis -
The -'existing faciH,ties are located'W thin the.STATE's right of way wilder permit -and will be adjusted at;100% 'OWNER's
expenso. A4cr-thy provisions of Sectioli (673) (680) of the Streets and FIighway Code.
W. Pr", — ORAIANCE OFVORK
OWNER shallhave access to all phases of the adjustment work to be performed by,STATE, as described in Section i
.above, for the,pulpose of'ir}spcction to ensure that the work is in accordance'witli the specifications contained in the
Highway Construction Couiraci,.however.. all questions regarding the work being performed ce ll be directed to STATE's
Resident Engineorfor their evaluation and final disposition.
UTUTY AGREEMENT (Cont.)
RW 13-5°(Rev. 10195)
IV. PAYMENTS FOR WORK
Page 2 of 3
The OWNER shall pay its share of the;actual cost of said work included in the STA.TE's highway: construction: contract
within 90 days after receipt ofSTATE's'bill, compiled :on the basis of the actual bid price.o f said "contract. The estimated
cost -to OWNER for the "wark"beilig pefored wntractor is $23»O00.00:
In the event actual final relocation "costs as estat lished`herein are less.than the suet of money advanced by -OWNER to
STATE, STATE hereby agrees to,reftind to OWNER the difference between"said actual cost, and the s4mr o£money so
advanced. In tlse event that the:actual "etist of relocation exceeds the amount of money advanced 6 STAATE; in
acco rdance with the.provislons of this Agreement, "Ci R"hereby agrees to reimburse STA i E""said.cleficient,costs upon
receipt ofan itemized bill as set f ortlr herein.
UTILITY AGREEMENT (Cont.)
RW 13-5 (Rev.10195)
THE ESTIMATED "COST TO.STATE FOR ITS SHARE OF THE ABOVE DESCRIBED WORK IS $ 0.00 .
CF,ki l:'ICAT {3N OF FUNDS
Page 3 of 3
O. 12-UT-1140
FUND TYPE
EA
AMOUNT
Design funds
OL0901
$ 0:00
C6nsttuctiQnRinds
OL08104
.: 23,000 00
RW.Fnn&
OLD809 ' `
$ 0:'0U
DOGUM NT'
O.
i)i T
UNIT"
1 CH
DISj
EA
SUB -
JOB.:
'SPECIAL ��
DtSIQi*iA71ON
VtY
FA
(7B7
:ODE
DOLLAR
- AMOUNT
r
IZ.°'
1'
12]i,-�
EAFUNDID:C, iEI?' ,
Print
wwl Plng and Matipgemen Date
Distribution: 2 o igr'.pals,to'RIW Progr4M Accountinv & Analysis
2 otiainals returned to RfW 'Plaulning S, Management
REVIEW/REQUEST FUNDING`;
Print> FFr mci Coleman C
Utility Coordinator Date
State of California — Department of Transportation
UTILITY RELOCATION MEMORANDUM
TO: ACCOUNTS RECEIVABLE/PAYABLE
Telephone No. (916) 227-9336
Attn: Amy Biggar, Sr. Accounting Officer
FROM: RIGHT OF WAY UTILITIES - DISTRICT 12
SUBJECT: ® INVOICE or ❑ REFUND REQUEST
Bill: City of Huntington Beach - Storm Drain Dept.
Public Works Utilities Division
7280 Edinger Avenue
Huntington Beach, CA 92647
Attn: Todd Broussard, P.E.
SPECIAL INSTRUCTIONS:
DATE: September 22, 2011
Federal Participation
On the Project ❑ Y or ® N
On the Utilities ❑ Y or ® N
Fed. Proj. No.: N/A
Dist/Co/Rte/Post : 12-ORA-39-P.M-0.0/3.2
EA: OL0804
Utility Agreement #: 12-UT-1149
❑ DO NOT MAIL
TOTAL AMOUNT:
$6,000.00
• SEND COPY OF ACCOUNTS RECEIVABLE BILL TO REQUESTOR
• DO NOT SEND ACCOUNT TO COLLECTION IF NOT PAID ON TIME
REASON FOR REQUEST: (Please attach supporting documents)
ABATEMENTS: REFUNDS:
❑ Audit findings ❑ Overpayment of advance deposit
❑ Overpayment of final billing (work done by owner)
REIMBURSEMENTS: ($ owed by Owner to Department)
❑ Property rights -fee or easement Construction_ Relocation by Caltrans-Owners Liability '
❑ Permit installation by Departmen1.t ® Advance deposit
❑ Depreciation/Betterments ❑ Final billing
❑ Potholing -Owner liability
❑ . Department designed engineering for Owner
❑ Discovered Work performed by Department ❑ *OTHER (Describe below)
❑ CCO RNV DELAYS caused by Owner
COMMENTS: Reimbursement for State's relocation/adjustment of City of Huntington Beach's water manhole covers for
State's construction project of AC overlay on State Route 39 (Beach Blvd.) from Pacific Coast Highway (SR-01) to Ellis
Avenue/Main Street, in the City of Huntington Beach, County of Orange.
