Art3_Rancho Cucamonga_FY23_BikePed_Day Creek_ClaimSignedSan Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name:Day Creek Channel Trail: Jack Benny to Base Line Grant Allocation No:L24-0702-0745-01
Claimant:Rancho Cucamonga
Address:
Attention:
Phone No:
E-mail Address:
510,250.00$
Purpose:Please check one purpose.
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:
Signature
John Gillison, City Manager
Type Name & Title
10500 Civic Center Drive
Rancho Cucamonga, CA 91730
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.
Transit Stop Access Improvements, PUC 99233.3
Justin Pope, Associate Engineer
909-774-4037
justin.pope@cityofrc.us
Condition of Approval:
Article 3 Bicycle/Pedestrian Facilities, Public Utilities Code (PUC) 99233.3
Award Amount
Art3_Rancho Cucamonga_FY23_BikePed_Day Creek_Claim.xlsxClaim Form Page 1
DocuSign Envelope ID: 43A93BF7-6CA9-43B0-8D01-009B7283FE97
3/27/2024 | 3:40 PM PDT