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HomeMy WebLinkAboutContracts & Agreements_146-2018Local Assistance Procedures Manual EXHIBIT 13-A Short Form Right of Way Certification Local Assistance Project EXHIBIT 13-A SHORT FORM RIGHT OF WAY CERTIFICATION RECEIVED LOCAL ASSISTANCE PROJECT (Off -State Highway System Project) CITY OF REDLANDS SEP 1 3 2018 CALTRANAS, DISTARICT 8 NAME OF THE LOCAL PUBLIC AGENCY NOTE This form is intended foi projects that do NOT require R/W acquisition, relocation assistance, have NO railroad involvement, and the ONLY Utility Relocation involvement is limited to utility covei adjustments Foi each item below, except Item 5, select the ONE option most suitable to your project If the chosen option directs you to use Exhibit 13-B, please stop This Short Form is not applicable to your project. RIGHT OF WAY CERTIFICATION No. 1 1 STATUS OF REQUIRED PROPERTY RIGHTS x HSIPL 5083(019) Proiect ID REDLANDS BLVD (AT FIFTH SEVENTH NINTH, STATE & CLARK) ORANGE ST AT SHOPPERS LANE AND CITRUS AT CENTRAL rroject Location INSTALL UNCONTROLLED PEDESTRIAN CROSSING SAFETY IMPROVEMENTS General Description No acquisition of right of way is required All proposed work is within existing right of way Right of way has been acquired in accordance with applicable policy and procedure covering the acquisition of real property LPA has legal and physical possession right to enter, and required permits If this box is checked, please use Exhibit 13-B. 2 STATUS OF AFFECTED OPERATING RAILROAD FACILITIES X None affected The CITY OF REDLANDS Railroad has approved the proposed work which is within their Right of Way but does not require the adjustment of railroad facilities The necessary clauses will be placed in the contract special provisions If this box is checked, please use Exhibit 13-B ri The CITY OF REDLANDS Railroad (and when needed, the Public Utilities Commission) has approved the proposed work, which is within the railroad right of way and does require the adjustment of railroad facilities The railroad, or its contract forces, will provide the necessary labor, materials and/or equipment to adjust their facilities The necessary clauses will be placed in the contract special provisions If this box is checked, please use Exhibit 13-B. 3 MATERIAL SITE(S) X None required Material site(s) required If this box is checked, please use Exhibit 13-B. LPP 13-02 Page 1 of 6 December 30, 2013 EXHIBIT 13-A Local Assistance Procedures Manual Short Form Right of Way Certification Local Assistance Project 4 DISPOSAL SITE(S) X None required Disposal site(s) required If this box is checked, please use Exhibit 13-B 5 STATUS OF REQUIRED UTILITY RELOCATION (Check all that apply) X No relocation required, therefore Buy America requirements do not apply Existing utilities located within project limits are shown on Project Plan Project is not covered by NEPA document, therefore, Buy America requirements do not apply Utility Agreements are not required on this project, therefore, Buy America requirements do not apply Utility involvement is limited to adjusting UTILITY COVERS (manhole cover, water valve covet, and box lids) to grade and said work is compliant with all terms and conditions undei MAP-21 including Buy America requirements If this box is checked, please complete page 5 of this form entitled "Utility Cover Adjustment Surizmaiy" and provide a copy of the Specific Authorization if federally participating All utility work (other than the adjustment of utility covers) has been completed If this box is checked, please use Exhibit 13-B All utility work (other than the adjustment of utility covers) will be completed by a stated date prior to award of the contract If this box is checked, please use Exhibit 13-B All necessary arrangements have been made for the completion of all remaining utility work (other than the adjustment of utility covers) required to be coordinated with project construction Arrangements have been made with the owners of all utility encroachments which will remain within the right of way of the project so that adequate control of the right of way will be achieved If this box is checked, please use Exhibit 13-B Utility facilities (other than the adjustment of utility covers ) will be relocated by the Project's Contractor under bid items If this box is checked, please use Exhibit 13-B 6 RIGHT OF WAY CLEARANCE X There are no improvements or obstructions located within the limits of this project All right of way clearance work has been completed and there are no improvements or obstructions remaining within the right of way area required for construction If this box is checked, please use Exhibit 13-B. All necessary arrangements have been made for remaining right of way clearance work to be undertaken and completed as required for proper coordination with the construction schedule If this box is checked, please use Exhibit 13-B 7. AIRSPACE AGREEMENTS X There are no airspace lease properties within the Inuits of this project All necessary arrangements have been made with airspace lessee(s) and/or in Contract Provisions to minimize conflicts between lessee's activities and contractor's operations If this box is checked, please use Exhibit 13-B Airspace lease has been cancelled If this box is checked, please use Exhibit 13-B Other (If this box is checked, please use Exhibit 13-B) Page 2 of 6 December 30, 2013 LPP 13-02 Local Assistance Procedures Manual EXHIBIT 13-A Short Form Right of Wad Certification Local Assistance Project 8 COMPLIANCE WITH RELOCATION ASSISTANCE PROGRAM REQUIREMENTS X Compliance was not required as there were no displacements for this project Occupants who have not yet moved from the right of way will be protected against unnecessary inconvenience and disproportionate injury or any action coercive in nature If this box is checked, please use Exhibit 13-B LPA has complied with all the steps relative to the relocation advisory assistance and payments as required by applicable policy and procedure, and no person has been required to relocate without at least a 90 day written notice If residential relocation was involved, all individuals and/or families have been relocated to decent, safe and sanitary housing, or the LPA has made replacement housing available to the displacees if this box is checked, please use Exhibit 13-B 9 COOPERATIVE AGREEMENTS nNone Required Agency Agreement No (If checked, please attach a copy) 10. ENVIRONMENTAL MITIGATION X No environmental mitigation parcels arc required for this project All environmental mitigation parcels on this project have been acquired It this box is checked, please use Exhibit 13-B Acquisition of envu-onmental mitigation parcels is ongoing If this box is checked, please use Exhibit 13-B Page 3 of 6 LPP 13-02 December 30, 2013 EXHIBIT 13-A Local Assistance Procedures Manual Short Form Right of Way Certification Local Assistance Project 11 CERTIFICATION I hereby certify the right of way on this project as conforming to 23 CFR 635 309(c)(1) and all terms and conditions under MAP-21, including Buy America requirements The project may be advertised with contract award being made at any time. 12. INDEMNIFICATION BY LOCAL AGENCY This Local Public Agency agrees to indernmfy, defend, and hold harmless the Department of Transportation (Caltrans) from any and all liabilities which may result in the event the right of way for this project is not clear as certified LPA shall pay from its own non -matching funds, any costs which arise out of delays to the construction of the project because utility facilities have not been removed or relocated, or because rights of way have not been made available to LPA for the orderly performance of the project work LOCAL PUBLIC AGENCY Project ID HSIPL-5083(019) Authorized Resolution No 7698 Dated 12/20/16 By Title Mayoi, City of Redlands Date ATTEST Donaldson, City Clerk CALTRANS ACCEPTANCE The undersigned Caltrans Official has reviewed this Right of Way Certification as to form and content Based on the review of the documents submitted, the Certificate is accepted on behalf of the local public agency It remains the sole responsibility of the local public agency to ensure compliance with the Uniform Act Accept By Title Date as o fo m and 7tenj / o.- Distribution l) Local agency completes this form signs and sends it to the DLAE l) DLAE sends a copy to District Right of Way Local Programs Coordinator keeps a copy for his/her files and sends the signed ongmal back to the local agency Page 4 of 6 December 30, 2013 LPP 13-02