PREPARED BY UTILITY COORDINATOR:
Sign: Date: 09/22/2011
Print: Franci Coleman Telephone: (949) 724-2670
District 12 Fax: (949) 724-2622
REV1 BY UTILITY COORDINATOR SUPVR:
C
Sign: Date: 09/22/2011
Print: Robert Enrique Telephone: (949) 724-2406
District 12 Fax:. (949)724-2622
Coding Information
SUl
tTC }
S,D
U]NI IT#*'
CDC"
EA � _ r
SUBJOB
SPEGIAL�D
y
�A1=1110
99092AGCT
A11A UNiTs
W-W.
12
3031
OL0804
7
054
$6,000.00
2012
tz- Zati t
'i
'i.y#i
N..a���
Y'
f rt
S ?,
b s sstid
� '.:,.��
'S
a
Z,.:@,C;.6+�.r3'ne:t
h Y
2`U" 7F�ru �d k: YaJ�` T�
�DO;NOTWF211 EtB'ELOUV�e.
4...._ A 6
T
I#
1�u
h"I
"A.,
"a�"
ENTERED BY:
INVOICE #:
DATE:
`it2-7 ft (
1D7 61J
STATE OF CALIFORNIA * DEPARTMENT OF TRANSPORTATION
UTILITY AGREEMENT
RW 13-5 (Rev_ 10/95)
Page 1 of 3
Dist
Co
Ric
I'.M.
EA
12
ORA
39
0.0/3.2
OL0804
(1200020019)
Federal Add No. n/a
Owners File:
FEDERAL PAR`I`ICIPATION- On the Project ❑ Yes No
On the lAilities 0 Yes No
The existing facilities are located within the STATE's ri t.ofway, -under permit and will be adjusted at I00%.OWNER's
expense under the provisions of Section (673) (680) of the Streets and Highway Code.
M. PERFORMANCE OF WORK
OtiVNER shall have access to all phases of the adjustment work to be performed by STATE, as described in Section l
above, for the purpose of inspection to ensure that the work is in accordance with the specifications contained in the
llighway'-Constriction Contract; however, all questions regarding the work being performed will be directed to STA`1'E's
Resident :Engineer for their evaluation and final disposition.
UTILITY AGREEMENT (Cont.)
RW 13-5.(Rev. 10195)
W. 'PAYMENTS FOR WORT
Page 2 of 3
UTILITY AGREEMENT NO 12-LTT-1149
The OWNED. shall pay its share of the:actuai.cost of said work included in the STATE's highway construction contract
within 90 days after receipt of STATE's bill, compiled on the hasis of the actual bid price of said contract. The estimated
cost to OW-!� E12 for the work tieing Performed -by the STATE's highway contractor is . 6 000.00_
UTILITY AGREEMENT (Cont.) Page 3 of 3
RW 13-5 (Rev. 10195)
UTILITY AGREEMENT NO. 12-LJT-1-149
THEESTWATED COST TO STATE FOR ITS SHARE OF -THE ABOVE DESCRIBED WORK IS $ 0.00 .
CgRTMCATION, OF FUNDS
RJND,TYPE
FA
AMOUNT
Design Funds
OL0801
$
0.00
C6nstruction.Funds
OL0804
6,000.00
RWTunds
-01,0809
0.00
Led this, Agreement, the day and year above written.
CHG
SPECIAL
OBJ
D01-LAR
DIS
DIST
EA
JOB -
TFSiG-NAtON
Fky
A
CODE
AMOUW
"
7
12
P�
?
