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Home My WebLink AboutGrant award from the State of California in the amount of $2 p z C' ALE" �, Dept. ID CS 14-001 Page 1 of 2 Meeting Date: 1/21/2014 f�yoo,�d✓� �—d CITY OF HUNTINGTON BEACH g , . REQUEST FOR. CITY COUNCIL ACTION MEETING DATE: 1/21/2014 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Janeen Laudenback, Director of Community Services SUBJECT: Accept Grant award from the State of California in the amount of$208,575 and appropriate funds for new playground equipment at Harbour View and Newland Parks Statement of Issue: On August 5, 2013, City Council approved the submittal of additional applications to the State of California (State) to utilize an available fund balance of $208,575 from the 2002 Park Bond Act to provide new playground equipment at Harbour View Park and Newland Park. The State has approved the applications and there is a need for City Council approval to appropriate the funds. Financial Impact: The project will be funded using the balance of the City's 2002 Park Bond Per Capita and Roberti Z'Berg Grant award. Available Grant funds total $208,575, which is sufficient to cover the cost and will be reimbursed upon project completion. No General Fund dollars are required. Recommended Action: Accept the Grant award and approve the appropriation of$208,575 from the 2002 State Park Bond Per Capita and Roberti Z'Berg Grant award to the 2002 Park Bond Fund Account 95945102 for the purchase and installation of new playground equipment at Harbour View Park and Newland Park. Alternative Action(s): Do not approve the appropriation and direct and staff accordingly. Analysis: On August 5, 2013, City Council approved the submittal of additional project applications to the State to utilize $208,575 in available funds from the 2002 Park Bond Per Capita and Roberti Z'Berg Grant programs to purchase and install play equipment at Harbour View and Newland Parks (Attachment 1). Staff has received approval from the State and has issued an executed contract for the playground equipment replacement per the conditions of the 2002 Resources Bond Act Per Capita and Roberti Z'Berg Grant programs (Attachment 2). Staff is, therefore, requesting City Council approval to appropriate the funds for expenditure. Both parks are in need of new equipment in order to meet current ADA and Consumer Product Safety Commission guidelines. Presently, there is only one unit at Newland Park, and the play unit at Harbour View Park had to be removed due to safety concerns. The playground at Harbour View is therefore without any play equipment. Item 3. - 1 xB -30- Dept. ID CS 14-001 Page 2 of 2 Meeting Date: 1/21/2014 Staff has received designs for each location that conform with the City's standard design and meet all current ADA and CSPC guidelines. New play units and rubberized safety surfacing for both playgrounds can be purchased and installed within the $208,575 available. No General Fund dollars will be used for the projects and the anticipated completion date is March 1, 2014. Environmental Status: The project is exempt pursuant to Section 15302 of the CEQA Guidelines because the project consists of replacement of existing playground equipment in the same location and with substantially the same purpose and capacity as the removed equipment. Strategic Plan Goal: Improve the City's infrastructure Attachment(s): 1. August 5, 2013, Approved RCA 2. Roberti Z'Berg & Per Capita Grant award balance sheets HB -31- Item 3. - 2 Dept.!D CS 13-007 Page 1 of 2 Meeting Date:8%512013 72 ITS' OF HUNTINGTON BEACH REQUEST FOR CITY.COUNCIL ACTION MEETING DATE: 81512013 SUBMITTED TO: Honorable (Mayor and City Council Members SUBMITTED : Fred A. Wilson, City Manager PREPARED BY: Janeen t.audenback, Interim Director of Community Services SUBJECT: Approve submittal of an application