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
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December 30, 2013 LPP 13-02