I I-
OS4
c �Z2 ' M-0
PIED:
Print-,
aArplanning and M-'Ing-
_"-'2' t Dalc
Distribution: 9-originals toR[WPro Accountinc, & .Analysis
91"llm n
2 originals returned to MIVI'lamfim-, & Management
REVIEW/REQUEST FUNDING:
1-1
Sian>
Print> Franci Coleman
Utility Coordinator Datc
State of California — Department of Transportation
UTILITY RELOCATION MEMORANDUM
TO: ACCOUNTS RECEIVABLE/PAYABLE
Telephone No. (916)227-9336
Attn: Amy Biggar, Sr. Accounting Officer
FROM: RIGHT OF WAY UTILITIES - DISTRICT 12
SUBJECT: ® INVOICE or ❑ REFUND REQUEST
DATE: September 22, 2011
Federal Participation
On the Project ❑ Y or ® N
On the Utilities ❑ Y or ® N
Fed. Proj. No.: N/A
Dist/Co/Rte/Post : 12-ORA-39-P. M-0.0/3.2
EA: OL0804
Utility Agreement #: 12-UT-1144
Bill: City of Huntington Beach - Water Dept. ❑ DO NOT MAIL
Public Works Utilities Division
7280 Edinger Avenue M MAIL
Huntington Beach, CA 92647
Attn: Todd Broussard, P.E. TOTAL AMOUNT:
$ 58,200.00
SPECIAL INSTRUCTIONS:
® SEND COPY OF ACCOUNTS RECEIVABLE BILL TO REQUESTOR
• DO NOT SEND ACCOUNT TO COLLECTION IF NOT PAID ON TIME
REASON FOR REQUEST: (Please attach supporting documents)
ABATEMENTS: REFUNDS:
❑ Audit findings ❑ Overpayment of advance deposit
❑ Overpayment of final billing (work done by owner)
REIMBURSEMENTS: ($ owed by Owner to Department)
❑ Property rights -fee or easement Construction Relocation by Caltrans-Owners Liability
❑ Permit installation by Department ® Advance deposit
❑ Depreciation/Betterments ❑ Final billing
❑ Potholing -Owner liability
❑ Department designed engineering for Owner
❑ Discovered Work performed by Department ❑ *OTHER (Describe below)
❑ CCO R/W DELAYS caused by Owner
COMMENTS: Reimbursement for State's relocation/adjustment of City of Huntington Beach's water manhole covers for
State's construction project of AC overlay on State Route 39 (Beach Blvd.) from Pacific Coast Highway (SR-01) to Ellis
Avenue/Main Street, in the City of Huntington Beach, County of Orange.
PREPARED BY UTILITY COORDINATOR.
Sign: ` C,1 Date: 09/22/2011
Print: Franci Coleman Telephone: (949) 724-2710
District 12 Fax: (949) 724-2622
RE B UTILITY COORDINATOR SUPVR:
Si n: Date: 09/22/2011
Print: Robert Enrique Telephone: (949) 724-2406
District 12 Fax: 949)724-2622
Coding Information
z�S.UFa "riTC`
7..
"L
'tx'' 1
SD;' '
-'�,lJ_Nl -
„. �:-
'}}.','.GD"pP'°
i�dr.xr�n F.-
E-A "-.
�� "
SUB°JOB"""
SPEGI'AL D
�"F Fd11' ` '
iP:�fn: R? $+? 5�
IAOJJ �
a ..m;. l
a SUC:C-TA
a_rx tS3o-? a
SK', f 90 el �
:.s r kr,Jpma ,�''i
''F�l',+ -
z�,¢eaRv`�S`W
12
3031
oil
0L0804
7
054
$58, 200.00
2012
,...s..x�sv^s�_.�F�3
R
DO N07WRITE_BE,L®W�z::
r
RRIKHMMM
INVOICE #:
DATE:
a1A7 6
107 6 t
STATE OF CALIFORNIA -DEPARTMENT OF TRANSPORTATION
UTILITY AGREEMENT
RW 13-5 (Rev. 10195)
Page 1 of 3
Dist Co ' Rte
C 12 ORA 39 0 0J3,2 OLI
(] 2t�00200 t9}
in additi6h, to the-revised'Notice' c 0wrier. �Jt NFR, shall have the right jo inspect the work.by S TA'TE's contractor
duzing,constn�ctiol�, Upon a,completaon",ofthe work by STATE;' OWNER aguees to accept o�vn rshij and maintenance of
the constructed facilities;
II. LIABILITY FOR WORIK
The existing facilities are located withii the STATE's right. of way under permit and will be adjusted at 100% !OWNER's
expense under.the_.prov'isions of Section (673) (680)'ofthe 5treets.and_I'Iighway Corte._
III, PERFORMANCE OF NVOPK
OWNER shall have access to all phases of the adjustment work to be performed by STATE, as described in Section I
above, for the purpose of inspection to ensure that the work is in accordance with the specifications contained in the
Highway Construction Contract, however, all questions regarding the work being performed will be directed to STATE's
Resident Engineer for their evaluation and final disposition.