to the State for funding of new playground equipment at Harbour View and Newland Parks Statement of Issue: There is a need to provide new playground equipment at Harbour View Park and Newland Park in order to comply with current access and safety guidelines. Staff is seeking City Council approval to submit an application to utilize remaining grant funds from the 2002 State Park Bond to purchase and install new play equipment. Financial Impact: The project will be funded using the balance of the City's 2002 Park Bond Per Capita and Roberti Z'Berg grant award. Available funds total $208,000, which is sufficient to cover the project cost. No General Fund dollars are required. Recommended Action: Approve the submittal of an additional application to the State for use of the $208,000 in available funds from the 2002 State Park Bond Per Capita and Roberti Z'Berg Grant awards for the purchase and installation of new playground equipment at Harbour View Park and Newland Park. Alternative ction(s): Do not approve the proposed submittal of the application and direct staff accordingly. Analysis: In 1997, the Community Services Commission approved a policy to replace the playground equipment at all city parks to conform to Americans with Disabilities Act (ADA) and Consumer Product Safety Commission (CPSC) requirements. Commission also approved standardized play unit designs for all parks. Since that time, the majority of park playgrounds have received new equipment. Many of the parks received new equipment with funding from the 200 Park Bond Act. Due to funding limitations with the 2000 Park Bond, the. play units at Harbour View Park and Newland Park were not replaced. At the time, the units at these two locations were in good condition and met all safety and access standards. However, over time the play equipment at both parks has become worn and in need of replacement. Currently, there is only one unit remaining at Newland Park, and the play unit at Harbour View Park had to be removed due to safety concerns. The playground at Harbour View Park is without any play equipment. As part of the 2002 State Park Bond, the City received $1.8 million in grant funds under the Per Capita and.Roberti Z'Berg programs. The Community Services Commission and City Council Item 3. - 3 HB -32- Dept.ID CS 13-007 Page 2 of 2 Meeting Date:8/5/2013 approved utilizing these funds to complete Phase I of the Edison Park Youth Sports Complex project. Phase I has been completed and $208,000 in grant funds remain available to the City. Based on previous communications with the State Grants Office, any unused funding would not be available to the City. However, staff received confirmation from the State that remaining funds can be used for other park and recreation development projects. Staff has discussed the play equipment replacement with the State Grant Officer assigned to Huntington Beach and have preliminarily been informed that the project will comply with grant guidelines under the 2002 Park Bond. The Community Services Commission also approved a recommendation to City Council to expend the remaining grant funds for replacing the play equipment on April 10, 2013. Staff is recommending City Council approval to submit a formal application to the State requesting approval to expend the remaining funds of $208,000 from the 2002 Park Bond to replace the play equipment at Harbour View Park and Newland Park. Staff has received designs for each location (Attachment 1) that are in-line with the City's standard design and meet all current ADA and CSPC guidelines. New play units and rubber surfacing for both playgrounds can be purchased and installed within the $208,000 budget. The proposed design for Harbour View Park includes the standard "B" and "C" units for the 5 — 12 year-old and 2 — 5 year-old range respectively (Attachment 2). The recommended