Instructions Jurisdiction Name City of Los Banos

1. Use this tool to report Local Projects Funds expenditures quarterly. Reporting Period 06/30/2019

2. All expenditure invoices should be submitted with this Designated Reporting Tool. Prepared By Kim Tomas3. Submit all documents to MCAG at 369 w. 18th street Merced, Ca 95340 or email it to measurev@mcagov.org no later than 30 days after end of each quarter

Project Description Project Location

Contractor(s)

Name Contractor Cost Material Cost Staff Time Cost

Total Measure

Expenditure

Total Non-

Measure

Expenditure

TOTAL

PROJECT COST

2019 Street RehabilitationGouveia Engineering

Inc. $ 44,095.95 $ - $ - $44,095.95 $ - $ 44,095.95

2019 Street Rehabilitation Merced Sun Star $ 166.40 $ - $ - $166.40 $ - $ 166.40

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

$ - $ - $ - $0.00 $ - $ -

Subtotal Expenditures for GeneraL Local Projects $44,262.35 $0.00 $0.00 $44,262.35 $ - $ 44,262.35

Total Revenue Received for General Local Projects

(period end 6/30/19) $ 316,756.74

Remaining Revenue for General Local Projects $ 272,494.39 $0.00 $44,262.35

State Street Sidewalk Improvements State Streets by Colorado ParkGouveia

Engineering Inc. $ 10,459.97 $ - $ - $ 10,459.97 $ 3,486.66 $ 13,946.63

State Street Sidewalk Improvements State Streets by Colorado ParkGouveia

Engineering Inc. $ 2,700.00 $ - $ - $ 2,700.00 $ 900.00 $ 3,600.00

State Street Sidewalk Improvements State Streets by Colorado ParkGouveia

Engineering Inc. $ 2,416.31 $ - $ - $ 2,416.31 $ 805.43 $ 3,221.74

State Street Sidewalk Improvements State Streets by Colorado Park Merced Sun Star $ 72.96 $ - $ - $ 72.96 $ 24.32 $ 97.28

State Street Sidewalk Improvements State Streets by Colorado Park Merced Sun Star $ 120.96 $ - $ 120.96 $ 40.32 $ 161.28

Subtotal ALT Modes Projects $ 15,770.20 $ - $ - $ 15,770.20

Total Revenue Received for ALT Modes Projects

(period end 6/30/19) $ 79,189.17

Remaining Revenue for ALT Modes Projects $ 63,418.97 $ 5,256.73 $ 21,026.93

$ 60,032.55 $ - $ - $60,032.55

$395,945.91

$335,913.36Total Measure Revenue Remaining Balance

GEN

ERA

L LO

CA

L

PR

OJE

CTS

80

%

ALT

MO

DES

PR

OJE

CTS

20

%

DESIGNATED REPORTING TOOLMEASURE V LOCAL PROJECTS EXPENDITURE REPORT

Reporting Period: January 1, 2019 - March 31, 2019

Total Measure Expenditures

Total Measure Revenue Received

LB001

Project Name: 2019 Street RehabilitationVendor Invoice # Amount ReferenceGouveia Engineering Inc. 9029 $44,095.95 LB006Merced Sun Star 4277263 $166.40 LB007

$44,262.35

Project Name: State Street Sidewalk ImprovementsVendor Invoice # Amount ReferenceGouveia Engineering Inc. 8591 $10,459.97 LB012Gouveia Engineering Inc. 8678 $2,700.00 LB013Gouveia Engineering Inc. 9028 $2,416.31 LB014Merced Sun Star 4245887 $72.96 LB015Merced Sun Star 4277238 $120.96 LB017

$15,770.20Total Expenditures $60,032.55

LB002

Measure V Quarterly report form and checklist Please fill out the following for each Measure V funded project.