UTILITY AGREEMENT (Cont.) Rage 2 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO, I,2 UT-1144
IV. PAYMENTS FOR WORK
K
The OWNI R: shall pay its share of the actual cost of said work included in the STATE's highway..construction contract
within.9G days after receipt of STATE's hill, compiled on the basis of the actual bid price.af said contract: The estimated
cost;to OWNER for the work being performedby the STATE's; highway contractor,is $58,200;00.
ATZ);t�z Ys;projq
Ari%dza t ,Th
,which precipitated.twillnotifyCOWenduent �sliall pravde mutually acceptable terms;and conditiolas fc�z terminaing the Agreement.'
UTILITY AGREEMENT (Cont.) Page 3 of 3
RW-13=5 (Rev, 10195)
UTII ITZ' AGREEMENTNC I2-UT-ll44
THE ESTIMATED COST TO STATE FOR ITS SHARE OF THE ABOVE DESCRIBED WORK IS S 0.00 .
�"WITNESS WHEREOF; the above parties have exxecut
execute
FUND TYPE
EA
AMOUNT
Deiigti Funds
OL0801
S 0:00
Construction_Fimds -
QIA804
$58,NO.00
RW Hands
OLO809
$ 0.00
this Agreement the day and year above written.
DOCUMENT,°
CHG
SUB,
SPECIAL:
OBJ - =
= �DOLLAk
NUMBED
DIST
:UNr-F -
DIST
EA
JOI3
DESIGNATION
FFY
FA
COTE
AMOUNT
• . 4
...
12
tl ,:j`
32
j r; .ta cI
I r
?
0154-
3
EA FiN IN IED:
print>
R14OPlanningand Managem t Date
Distribution: 2 originals,to RfW ProgTatnAccounting & Axalysis
2 originals returned to-RIW Planning &Management
REVIEWIREQUE$T FUNDING:
Si,mn> . tt
— 0,9:.
Print> 'Franci Coleman
Utility C.00 di ator Date
Council/Agency Meeting Held: 61k1121,Q1Z
Deferred/Continued to:
ApproveAppropri ❑ Conditionally Approved ❑ Denied
9fy Clerks Si tune
Council Meeting Date: June 6, 2011
Department ID Number: PW11-016
# fi _ ,
AT 46V
SUBMITTED TO: Honorable Mayor and City Council Members
SUBMITTED BY: Fred A. Wilson, City Manager
PREPARED BY: Travis K. Hopkins, PE, Director of Public Works
SUBJECT: Approve three Utility Agreements with the State of California
Department of Transportation (Caltrans) for the Beach Boulevard
Resurfacing Project.
Statement of Issue: Caltrans will be resurfacing Beach Boulevard from Main Street to
Pacific Coast Highway, which will require adjusting the City's utility valves and manhole
covers to new finished surface grade. The City is obligated to reimburse Caltrans for this
effort. Utility Agreements are required for each affected City utility (water, sewer, and storm
drain).
Financial Impact: Funds in the amount of $58,200 for the water valves are available in
the Water Fund, Water Distribution, Water Services Maintenance, Account No.
50685804.67685. Funds in the amount of $23,000 for sewer manholes are available in the
Sewer Service Charge Fund, Sewer Service Maintenance, Contracts for Repair and
Maintenance, Account No. 51185201.64620. Funds in the amount of $6,000 are available in
the General Fund, Storm Drain, Contracts for Repair and Maintenance, Account No.
10085501.64620.
Recommended Action: Motion to:
A) Approve and authorize the Mayor and City Clerk to execute "Utility Agreement No. 12-UT-
1140;" and,
B) Approve and authorize the Mayor and City Clerk to execute "Utility Agreement No. 12-UT-
1144;" and,
C) Approve and authorize the Mayor and City Clerk to execute "Utility Agreement No. 12-
UT-1149."
Alternative Action(s): Do not approve the agreements and direct staff on how to proceed.
HB -43- Item 3. - I
REQUEST FOR COUNCIL ACTION
MEETING DATE: 6/6/2011 DEPARTMENT ID NUMBER: PW11-016
Analysis: Caltrans will be resurfacing Beach Boulevard (State Route 39) from Main Street
to Pacific Coast Highway. This work will necessitate the vertical relocation of several of the
City's water valves and sewer and storm drain manhole covers. It is the City's responsibility
to relocate these utilities, however, Caltrans has agreed to have its contractor perform this
work at the City's cost of approximately $87,200 and upon execution of a Utility Agreement.
The resurfacing project is expected to begin construction in September 2011 and is expected
to be completed by the end of the year.
Caltrans has submitted for the City's execution, Utility Agreement 12-UT-1140 for relocation
of the City's sewer manholes, Utility Agreement 12-UT-1144 for relocation of the City's water
valves and manholes and Utility Agreement 12-UT-1149 for relocation of the City's Storm
drain manholes.
