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Attachment B <br /> TDA Article 3 Proiect Application Form <br /> Fiscal Year of this Claim:2015-16 Applicant:Town of Los Altos Hills <br /> Contact person:Richard Chiu <br /> Mailing Address:26379 Fremont Road Los Altos Hills CA 94022 <br /> E-Mail Address:rchiu(u)losaltoshills.ca.gov Telephone:650-947-2516 <br /> Secondary Contact(in event primary not available)John Chau <br /> E-Mail Address: 'chau(cDlosaltoshills ca gov Telephone:650-947-2510 <br /> Short Title Description of Proiect• Design of Miranda Road Pathway project <br /> Amount of claim:$15,345 <br /> Functional Description of Project: <br /> Prepare plans specifications and estimate for an off-road multi-use path on Miranda Road to improve safety for pedestrians and <br /> bicyclists when using the path <br /> Financial Plan: <br /> List the project elements for which TDA funding is being requested(e.g.,planning,engineering,construction,contingency). <br /> Use the table below to show the project budget for the phase being funded or total project. Include prior and proposed <br /> future funding of the project. Planning funds may only be used for comprehensive bicycle and pedestrian plans. Project <br /> level planning is not an eligible use of TDA Article 3. <br /> Project Elements: Engineering design work to prepare plans specifications and estimate for project. <br /> Funding Source All Prior FYs Application FY Next FY Following FYs Totals <br /> TDA Article 3 <br /> list all other sources: <br /> 1.TDA Guarantee $15,345 <br /> 2.Pathway Fund $5,135 <br /> 3. <br /> 4. <br /> Totals 1 $20,480 <br /> Project Eligibility: YES?1N0? <br /> A. Has the project been approved by the claimant's governing body? (If"NO,"provide the approximate date approval is No <br /> anticipated).April 2015 <br /> B. Has this project previously received TDA Article 3 funding? If"YES,"provide an explanation on a separate page. No <br /> C. For"bikeways,"does the project meet Caltrans minimum safety design criteria pursuant to Chapter 1000 of the California N/A <br /> Highway Design Manual?(Available on the internet via:htp://www.dot.cg.gov). <br /> D. Has the project been reviewed by a Bicycle Advisory Committee(BAC)?(If"NO,"provide an explanation). Enter date the N/A <br /> project was reviewed by the BAC: <br /> E. Has the public availability of the environmental compliance documentation for the project(pursuant to CEQA)been N/A <br /> evidenced by the dated stamping of the document by the county clerk or county recorder? (required only for projects that <br /> include construction). <br /> F. Will the project be completed before the allocation expires? Enter the anticipated completion date of project(month and Yes <br /> year)October 2015 <br /> Resolution 22-15 Page 4 <br />