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DocuSign Envelope ID: 0AC4FC19-7837-4184-8E57-CB34C958FC81 <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />LOCAL AGENCY PROGRAM <br />SUPPLEMENTAL AGREEMENT <br />ADJUSTED EXHIBIT "B" SCHEDULE OF FINANCIAL ASSISTANCE <br />RECIPIENT NAME & BILLING ADDRESS: City of Casselberry <br />95 Triplet Lake Drive <br />Casselberry, Florida 32707-3399 <br />FINANCIAL PROJECT NUMBER: <br />525-010-32 <br />PROGRAM MANAGEMENT <br />02/22 <br />439064-1-58-01 <br />Page 3 of 4 <br />COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 216.3475, FLORIDA STATUTES: <br />I certify that the cost for each line item budget category has been evaluated and determined to be allowable, reasonable, and necessary as required by Section 216.3475, F.S. Documentation is on file evidencing the <br />methodology used and the conclusions reached, <br />Ducus1p.d by: <br />Precious L. Lewis �• �,,�, <br />P- 4 12/12/2023 1 10:53 AM EST <br />District Grant Manager Name tWA3F5ce74E3... Date <br />FUNDING <br />PHASE OF WORK <br />(1) <br />PREVIOUS TOTAL <br />(2) <br />ADDITIONAL <br />(3) <br />CURRENT TOTAL <br />(4) <br />TOTAL LOCAL <br />(5) <br />(6) <br />TOTAL FEDERAL <br />B Fiscal Year <br />By <br />PROJECT FUNDS <br />PROJECT FUNDS <br />PROJECT FUNDS <br />FUNDS <br />TOTAL STATE FUNDS <br />FUNDS <br />Design <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Total Design Cost <br />Right -of -Way <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />$ 0.00 <br />S 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Total Right -of -Way Cost <br />Construction <br />FY: 2022-2023 (LAP) <br />$550,358.00 <br />$0.00 <br />$550,358.00 <br />$437,396.00 <br />$0.00 <br />$112,962.00 <br />$0.00 <br />($28,341.00) <br />($28,341.00) <br />($176,567.00) <br />$0.00 <br />$148,226.00 <br />FY: 2023-2024 (LAP) <br />FY: (Insert Program Name) <br />$550,358.00 <br />$28,341.00 <br />$522,017.00 <br />$260,829.00 <br />$ 0.00 <br />$261,188.00 <br />Total Construction Cost <br />Construction Engineering and Inspection (CEI) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />$ 0.00 <br />S 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Total CEI Cost <br />(Insert Phase) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />FY: (Insert Program Name) <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 1 <br />$ 0.00 <br />Total Phase Costs <br />TOTAL COST OF THE PROJECT <br />$550,358.00 <br />$28,341.00 <br />$522,017.00 <br />$260,829.00 <br />$ 0.00 <br />$261,188.00 <br />COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 216.3475, FLORIDA STATUTES: <br />I certify that the cost for each line item budget category has been evaluated and determined to be allowable, reasonable, and necessary as required by Section 216.3475, F.S. Documentation is on file evidencing the <br />methodology used and the conclusions reached, <br />Ducus1p.d by: <br />Precious L. Lewis �• �,,�, <br />P- 4 12/12/2023 1 10:53 AM EST <br />District Grant Manager Name tWA3F5ce74E3... Date <br />