Environmental Status: Not applicable
Strategic Plan Goal: Maintain, improve and obtain funding for infrastructure and equipment
Attachment(s):
Item 3. - 2 xB -44-
-ATTACHMENT #1
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
UTILITY AGREEMENT
RW 13-5 (Rev. 10/95)
Page 1 of 3
Dist
Co
Rte
P.M.
EA
12
ORA
39
0.0/3.2
OL0804
(1200020019)
Federal Aid No. n/a
Owners File:
FEDERAL PARTICIPATION: On the Project ❑ Yes ® No
On the Utilities ❑ Yes ® No
UTILITY AGREEMENT NO. 12-UT-1140 DATE
The State of California acting by and through the Department of Transportation, hereinafter called "STATE" proposes to
overlay State Route 39 (SR-39) existing pavement with 0.1 ft (1.2 in.) of Rubberized Hot Mix Asphalt (Type G) from
Pacific Coast Highway (SR-01) to Ellis Avenue/Main Street, and replace existing loop detectors and traffic striping, all
within the City of Huntington Beach, County of Orange; and the City of Huntington Beach, hereinafter called
"OWNER", owns and maintains underground water facilities, in particular, forty-six (46) sewer manhole covers within
the limits of STATE'S project which require adjustment to grade to accommodate the STATE'S project.
It is hereby mutually agreed that:
I. WORK TO BE DONE
In accordance with Notice to Owner No. 12-UT-1140, dated February 23, 2011, STATE shall perform adjustments on
the OWNER's forty-six (46) sewer manhole cover facilities along SR-39 as shown on STATE's contract plans for the
improvement of State Route 39, EA 01,0804, which by this reference, are made a part hereof. OWNER hereby
acknowledges review of STATE's plans for work and agrees to the construction in the manner proposed. Deviations
from the plan described above initiated by either the STATE or the OWNER, shall be agreed upon by both parties hereto
under a Revised Notice to Owner. Such Revised Notices to Owner, approved by the STATE and agreed to/acknowledged
by the OWNER, will constitute an approved revision of plan described above and are hereby made a part hereof. No work
under said deviation shall commence prior to written execution by the OWNER of the Revised Notice to Owner. Changes
in the scope of the work will require an amendment to this Agreement in addition to the revised Notice to Owner.
OWNER shall have the right to inspect the work by STATE's contractor during construction. Upon completion of the
work by STATE, OWNER agrees to accept ownership and maintenance of the constructed facilities.
II. LIABILITY FOR WORK
The existing facilities are located within the STATE's right of way under permit and will be adjusted at 100% OWNER's
expense under the provisions of Section (673) (680) of the Streets and Highway Code.
III. PERFORMANCE OF WORK
OWNER shall have access to all phases of the adjustment work to be performed by STATE, as described in Section I
above, for the purpose of inspection to ensure that the work is in accordance with the specifications contained in the
Highway Construction Contract; however, all questions regarding the work being performed will be directed to STATE's
Resident Engineer for their evaluation and final disposition.
UTILITY AGREEMENT (Cont.) Page 2 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO. 12-UT-1140
IV. PAYMENTS FOR WORK
The OWNER shall pay its share of the actual cost of said work included in the STATE's highway construction contract
within 90 days after receipt of STATE's bill, compiled on the basis of the actual bid price of said contract. The estimated
cost to OWNER for the work being performed by the STATE's highway contractor is $23,000.00.
In the event actual final relocation costs as established herein are less than the sum of money advanced by OWNER to
STATE, STATE hereby agrees to refund to OWNER the difference between said actual cost and the sum of money so
advanced. In the event that the actual cost of relocation exceeds the amount of money advanced to STATE, in
accordance with the provisions of this Agreement, OWNER hereby agrees to reimburse STATE said deficient costs upon
receipt of an itemized bill as set forth herein.
V. GENERAL CONDITIONS
If STATE's project, which precipitated this Agreement, is canceled or modified so as to eliminate the necessity of work
by OWNER, STATE will notify OWNER in writing and STATE reserves the right to terminate this Agreement by
Amendment. The Amendment shall provide mutually acceptable terms and conditions for terminating the Agreement.
A.
UTILITY AGREEMENT (Cont.) Page 3 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO. 12-UT-1140
THE ESTIMATED COST TO STATE FOR ITS SHARE OF THE ABOVE DESCRIBED WORK IS $ 0.00 .