design for Newland Park includes a standard "B" and "C" unit, and swing unit (Attachment 3). Staff will be required to process the project through the State Grants Office. Environmental Status: The project is exempt pursuant to Section 15302 of the CEQA Guidelines because the project consists of replacement of existing playground equipment in the same location and with substantially the same purpose and capacity as the removed equipment. Strategic Plan Goal: Improve the City's infrastructure AttachrneVgsl: 1. Location Maps— Harbour View Park and Newland Park 2. Proposed Play Equipment—Harbour View Park 3. Proposed Play Equipment— Newland Park KB -33- Item 3. - 4! ATTACHMENT # 1 Item 3. - 5 im . 1_ LOCATION MAP K 14ARBOUR VIEW PARK 16600 Saybrookilane - C tit e � _ e i 1:7�r -1 - S. L t' � 5 y4" a, t0to "1 � _ wl MY .0w :er r 2 r f t 8-1 1- :.It m1 5. 4 HB -35- :t� Item 3. - 6 Hei �,� P r "��..�, t ,�`�: .X;: 'spa .,�c •_,� _�� vd K PR 5 x � 4A ; fi e . -ice+' 'ws w IzA • ■ LOCATION MAP NEWLAND PARK 19702 Topeka Lane ' mow. } i t a 51 M c , ATI :.1 Location' Map _.... . ..q Item . - KB —3 7 Item 3. - 8 a z c 9 G Y LOCATION MAP . NEWLAND PARK 19702.Topeka Lane, Item 5. - 7 H -104 Item 3. - 9 14B -3 s- ATTACHMENT #2 , x �q. 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UIREDK ATTAC H MENT #3 \ t d CJl u agoa a \ � S AMR"bumlaft v I i A s C712380H 13 was . . . . . . . .wm woe CABANkflCKff" claritUNG__ cdL � jm . . . 148YCN�fA RAAEF TOTAL PLAYCOMPONENT& , antiF tom_ ".; TOTAL SIVATEO PLAY COM ENTB OESSIBLE SY RA6 i Pa SWIt TOTAL h CACCESSIBLET�TAL ESSREORO N LEVELCOMPONENTS SHCY vntm'; sWrw"__ TOTAL ACCE, ROUND LEVEL COMPONENTS OF OFF v, RECOMENDEDAGEk 6{LifYEAEiR ruri . Al7va? #IA, qAt q fldi3Ekt ALN�MriFtS IMP PLAY STitllC'141FiE 14FIt�LAYOUT OF THE COMPONENTS CONPOW TO ASTM AND CPSC GUIbEUNtS AND OCR TITLE M DIVISION 4 AL6t . . . . . . , , 3:5'TFI OF POUREO4N+IACIE RUBBER OR aA AaxR nm . . . :auacN OMM, Ir OF ENGINEERED WOOD FIBER SURFACING itiANAFENavras PRC3VITS PROTECTION FOR A CRITICAL FALL ATATtOFt 'r "!' tE`x4IIClF ' . w7CRITICAL FALL NEK9NT OF OVMALLF°LAY W d WU1RE[f: 8 _ s xIEATCTYPEB:. — REQUIRE[[} AAA RUtWER SURFACING x: 2123SQM126'fD... M---1 u W , CITY OF HUNTINGTON BEACH [-AA 2000 MAIN STREET CALIFORNIA 92648 HUNTINGTON BEACH COMYNIUNITY SERN?'ICES DEP6 WFNfEN'1' (714)536-5486 Via Email Original Via U.S. Mail September 11, 2012 Melinda Steinert, Project Officer Office of Grants and Local Services State of California— Natural Resources Agency Department of Parks and Recreation P. O. Box 942896 Sacramento, CA 94296-0001 Subject: Project Number 02-30-059 and RZ-310-118 Edison Youth Sports Complex Reconfiguration Project Project Completion Information and Final Payment Request Dear Melinda: Thank you for your assistance in processing the grant programs under the 2002 Park Bond. As you are aware, the City of Huntington Beach utilized both the Per Capita and Roberti Z'berg-Harris (RZH) programs for the Edison Park Youth Sports Complex Reconfiguration Project. Enclosed, please find the Project Certification Forms, Notice of Completion, Payment Requests and appropriate forms for the project. You have been informative, helpful and patient with us throughout the challenges we have faced. We are so pleased to be able to offer the additional recreation amenities in support of youth recreation programming as well as access and park usage for community members and visitors to Huntington Beach. Please feel free to contact me should you have any questions regarding the information provided or the project in general. Sincerely, avid min--"z, Manager Facilities, Deve opment& Concessions Enclosures: RZ-30-118 and 02-30-059: Project Certification Form/Notice of Completion/Payment Request/Grant Expenditure Form/Labor Cost Summary Form DD/mkl Item 3. - 17 HB -46- \ \ ' . Project Certification Form Grantee: