HomeMy WebLinkAboutContracts & Agreements_47-2024Local Assistance Procedures Manual Exhibit 13-A
Short Form Right of Way Certification Local Assistance Project
Exhibit 13-A: Short Form Right of Way Certification Local Assistance Project
(off the State Highway System)
NOTE:
This form is intended for projects that do NOT require Right of Way (R/W) acquisition, relocation assistance, have NO
railroad involvement, and the ONLY Utility Relocation Project ID involvement is limited to utility cover adjustments.
For 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.
Local Public Agency: CITY OF REDLANDS
Project ID: CRP-5083(031)
Project Location: TEXAS ST, DOMESTIC AVE, ORANGE ST
Project Description: Installation of 0.1 miles oa Class IV bikeway on Texas Street from Citrus Valley High School
(CVHS) to Domestic Avenue. Installation of 0.5 and 0.25 miles of Class I bikeway on
Domestic Avenue from Texas Street to Orange Street and Orange Street from Pioneer Street
Right of Way Certification No.1
1. Status of Required Property Rights
IR No acquisition of R/W is required; all proposed work is within the existing R/W.
❑ R/W 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:
Right of Way Certification
2. Status of Affected Operating Railroad Facilities
® None affected
❑ The Railroad has approved the proposed work, which is within their R/W 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.
❑ The Railroad (and when needed, the Public Utilities Commission) has approved the proposed work,
which is within the railroad R/W 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)
• None required
❑ Material site(s) required. If this box is checked, please use Exhibit 13-B.
4. Disposal Site(s)
® None required
❑ Disposal site(s) required. If this box is checked, please use Exhibit 13-B.
Page 1 of 4
January 2024
Local Assistance Procedures Manual Exhibit 13-A
Short Form Right of Way Certification Local Assistance Project
5. Status of Required Utility Relocation (check all that apply)
❑ 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.
E Utility involvement is limited to adjusting UTILITY COVERS (manhole cover, water valve cover, and box lids) to grade
and said work is compliant with all terms and conditions including Buy America requirements. If this box is checked,
please complete page 4 of this form entitled "Utility Cover Adjustment Summary' 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.
O 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
E 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.
O 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:
® There are no airspace lease properties within the limits of the 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)
8. Compliance with Relocation Assistance Program Requirements
E Compliance was not required as there were no displacements for this project.
❑ Occupants who have not yet moved from the R/W 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.
Page 2 of 4
January 2024
Local Assistance Procedures Manual Exhibit 13-A
Shod Form Right of Way Certification Local Assistance Project
9. Cooperative Agreements
Ei None required
❑ Agency Agreement No. (if checked, please attach a copy)
10. Environmental Mitigation
El No environmental mitigation parcels are required for this project.
❑ All environmental mitigation parcels for the project have been acquired. If this box is checked, please use
Exhibit 13-B.
❑ Acquisition of environmental mitigation parcels is ongoing. If this box is checked, please use Exhibit 13-B.
11. Certification
I hereby certify the right of way on this project as conforming to 23 CFR 635.309(b) and (c)(1) or (c)(2) and 49 CFR
Part 24. The project may be advertised with contract award being made at any time.
12. Indemnification by Local Public Agency (LPA)
This Local Public Agency agrees to indemnify, 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: CITY OF REDLANDS
Project ID:
CRP-5083(031)
Authorized by Resolution N 75.98
le/el
Signature G
City of Redlands, Mayor Attest:
By:
Dated: 12/20/16
Title {inne Donaldson, City Clerk
3-6-21.
Date
"I do hereby attest I have authority via resolution to sign this document on behalf of my agency."
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 LPA. It remains the sole responsibility of
the LPA to ensure compliance with the Uniform Act.
Accepted as to form and content:
By:
Signature
Title
Date
Distribution: 1) LPA completes this form, signs, and sends to DLAE.
2) DLAE sends a copy to District Right of Way Local Programs Coordinator, keeps a copy for their files, and sends the signed original back
to the LPA.
1
Page 3 of 4
January 2024
Local Assistance Procedures Manual EXHIBIT 13-A
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(b) and (c)(1) or (c)(2) and 49
CFR Part 24. The project may be advertised with contract award being made at any time.
12. INDEMNIFICATION BY LOCAL AGENCY
This Local Public Agency agrees to indemnify, 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: CRP-5083(031)
Authorized Resolution No.: 7698
Dated: 12/20/16
By:
Title: Eddie Tejeda!Mayor
Date: O - 2 -23
Attes
anne 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.
