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2022-115
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2022-115
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Last modified
6/27/2022 11:26:38 AM
Creation date
6/27/2022 11:04:11 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/14/2022
Control Number
2022-115
Agenda Item Number
8.I.
Entity Name
Florida Department of Transportation (FDOT)
Subject
Small County Outreach Program Agreement for Milling and Resurfacing
construction, engineering and inspection services of 6 th Avenue from SR-5/US-1 to 21st Street
Document Relationships
2022-031
(Cover Page)
Path:
\Resolutions\2020's\2022
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DocuSign Envelope ID: 937D743A-15B84191-833D-E6313045C4C6 <br />All Form 525-01D-60eB STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />525-011.013 <br />STATE -FUNDED GRANT AGREEMENT <br />MANAGEMENT ANAGEMENT <br />INDIAN RIVER COUNTY <br />8/21 <br />Page 1 of 1 <br />EXHIBIT B <br />180127TH STREET <br />SCHEDULE OF FINANCIAL ASSISTANCE <br />RECIPIENT NAME & BILLING ADDRESS: <br />FINANCIAL PROJECT NUMBER: <br />INDIAN RIVER COUNTY <br />438074-1-54-01 <br />180127TH STREET <br />VERO BEACH, FL 32960 <br />MAXIMUM PARTICIPATION <br />TOTAL PROJECT FUNDS <br />LOCAL FUNDS <br />STATE FUNDS <br />Indicate source of <br />PHASE OF WORK by Fiscal Year: <br />Local funds <br />Design- Phase 34 Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />FY: (insert Program Name) <br />❑ Cash <br />FY: Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />(Insert Program Name) <br />❑ Cash <br />Total Design Cost <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Right -of -Way- Phase 44 Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />FY: (Insert Program Name) . <br />❑ Cash <br />FY: Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />(Insert Program Name) <br />❑ Cash <br />Total Right -of -Way Cost <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Construction- Phase 54 Maximum Department Participation <br />$1,797,126.83 <br />$977,479.83 <br />$819,647.00 <br />❑ In -Kind <br />FY: 2021 (SMALL COUNTY OUTREACH PROGRAM) <br />® Cash <br />FY:2022 Maximum Department Participation <br />$771,126.67 <br />$129,101.67 <br />$642,025.00 <br />❑ In -Kind <br />(SMALL COUNTY OUTREACH PROGRAM) <br />® Cash <br />Total Construction Cost <br />$2,568,253.50 <br />$1,106,581.50 <br />$1,461,672.00 <br />Construction Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />Engineering and (Insert Program Name) <br />❑ Cash <br />Inspection - Phase 64 <br />FY: <br />FY: Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />(Insert Program Name) <br />❑ Cash <br />Total Construction Engineering and Inspection Cost <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />(Phase: ) Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />FY: (Insert Program Name) <br />❑ Cash <br />FY: Maximum Department Participation <br />$ <br />$ <br />$ <br />❑ In -Kind <br />(Insert Program Name) <br />❑ Cash <br />Total Cost <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />% <br />% <br />TOTAL COST OF THE PROJECT <br />$2,568,253.50 <br />$1,106,581.50 <br />$1,461,672.00 <br />COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 216.3475, FLORIDA STATUTES: <br />I certify that the cost for each line item budget category has been evaluated and determined to be allowable, reasonable, and necessary as required by <br />Section 216.3475, F.S. Documentation is on file evidencing the methodology used and the conclusions reached. <br />Leos Kennedy <br />Susan Dale <br />District Grant Manager Name <br />Focu gned by: <br />0-c' ' M" 41� 6/16/2022 1 8:11 AM EDT <br />Signa ure Date <br />
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