City of Huntington Beach Project Number: RZ-30-118 Grantee contact for audit purposes Name: David C. Oonn|nguez, Facilities Oave|opnnent& Concessions Manager Address: 2OUU Main Street, Huntington Beach, CA 92848 Phone: (714) 374-53O8 Ennui|: ddorninguez@aurfcity-hb.urQ Project description — list facilities developed and/or property acquired (use additional pages, marwquired): The City of Huntington Beach has completed Phase 1 of the Edison Park Youth Sports Complex Reconfiguration Project. Project elements included the addition of three new sports fields, sports field lighting, new lighting controls and |andncaping, new picnic shelter drop-off area and new parking area List other funds on project (sources and amounts) (use additional pogwa, as required): 2O02 Resources Bond Act— Per Capita Program. Amount -$8OG.421 interest earned on advance grant funds: $ N/A Has m notice of completion been filed? Yes _) 0o_______ If no, please explain: Certification: | hereby certify that all grant funds were expended on the above named Project and that the Project iacompleteandvvehavernadefina| payrnent for all work done. I have read California Penal Code § 118 and understand that every person who testifies, dac|anea, depoaes, or certifies under penalty of perjury and willfully states an true any material matter which he or she knows to be false, is guilty of perjury, which is a felony punishable by imprisonment in state prison for two, three, or four years. Furthermore, | have read California Penal Code § 72 and understand that every person who, with the intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, dty, or district board or oK|oar, authorized to a|ioxv or pay the same if genuine, any false or fraudulent o|airn, bU|, mcnount, voucher, or writing, in guilty ofa felony-misdemeanor punishable either by imprisonment }ncounty jail for a period of not more than one year, by a fine not exceeding one thousand do||mno, or both, or by imprisonment in state priaon, by a fine afine not exceeding ten thousand do||ara, or both. | represent and warrant that | have full authority to execute this Project Certification of project completion on behalf of the Grantee. | declare under pepohv of perjury that the foregoing projectcertifinmUonofp jentnnnnp|ationfortheabove-nnentionedGmantiutrue and correct. Paul Emery itySeminasD\ns«Lor Revised 5/108 f]B -47- Item 3, - 18 This Document was electronically recorded by PLEASE COMPLETE THIS INFORMATION City of Huntington Beach RECORDING REQUESTED BY: Recorded in official Records,Orange County Tom Daly,Clark-Recorder IIIIIIIIIIIIIIII jjjI 111111111111111111 JII1I Jill!III NO FEE 2011000519500 01:28pm 10118111 WHEN RECORDED MAIL TO: 93 401 N12 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CITY OF HUNTINGTON BEACH Attn:Duane Wentworth P.O. Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded to States Link Construction,Inc.who was the company thereon for doing the following work to-wit: EDISON COMMUNITY COMPLEX-PHASE 1,CONSTRUCTION CONTRACT-1346 That said work was completed October 14, 2011 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on October 14,2011,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Allegheny Casualty Company was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 6103 and should be recorded free of charge. Dated at Huntington Beach,California,this October 18,2011, 441 � ire't'' rofP, bc Works or City Engineer � ("City of Hun ngton Beach,California STATE OF CALIFORNIA) County of Orange ss: City of Huntington Beach 1, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing Is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Record rof orange County. Dated at Huntington Beach,California,this October 118,2011. Director of Public Works or City Engineer This document is solely the official business of City of Huntington Beach,California the City of Huntington Beach, as contemplated under Government code section. 