Accepted as to form and content:
By: V\C11L _
Title: Senior Right of'V/ay Agent
Date: 08/14/2024
Distribution: 1) Local agency completes this form, signs and sends it to the DLAE.
2) DLAE sends a copy to District Right of Way Local Programs Coordinator, keeps a copy for his/her files, and sends the signed
original back to the local agency.
Page 4 of 5
January 2021
Local Assistance Procedures Manual
Exhibit 13-A
Short Form Right of Way Certification Local Assistance Project
Utility Cover Adjustment Summary
Items to be disclosed on this summary include: Covers of utility facilities, either publicly owned (by City/County and
other public agencies, including the project sponsoring agency) or privately owned that services the general population.
Utility covers of facility that directly services the street/roadway operation (such as an electric pull box, which services
streetlight and traffic signals) do not require disclosure on this form.
a. Physical Cover Adjustments Performed by Owner
Notice # &
Notice
Date
Utility
Agreement
Date
Owner
Liability %
Owner / LPA
Type of Facility
Encroachment
Permit #
Federal
Participation
(Y)* or (N)
* Include copy of Specific Authorization
b. Utility Cover Adjustments will be Performed by Project Contractor
Bid Item #
Notice # &
Notice
Date
Utility
Agreement
Date
Owner
Liability %
Owner / LPA
Type of Facility
Federal
Participation
(Y)* or (N)
15
5083031; 5/31/24
C/o Redlands
100/100
Water
Y
16
5083031; 5/31/24
C/o Redlands
100/100
Sewer
Y
* Include copy of Specific Authorization
c. Federal Participation
The adjustments comply with 23 CFR 645.119 and the R/W Utility Relocation Process ❑x Yes ❑ No
in LAPM Chapter 14
These adjustments are required as the direct result of the proposed construction ® Yes ❑ No
activities and the LPA is legally liable to pay for the adjustment
Adjustments specified for federal participation have received FHWA Specific
Authorization (Exhibit 14-C) approval? If "no", not federally participating.
® Yes ❑ No
Page 4 of 4
January 2024
RESOLUTION NO. 7698
RESOLUTION OF THE CITY COUNCIL OF THE CITY REDLANDS, STATE OF
CALIFORNIA, AUTHORIZING THE MAYOR, OR ANY COUNCIL MEMBER, TO
EXECUTE STATE TRANSPORTATION PROGRAM DOCUMENTS REQUIRED FOR
HIGHWAY PROJECT GRANT FUNDING AND RESCINDING RESOLUTION NO.
6934
WHEREAS, the City of Redlands (the "City") is eligible to receive State and/or
Federal funding for certain transportation projects through the California Department of
Transportation; and
WHEREAS, Master Agreements, Program Supplement Agreements, Fund Exchange
Agreements, Fund Transfer Agreements and Right -of -Way Certifications with the California
Department of Transportation must be executed by an authorized City representative before
such fiends can be obtained and expended by the City; and
WHEREAS, the city Council of the City wishes to authorize the Mayor or any
Council Member to execute all Master Agreements, Program Supplement Agreements, Fund
Exchange Agreements, Fund Transfer Agreements and Right -of -Way Certifications and any
amendments thereto, with the California Department of Transportation;
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Redlands, State of California, as follows:
Section 1. The City Council of the City of Redlands hereby authorizes the Redlands
Mayor or any Redlands City Council Member to approve, execute documents required to
receive funding for various transportation projects, including but not limited to right-of-way
certifications on behalf of the City. Such documents, when duly executed by the Mayor or
any Redlands City Council Member shall be binding upon the City.
Section 2. Resolution No. 6934 of the City Council of the City of Redlands is hereby
rescinded.
ADOPTED, SIGNED AND APPROVED this 20`1' day of December, 2016.
Ca?-26-&dti()
or
ATTEST:
J ifie Donaldson, City Clerk
I:\cclerk\Resolutions\Res 7600-7699\7698 Authorize Mayor to execute Federal Aid
documents.docx
I, Jeanne Donaldson, City Clerk of the City of Redlands, hereby certify that the foregoing
resolution was adopted by the City Council at a regular meeting thereof held on the 20th day of
December, 2016 by the following vote:
AYES: Councilmembers Harrison, Gilbreath, Barich, Tejeda; Mayor Foster
NOES: None
ABSTAIN: None
ABSENT: None
eamie Donaldson, City Clerk