CERTIFICATION OF FUNDS
I hereby certify upon my own personal knowledge that budgeted funds are
available for the period and purpose of the expenditure shown here.
HQ Accounting
Officer Date
ITEM
CHAP
STAT
FY
AMOUNT
FUND TYPE
EA
AMOUNT
Design Funds
OL0801
$ 0.00
Construction Funds
OL0804
$ 23,000.00
RW Funds
OL0809
$ 0.00
IN WITNESS WHEREOF, the above parties have executed this Agreement the day and year above written.
STATE: OWNER:
CITY OF 3I'INGTON �H,
a cip co orat. of the State of California
By 7 - BY
Robert Enriquez M yor
Aili
District 12 R/W UQordinator _ -A✓ --
itv Clerk
APPROVAL RECOMMENDED:
LM
Franci Coleman
SR 39 Utility Coordinator
A Z&OVED AS TO FORM: ^
I Y 1 Z�
/C
City Attorney
INITIATED AND APPR VED
�irector of Public o
DO NOT WRITE BELOW - FOR ACCOUNTNG PURPOSES ONLY
PLANNING AND MANAGEMENT COMPLETES EXCEPT SHADED COLUMNS:
UTILITY COMPLETES:
DOCUMENT
Vie- `.«
CHG
SUB
SPECIAL
OBJ
DOLLAR
CODE
NUMBER
�>>>, ?
DIST
UNIT
DIST
EA
JOB
DESIGNATION
FFY
FA
CODE
AMOUNT
>.
.-
12
12
EA FUNDING VERIFIED: REVIEW/REQUEST FUNDING:
Sign:> Sign>
Print> Print> Franci Coleman
R/W Planning and Management Date Utility Coordinator Date
Distribution: 2 originals to R/W Program Accounting & Analysis
2 originals returned to R/W Planning & Management
ATTACHMENT #2
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
UTILITY AGREEMENT
RW 13-5 (Rev. 10195)
Page 1 of 3
Dist
Co
Rte
P.M.
EA
12
ORA
39
0.0/3.2
OL0804
(1200020019)
Federal Aid No. n/a
Owners File:
FEDERAL PARTICIPATION: On the Project ❑ Yes ® No
On the Utilities ❑ Yes ® No
UTILITY AGREEMENT NO. 12-UT-1144 DATE
The State of California acting by and through the Department of Transportation, hereinafter called "STATE" proposes to
overlay State Route 39 (SR-39) existing pavement with 0.1 ft (1.2 in.) of Rubberized Hot Mix Asphalt (Type G) from
Pacific Coast Highway (SR-01) to Ellis Avenue/Main Street, and replace existing loop detectors and traffic striping, all
within the City of Huntington Beach, County of Orange; and the City of Huntington Beach, hereinafter called
"OWNER", owns and maintains underground water facilities, in particular, one hundred forty-three (143) water valve
covers and two (2) water manhole covers within the limits of STATE' S project which require adjustment to grade to
accommodate the STATE'S project.
It is hereby mutually agreed that:
I. WORK TO BE DONE
In accordance with Notice to Owner -No. 12-UT-1144, dated February 23, 2011, STATE shall perform adjustments on the
OWNER's one hundred forty-three (143) water valve covers and two (2) water manhole cover facilities along
SR-39 as shown on STATE's contract plans for the improvement of State Route 39, EA OL0804, which by this reference,
are made a part hereof. OWNER hereby acknowledges review of STATE's plans for work and agrees to the construction
in the manner proposed. Deviations from the plan described above initiated by either the STATE or the OWNER, shall
be agreed upon by both parties hereto under a Revised Notice to Owner. Such Revised Notices to Owner, approved by
the STATE and agreed to/acknowledged by the OWNER, will constitute an approved revision of plan described above
and are hereby made a part hereof. No work under said deviation shall commence prior to written execution by the
OWNER of the Revised Notice to Owner. Changes in the scope of the work will require an amendment to this Agreement
in addition to the revised Notice to Owner. OWNER shall have the right to inspect the work by STATE's contractor
during construction. Upon completion of the work by STATE, OWNER agrees to accept ownership and maintenance of
the constructed facilities.
II. LIABILITY FOR WORK
The existing facilities are located within the STATE's right of way under permit and will be adjusted at 100% OWNER'S
expense under the provisions of Section (673) (680) of the Streets and Highway Code.
III. PERFORMANCE OF WORK
OWNER shall have access to all phases of the adjustment work to be performed by STATE, as described in Section I
above, for the purpose of inspection to ensure that the work is in accordance with the specifications contained in the
Highway Construction Contract; however, all questions regarding the work being performed will be directed to STATE's
Resident Engineer for their evaluation and final disposition.