6103 and should be recorded free of charge. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) Item 3. - 19 HB -48- State of California-The Resources Agency DEPARTMENT OF PARKS AND RECREATION PAYMENT REQUEST State Grant Programs See instructions on reverse. 1. PROJECT NUMBER 2- CONTRACT NUMBER RZ-30-118 C 0 2 3 1 2 2 4 3. APPLICANT City of Huntington Beach 4. PROJECTTITLF Edison Park Youth Sports Complex Reconfiguration 5. TYPE OF PAYMENT E Advance 0 Reimbursement 21 Final 6. PAYMENT INFORMATION (Round all fgures to the nearest dollar) a. Grant Project Amount $ $396,168 b. Funds Received To Date $ c. Available(a. minus b.) $ $396,168 d. Amount Of This Request $1 $275,292- e. Remaining Funds After This Payment (c. Mif)us d.) $ $120,876 7. SEND WARRANT TO: AGENCY NAME City of Huntington Beach-Community Services Department STREET ADDRESS 2000 Main Street CITYISTATE/ZIP CODE Huntington Beach, CA 92648 ATTENTION David C. Dominguez 8. 1 represent and warrant that I have full authority to execute this payment request on behalf of the Grantee. I declare under penalty of perjury,under the laws of the State of California,that this report,and any accompanying documents,for the above-mentioned Grant is true and correct to the best of my knowledge SIGNATURE OF UP ON UTH)RIZED IN RESOLUTION :TITLE DAT Deputy City Manager/ Interim Community Services Director FOR C,/4LIFORNIA DEPARTMENT OF PARKS AND RECREATION USE ONLY PAYMENT APPROVAL SIGNATURE DATE (Front)(Excti)(Rev,51412005) HB -49- Item 3. - 20 GRANT EXPENDITURE FORM (Previously "Project Costs Summary Form") Project Number RZ-30-118 Warrant/Check Number Date Recipient Purpose Amount Construction Materials 35185 09/02/11 AESCO Testing & Inspection $14,506.00 Construction Materials 770827 11/18/11 AESCO Testing & Inspection $10,782.24 768379 09/02/11 States Link Switchgear Upgrade $758.16 Install Time Delay Devices 770646 11/11/11 States Link for Sports Lights $ 2,326.94 Mark Bard 769549 10/07/11 Construction Co Added Concrete $11,370.00. Labor Compliance 776104 05/25/12 Civil Source Monitoring $6,500-00 760560 01/07/11 HB Digital Plans/Spec Printing $846.62 760913 01/21/11 1-113 Digital Plans/Spec Printing $611.18 Carson Supply Upgrade existing 770648 11/11/11 Co. controller $1,077.50 771077 12/02/11 Bills Hydroseed Hydroseed for fields $643.00 770991 11/25/11 States Link Progress Payment No. 6 $ 110,385.11 773100 02/10/12 States Link Partial Retention Release $ 70,025.92 774126 03/16/12 States Link Final Retention Release $ 9,000.00 Subtotal $238,832.67 Total Labor Costs from Labor Costs Summary Form (if applicable) $36,459.52 Total Equipment Costs from Equipment Costs Summary Form (if applicable) Grand Total $275,292.19 Item 3. - 21 HB -50- LABOR COSTS SUMMARY FORM Project Number RZ-30-118 Work Unit Performing Dates/ Authorization # Work Pay Period Purpose Amount Contract Administration CC1346 John Griffin 3/1/10 to 3/8/12 /inspection $16,891.64 Construction CC1346 Eric Charlonne 3/1/10 to 3/8/12 Management $1,224.93 Contract Administration CC1346 Ron Brunnel 3/1/10 to 3/8/12 /inspection $880.95 Construction CC1346 Duane Wentworth 3/1/10 to 3/8/12 Management $9,557.00 Burdened Construction Labor Griffin/Charlonne Cost /BrUnnel 27.68%: $7,905.00 Unburdened Duane Wentworft 0% Subtotal $36,459.52 Total $36,459.52 EB -51- Item 3. - 22 Project Certification Form Grantee: City of Huntington Beach Project Number: 02-30-059 Grantee contact for audit purposes Name- David C. Dominguez, Facilities Development& Concessions Manager Address, 2000 Main Street, Huntington Beach, CA 92648 Phone: (714) 374-5309 Email: ddorninguez@surfcity-hb.org Project description — list facilities developed and/or property acquired (use additional pages, as required): The City of Huntington Beach has completed Phase 1 of the Edison