Art3_Victorville_FY23_BikePed_Village Drive Sidewalk_ClaimSigned San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Village Drive Sidewalk Grant Allocation No: L24-0702-0751-03
Claimant: City of Victorville
Address: 14343 Civic Drive
Victorville,CA 92392-2399
Attention: Fredy Bonilla
Phone No: 760 955-5170
E-mail Address: fbonilla@victorvilleca.gov
Award Amount Y 250,000.00
Purpose: Please check one purpose.
0 Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUQ 99233.3
❑ Transit Stop Access Improvements,PUC99233.3
Note.:this form only needs to be completed and submited with the full award amount once.
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 01 h /2
Signature
Fredy Bonilla,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.
Art3_Victorville_FY23_BikePed_Village Drive Sidewalk—Claim(1)
Claim Form
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