— UT1U rY AGREEMENT (Cont.) Page 2 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO. 12-UT-1144
IV. PAYMENTS FOR WORK
The OWNER shall pay its share of the actual cost of said work included in the STATE's highway construction contract
within 90 days after receipt of STATE's bill, compiled on the basis of the actual bid price of said contract. The estimated
cost to OWNER for the work being performed by the STATE's highway contractor is $58,200.00.
In the event actual final relocation costs as established herein are less than the sum of money advanced by OWNER to
STATE, STATE hereby agrees to refund to OWNER the difference between said actual cost and the sum of money so
advanced. In the event that the actual cost of relocation exceeds the amount of money advanced to STATE, in
accordance with the provisions of this Agreement, OWNER hereby agrees to reimburse STATE said deficient costs upon
receipt of an itemized bill as set forth herein.
V. GENERAL CONDITIONS
If STATE's project, which precipitated this Agreement, is canceled or modified so as to eliminate the necessity of work
by OWNER, STATE will notify OWNER in writing and STATE reserves the right to terminate this Agreement by
Amendment. The Amendment shall provide mutually acceptable terms and conditions for terminating the Agreement.
•`'UTiLPTY AGREEMENT (Cont.)
RW 13-5 (Rev. 10/95)
Page 3 of 3
UTILITY AGREEMENT NO. 12-UT-1144
THE ESTIMATED COST TO STATE FOR ITS SHARE OF THE ABOVE DESCRIBED WORK IS $ 0.00 .
CERTIFICATION OF FUNDS
I hereby certify upon my own personal knowledge that budgeted funds are
available for the period and purpose of the expenditure shown here.
HQ Accounting
Officer Date
ITEM
CHAP
STAT
FY
AMOUNT
STATE:
FUND TYPE
EA
AMOUNT
Design Funds
OL0801
$ 0.00
Construction Funds
OL0804
$58,200.00
RW Funds
OL0809
$ 0.00
IN WITNESS WHEREOF, the above parties have executed this Agreement the day and year above written.
By %
Robert Enriquez
District 12 R/W Uti ty dordinator
APPROVAL RECOMMENDED:
By ,
Franci Coleman
SR 39 Utility Coordinator
OWNER:
CITYAF
of the State of California
Utz
APPROVED AS TO FORM:
C ty Attorney
INITIATED AND APPR VED
"Director of Public *oAcs
DO NOT WRITE BELOW - FOR ACCOUNTNG PURPOSES ONLY
PLANNING AND MANAGEMENT COMPLETES EXCEPT SHADED COLUMNS:
UTILITY COMPLETES:
"
DOCUMENT
k
CHG
SUB
SPECIAL
OBJ
DOLLAR
NUMBER
„%'
DIST
UNIT
DIST
EA
JOB
DESIGNATION
FFY
FA
CODE
AMOUNT
12
12
EA FUNDING VERIFIED:
Sign:>
Print>
R/W Planning and Management Date
Distribution: 2 originals to R/W Program Accounting & Analysis
2 originals returned to R/W Planning & Management
REVIEW/REQUEST FUNDING:
Si n>
Print> Franci Coleman
Utility Coordinator Date
ATTACHMENT #3
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
UTILITY AGREEMENT
RW 13-5 (Rev. 10/95)
Page 1 of 3
Dist
Co
Rte
P.M.
EA
12
ORA
39
0.0/3.2
OL0804
(1200020019)
Federal Aid No. n/a
Owners File:
FEDERAL PARTICIPATION: On the Project ❑ Yes
On the Utilities ❑ Yes
® No
® No
UTILITY AGREEMENT NO. 12-UT-1149 DATE
The State of California acting by and through the Department of Transportation, hereinafter called "STATE" proposes to
overlay State Route 39 (SR-39) existing pavement with 0.1 ft (1.2 in.) of Rubberized Hot Mix Asphalt (Type G) from
Pacific Coast Highway (SR-01) to Ellis Avenue/Main Street, and replace existing loop detectors and traffic striping, all
within the City of Huntington Beach, County of Orange; and the City of Huntington Beach, hereinafter called
"OWNER", owns and maintains underground water facilities, in particular, twelve (12) storm drain manhole covers
within the limits of STATE'S project which require adjustment to grade to accommodate the STATE'S project.