Park Youth Sports Complex Reconfiguration Project. Project elements included the addition of three new sports fields, sports field lighting, new lighting controls and landscaping, new picnic shelter drop-off area and new parking area. List other funds on project (sources and amounts) (use additional pages, as required): 2002 Resources Bond Act — Roberti-Z'Berg-Harris Urban Open Space & Recreation Grant Program. Amount-$275,292. Interest earned on advance grant funds: $ N/A Has a notice of completion been filed? Yes X No If no, please explain: Certification: I hereby certify that all grant funds were expended on the above named Project and that the Project is complete and we have made final payment for all work done. I have read California Penal Code § 118 and understand that every person who testifies, declares, deposes, or certifies under penalty of perjury and willfully states as true any material matter which he or she knows to be false, is guilty of perjury, which is a felony punishable by imprisonment in state prison for two, three, or four years. Furthermore, I have read California Penal Code § 72 and understand that every person who, with the intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony-misdemeanor punishable either by imprisonment in county jail for a period of not, more than one year, by a fine not exceeding one thousand dollars, :or both, or by imprisonment in state prison, by a fine a fine not exceeding ten thousand dollars, or both. I represent and warrant that I have full authority to execute this Project Certification of project completion on behalf of the Grantee. I declare under penalty of perjury that the foregoing project certification of project completion for the above-mentioned Grant is true and correct. Paul Emery) Deputy,d,ty Whage7/interim Community Services Director 1 (Signature) Date Revised 5/11/06 Item 3. - 23 HB -521- This Document was electronically recorded by PLEASE COMPLETE THIS INFORMATION City of Huntington Beach RECORDING REQUESTED BY: Recorded in Official Records,Orange County Tom Daly,Clerk-Recorder NO FEE 2011000519500 01:28pm 10/18111 WHEN RECORDED MAIL TO: 93 401 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CITY OF HUNTINGTON BEACH Attn:Duane Wentworth P.O. Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded to States Link Construction,Inc.who was the company thereon for doing the following work to-wit: EDISON COMMUNITY COMPLEX-PHASE 1,CONSTRUCTION CONTRACT-1346 That said work was completed October 14, 2011 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on October 14,2011,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Allegheny Casualty Company was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach, as contemplated Linder Government Code Section 6103 and should be recorded free of charge. Dated at Huntington Beach,California,this October 18,2011. Z Qire&orol`P)l c Works or City Engineer City of Huntfngton Beach,California STATE OF CALIFORNIA) County of Orange ss: City of Huntington Beach 1, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof, the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly .and regularly ordered to be recorded in the Office of the County Recorder` f Orange County. Dated at Huntington Beach,California,this October 118,2011 �Aft (jV_Director of Public Works or City Engineer This document is solely the official business of City of Huntington Beach,California the City of Huntington Beach, as contemplated under Government code section. 6103 and should be recorded free of charge. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) HB -53- Item 3. - 24 State of California-The Resources Agency DEPARTMENT OF PARKS AND RECREATION PAYMENT REQUEST State Grant Programs See instructions on reverse. 