Member Agency: Los Banos

Fiscal Year Reporting period: 2018-19

☐ Quarter 1: July 1st – September 30th Report due: October 31st

Quarter 2: October 1st – December 31st Report due: January 31st

Quarter 3: January 1st – March 31st Report due: April 30th

X Quarter 4: April 1st – June 30th Report due: August 31st

Quarterly expenditure form with supporting documentation is attached: Yes

Name of project: 2019 Street Rehabilitation Project General location of project within the jurisdiction: various arterial streets within the City Amount of Measure V funds awarded to project: $1,500,000 Dollars spent during this quarter on this project: $44,262.35 Narrative (Please briefly describe the work done with Measure V funds, such as the roads or facilities improved/maintained, how planning activities will benefit the community, or the progress made on this project if no funds were spent, etc): Is this project part of the jurisdiction’s 20% allocation for alternate transportation modes? No The required high-resolution pictures (minimum 4,000 x 3,000 pixels) of the project are attached (mark one): ☐ Yes, see in-progress photo(s) below (jpeg files)

LB003

☐ Yes, see before and after photos below (jpeg files)

No. If no, why not: The project has been in the design and bidding phase. Construction will be initiated in the next quarter and pictures will be taken to document the project. This project was publicly promoted as a Measure V project utilizing the following mediums (Please mark all that apply and include any applicable links, publications or photos): ☐ Press release, on: Click here to enter date and/or link.**

☐ Social media, on: Click here to enter date and platform.

☐ Jurisdiction website*

☐ Content sent to MCAG staff for publication on Measure V website, on: Click here to enter a date. *

☐ Ribbon cutting or other public event, on: Click here to enter a date. Attach any relevant photos below.

LB004

☐ Other publication, date and description: Click here to enter date, publication and applicable links.

X This project was not promoted at all because: The project is in the design and bidding phase. Promotion is being planned for the construction phase. *required **required at least once annually

Measure V signage was used to inform the public about the project’s funding source (required for all projects over $50,000). No If no, explain: Signage will be utilized to inform the public prior to the construction phase. Report Submitted by: Greg Pimentel Date: 8/14/19

Please submit completed form and supporting documentation to: MeasureV@mcagov.org

LB005

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LB008

Measure V Quarterly report form and checklist Please fill out the following for each Measure V funded project.

Member Agency: Los Banos

Fiscal Year Reporting period: 2018-19

☐ Quarter 1: July 1st – September 30th Report due: October 31st

Quarter 2: October 1st – December 31st Report due: January 31st

Quarter 3: January 1st – March 31st Report due: April 30th

X Quarter 4: April 1st – June 30th Report due: August 31st

Quarterly expenditure form with supporting documentation is attached: Yes

Name of project: States Street Sidewalks Improvements General location of project within the jurisdiction: Colorado Ballpark Area-western side of City Amount of Measure V funds awarded to project: $820,000 Dollars spent during this quarter on this project: $15,770.20 Narrative (Please briefly describe the work done with Measure V funds, such as the roads or facilities improved/maintained, how planning activities will benefit the community, or the progress made on this project if no funds were spent, etc): The States Streets Sidewalks Improvement project is in the design phase of the project. Dollars spent in the 4th quarter were exclusively for design. Is this project part of the jurisdiction’s 20% allocation for alternate transportation modes? Yes The required high-resolution pictures (minimum 4,000 x 3,000 pixels) of the project are attached (mark one): ☐ Yes, see in-progress photo(s) below (jpeg files)

LB009

☐ Yes, see before and after photos below (jpeg files)

X No. If no, why not: The States Streets Sidewalks Improvement project is in the design phase of the project. Construction will be initiated in the next quarter and pictures will be taken to document the project. This project was publicly promoted as a Measure V project utilizing the following mediums (Please mark all that apply and include any applicable links, publications or photos): ☐ Press release, on: Click here to enter date and/or link.**

☐ Social media, on: Click here to enter date and platform.

☐ Jurisdiction website*

☐ Content sent to MCAG staff for publication on Measure V website, on: Click here to enter a date. *

☐ Ribbon cutting or other public event, on: Click here to enter a date. Attach any relevant photos below.

LB010

☐ Other publication, date and description: Click here to enter date, publication and applicable links.

X This project was not promoted at all because: The project is in the design phase. Promotion is being planned for the construction phase. *required **required at least once annually

Measure V signage was used to inform the public about the project’s funding source (required for all projects over $50,000). No If no, explain: Signage will be utilized to inform the public prior to the construction phase. Report Submitted by: Greg Pimentel Date: 8/14/19

Please submit completed form and supporting documentation to: MeasureV@mcagov.org

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