It is hereby mutually agreed that:
I. WORK TO BE DONE
In accordance with Notice to Owner No. 12-UT-1149, dated February 23, 2011, STATE shall perform adjustments on
the OWNER's twelve (12) storm drain manhole cover facilities along SR-39 as shown on STATE's contract plans for
the improvement of State Route 39, EA 01,0804, which by this reference, are made a part hereof. OWNER hereby
acknowledges review of STATE's plans for work and agrees to the construction in the manner proposed. Deviations
from the plan described above initiated by either the STATE or the OWNER, shall be agreed upon by both parties hereto
under a Revised Notice to Owner. Such Revised Notices to Owner, approved by the STATE and agreed to/acknowledged
by the OWNER, will constitute an approved revision of plan described above and are hereby made a part hereof. No work
under said deviation shall commence prior to written execution by the OWNER of the Revised Notice to Owner. Changes
in the scope of the work will require an amendment to this Agreement in addition to the revised Notice to Owner.
OWNER shall have the right to inspect the work by STATE's contractor during construction. Upon completion of the
work by STATE, OWNER agrees to accept ownership and maintenance of the constructed facilities.
II. LIABILITY FOR WORK
The existing facilities are located within the STATE's right of way under permit and will be adjusted at 100% OWNER's
expense under the provisions of Section (673) (680) of the Streets and Highway Code.
III. PERFORMANCE OF WORK
OWNER shall have access to all phases of the adjustment work to be performed by STATE, as described in Section I
above, for the purpose of inspection to ensure that the work is in accordance with the specifications contained in the
Highway Construction Contract; however, all questions regarding the work being performed will be directed to STATE's
Resident Engineer for their evaluation and final disposition.
UTILITY AGREEMENT (Cont.) Page 2 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO. 12-UT-1149
IV. PAYMENTS FOR WORK
The OWNER shall pay its share of the actual cost of said work included in the STATE's highway construction contract
within 90 days after receipt of STATE's bill, compiled on the basis of the actual bid price of said contract. The estimated
cost to OWNER for the work being performed by the STATE's highway contractor is $6,000.00.
In the event actual final relocation costs as established herein are less than the sum of money advanced by OWNER to
STATE, STATE hereby agrees to refund to OWNER the difference between said actual cost and the sum of money so
advanced. In the event that the actual cost of relocation exceeds the amount of money advanced to STATE, in
accordance with the provisions of this Agreement, OWNER hereby agrees to reimburse STATE said deficient costs upon
receipt of an itemized bill as set forth herein.
V. GENERAL CONDITIONS
If STATE's project, which precipitated this Agreement, is canceled or modified so as to eliminate the necessity of work
by OWNER, STATE will notify OWNER in writing and STATE reserves the right to terminate this Agreement by
Amendment. The Amendment shall provide mutually acceptable terms and conditions for terminating the Agreement.
UTILITY AGREEMENT (Cont.) Page 3 of 3
RW 13-5 (Rev. 10/95)
UTILITY AGREEMENT NO. 12-UT-1149
THE ESTIMATED COST TO STATE FOR ITS SHARE OF THE ABOVE DESCRIBED WORK IS $ 0.00 .
CERTIFICATION OF FUNDS
I hereby certify upon my own personal knowledge that budgeted funds are
available for the period and purpose of the expenditure shown here.
HQ Accounting Officer Date
ITEM
CHAP
STAT
FY
AMOUNT
FUND TYPE
EA
AMOUNT
Design Funds
OL0801
$ 0.00
Construction Funds
OL0804
$ 6,000.00
RW Funds
OL0809
$ 0.00
IN WITNESS WHEREOF, the above parties have executed this Agreement thCyea ritten.
STATE: OWNER:
CITY O a mu cip co California
By ByRobert EnriquezjDistrict 12 R/W Uti ity Coordinator✓
APPROVAL RECOMMENDED:
By
Fr nci Coleman
SR 39 Utility Coordinator
APP tF,PSAS TO FORM:
C�tyAtto�mey
DO NOT WRITE BELOW - FOR ACCOUNTNG PURPOSES ONLY
PLANNING AND MANAGEMENT COMPLETES EXCEPT SHADED COLUMNS:
INITIATED AND APPROVED
Director of Public Works
UTILITY COMPLETES:
T;-'_;-
DOCUMENT
SUE
CHG
SUB
SPECIAL
OBJ
DOLLAR
ODE%
NUMBER
;;;I'::
DIST
UNIT
DIST
EA
JOB
DESIGNATION
FFY
FA
CODE
AMOUNT
12
12
EA FUNDING VERIFIED:
Sign:>
Print>
R/W Planning and Management Date
Distribution: 2 originals to R/W Program Accounting & Analysis
2 originals returned to R/W Planning & Management
REVIEW/REQUEST FUNDING:
Sign>
Print> Franci Coleman
Utility Coordinator Date