1 PROJECT NUMBER 2 CONTRACT NUMBER 02-30-059 C 0 2 3 1 0 6 3 3. APPLICANT City of Huntington Beach 4. PROJECT TITLE Edison Youth Sports Complex Reconfiguration 5. TYPE OF PAYMENT El Advance El Reimbursement 2 Final 6. PAYMENT INFORMATION Round all figures to the nearest dollar a. Grant Project Amount $ $7845120 b. Funds Received To Date $ c. Available (a, minus b.) $ $784,120 d. Amount Of This Request $ $696,421 e. Remaining Funds After This Payment(c. minus d.) $ $87,699 7. SEND WARRANT TO: AGENCY NAME ---- City of Huntington Beach -Community Services Department STREETADDRESS 2000 Main Street CITY/STATFIZIP CODE .Huntington Beach, CA 92648 ATTENTION David C. Dominguez B. 1 represent and warrant that I have full authority to execute this payment request on behalf of the Grantee. I declare under penalty of perjury,under the laws of the State of Califomia,that this report,and any accompanying documents,for the above-mentioned Grant is true and correct tc the best of my knowledge SIGNATURE OF P A iORiZFO RESOLUTION TITLE DATE Assistant City Manager/ t� f Interim Community Services Director FOR CALIFORNIA DEPARTMENT OF PARKS AND RECREATION USE ONLY PAYMENT APPROVAL SIGNATURE DATE (Front)(Excel)(Rev.51412005) Item 3. - 25 HB -54- ' ~ GRANT EXPENDITURE FORM (Previously "Project Costs Summary Form") Project Number 02-30-059 Warrant/Check Number Date Recipient PurposeAmount Design/Site Inventory/Govt 6/9983 10/14/05 Nuv/o Agency Coordination $ 1,564.71 Deeign/Site |nventory/Govt 893650 08/04/06 Nuv|m Agency Coordination $ 15.207.35 Deoign/SKe|nventor%I/Gwvt 694353 08/18/08 Nuvio Agency Coordination $ 276.01 Deoign/Site|nvon(ory/Govt 743330 08/21/09 Nuvin Agency Coordination $ 24.825.22 Deuign/Site|nventmy/Govt 750469 02/26/10 Nuvio Agency Coordination $5'510.75� DeoignXSiteinventory/Gmvt � 752006. 04/09/10 Nuvio Agency Coordination $87T50 Deokgn/Site|nvenbory/Govt � 753222 05/14/10 Nuvs Agency Coordination $1,116.08 Deoign/Sihs|nventory/Gmd 754487 08/25/10 Nuvis Agency Coordination $135.00 Deoign/Si1e|nventory/Govt 755362 07/23/10 Nuvio Agency Coordination $135.00 Demign/Site |nventoqy/Govt 756345 08/20V10i Nuvio Agency Coordination $1.495.85 � Deoign/Sihs|nventory/Gov 758809 11/05/10 Nuvie Agency Coordination $18.177.28 Denign/8ite|nventory/Govt 759661 12/03/10 Nuvio Agency Coordination $7.851.07 Deoign/Site |nwantory/Gmd 760782 01/14/11 Nuvio Agency Coordination $1.948.58 Design/SiteInvenhog/Gmd 761413 02/04/11 Nuvin Agency Coor Coordination �1,g85��4 - | � DedgnXSUe|nve/toryxGmd 762624 Nuvio Agency Coordination $2,234.62| DesiAn/Sihs |nvenhzry/Govi � 764067 4/29/11 Nmje Agency Coordination $1.311.55� ` Deoign/Site|mentory/Gmd ' 765023 5/27/ 1 Nuvio Agency Coordination . $3.205-00! Design/Sihe \nvenLory/Gmt ' 705776 6/24/11 Nuvio Agency Coordination . $087.36' ' Design/Site\nventory/Govt | | 'AgenoyConrdinabon/Fie|d 766719 ' 7/22/11 Nuvie Observation �172�5�� f��` � �� }1D -55- "^=^^^ _', - .�o Design/Site Inventory/Govt Agency Coordination/Field 769336 9/30/11 Nuvis Observation $4,438.51 Design/Site Inventory/Govt Agency Coordination/Field 770205 10/28/11 Nuvis Observation $522.65 Design/Site Inventory/Gout Agency Coordination/Field 771367 12/9/11 Nuvis Observation $172.50 740273 5/16/09 HB Blueprint Plans/Specs $432.83 728840 9/26/08 l-IB Blueprint Plans $9.27 726331 8/8/08 HB Blueprint Plans $192.74 720596 4/4/08 HB Blueprint Plans/Specs $787.22 Stateslink 764874 05/20/11 Construction Progress Payment No. 1 $ 102,186.00 Stateslink 765821 06/24/11 Construction Progress Payment No. 2 $ 105,724.98 Stateslink 767026 07/29/11 Construction Progress Payment No. 3 $ 179,005.24 Stateslink 767950 08/26/11 Construction Progress Payment No. 4 $ 72,811.94 5tatesi[nK 769183 09/23/11 : Construction Progress Payment No. 5 $ 141,120.00 Subtotal $696,421 Total Labor Costs from Labor Costs Summary Form (if applicable) Total Equipment Costs from Equipment Costs Summary Form (if applicable) Grand Total $696,421 Item 3. - 27 HB -56-