Art3_Adelanto_FY23_Transit_Johnathan St_SignedClaim San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Transit lrnpRrovemellts at Jonathan Street Grant Allocation No: [,Z4Q702-0730-QO
Claimant: City ofAdeiaOto
Address: 11600 air Expressway
Adelanto,Ca 92301
Attention: Saba Engineer
Phone No: 760-246-2300 Ext.11184
E-mail Address: sengineer@adelantoca.gov
Award Amount $ 144,000.00
Purpose: Please check one purpose.
❑ Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
11 Transit Stop Access Improvements,PUC 99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 4/15/2024
nature
Jessie Flores,Citv Manager
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.
C-Transit Claim Form_
Claim Form Pagel