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<br />Page 24 of 37 <br />20016287.14 <br />Project Description and Scope of Work: <br /> <br />Scope of Work Schedule: <br /> Begin End <br /> <br /> <br /> <br />Project Budget/ Source of Funding: <br />Include funding plan for the project defined above, including use of TA Technical Assistance if <br />applicable <br />List Fund Source Amount <br />TA Technical Assistance, <br />if applicable <br />Total:$0 $0 $0 <br />Other Sources*Measure A/W <br />Funding Amount TotalPhase <br /> <br />* The other fund sources are provided for informational purposes. <br /> <br />Operating Responsibility: <br /> <br />Maintenance Responsibility: <br /> <br />Project Implementation Responsibility: <br /> <br />Project Oversight Responsibility: <br />SECTION F: Third Party Roles <br />1. Third Party Roles. The [THIRD PARTY] is responsible for [LIST ALL RELEVANT <br />RESPONSIBILITIES] for the Project. <br />2. Caltrans Roles. Caltrans as owner operator of the facility proposed for modification is <br />responsible for reviewing and approving the [RELEVANT DOCUMENTS] for the Project. <br />3. Other Agreements. A Cooperative Agreement must be executed between Caltrans and <br />the TA that lists the terms and conditions, roles and responsibilities and fee payment associated <br />with Caltrans’ review and approval of the [RELEVANT DOCUMENTS]. <br />SECTION G: Time of Performance <br />1. Time of Performance. The Scope of Work must be completed no later than the end of <br />__ quarter, Fiscal Year 20__-20__ (the TA's fiscal year runs July 1 through June 30). All <br />reimbursement requests need to be submitted no later than end of __ quarter, Fiscal Year 20__- <br />20__. <br />2. Timely Use of Funds. Sponsor must expend Measures A/W funds expeditiously. If <br />ATTY/AGR/2025.031 - 2025 TA PRIMARY GRANT AGREEMENT <br />REV: 02-27-25 LR