Art3_VVTA_FY21_Transit_Hesperia Road_ClaimSigned San Benandino Associated Govts
Claim Form
Article 3 Grant Program
Project Name: Hesperia Rd Between Chalan Rd and Sunset Drive Grant Allocation No: t22-0702-0751-02
Claimant:Victor Valley Transit Authority
Address: 17150 Smoke Tree Street
Hesperia,CA 92345
Attention: Marie Downing
Phone No: (76D)995-3575
E-mail Address: mdowning@vvta.org
Award Amount y 51,722A1
Purpose: Please check one purpose.
0 Article 3 Bicycle/Pedestrlan facilities,Public Utilities Code(PUQ 99233.3
0 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resol on)
00,
` Dater
Signature
Kevin Kane,Executive Director/CEO
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.
Arta V1RA,-FY21 T-m3K-HespeftK-Cleim
Claim Form Page 1