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Art3_Highland_FY23_BikePed_9th St_ClaimSigned San Bernardino County Transportation Authority Claim Form Article 3 Grant Program Project Name: 9th St.Transit Stops,Sidewalk,and Bikeway Imp. Grant Allocation No: L24-0702-0740-00 Claimant: City of Highland Address: 27215 Base Line Highland,CA 92346 Attention: Carlos Zamano Phone No: (909)864-6861 x217 E-mail Address: czamano@cityofhighland.org Award Amount $ 471,608.00 Purpose: Please check one purpose. o Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUQ 99233.3 ❑ Transit Stop Access Improvements,PUC 99233.3 Note:this form only needs to be completed and submlted with the jun award amount once. Authorizing Signature: (Authorized Agent specified in Authorizing Resolution) Date: 11/15/2023 Signature Carlos Zamano,Public Works Director/City Engineer Type Name&Title Condition of Approval: Approval of this claim and payment by the County Auditor to this claimant are subject to monies being available and to the provision that such monies will be used only in accordance with the approved allocation instruction. Ar13_Highland_FY23_BikePed_9th St—Claim Claim Form Page 1