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Art3_VVTA_FY17_Transit_BearValley_Inv_CLOSED i San Bernardino Associated Governments Check List Article 3 Grant Program Claimant: Victory Valley Transit Authority Date: 6/15/2020 Please see instructions and check list of required items below. \/ 1. Claim Form(one-time submission) Please submit a completed Claim Form prior to requesting reimbursement of funds. An authorizing resolution is required with the Claim Form(see#2). 2. Authorizing Resolution(one-time submission) Resolution authorizing the filing of the claim form and authorizing the submission of reimbursement requests throughout the duration of the project. Please submit resolution with Claim Form. V" 3. Reimbursement Request Form(as needed) This form is required for every reimbursement requested. J4. Back-up Documentation(required with Reimbursement Request Form) Please attach documentation supporting the amount requested(e.g., invoices,paychecks, purchase orders, etc.) 5. Certified Copy of Minute Action(completed projects only) Certified copy of minute action authorizing the filing of the final claim and verifying project completion. 6. Photos of Completed Project(completed projects only) 7. Other(optional) Attach any other information you wish to submit to support your claim. VVTA Artie 3 Claim Form TDA Update Version Check List Page 1 San Bemardino Associated Governments Claim Form Article 3 Grant Program Project Name: Transit Access Stops Grant Allocation No: L18-VVT-16 Claimant: VVTA Address: 17150 Smoketree St. Hesperia, CA 92345 Attention: Nancie Goff Phone No: 760-995-3495 E-mail Address: ngoff@vvta.org Amount Requested for Reimbursement: $ 44,515.11 Purpose: Please check one purpose. ( ) Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code (PUC) 99233.3 (X) Transit Stop Access Improvements, PUC 99233.3 Authorizing Signature: (Claimant's Chief Adminstrator or Financial Officer) Signat e Kevin Kane,Executive Director 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. VVTA Artle 3 Claim Form TDA Update Version Claim Form Page 1 San Bernardino Associated Governments Reimbursement Request Article 3 Grant Program Claimant: Victor Valley Transit Authority Date: 6/15/2020 Grant Information (completed by SANBAG Article 3 Total Project Award Percent Local Match Percent Local Project Name Cost Amount Article 3 Amount Match $ 250,000 $ 87,000 35% $ 163,000 65% Instructions:Please complete 1 through 4 below. Amount 1)Article 3 Project Cost(amount being requested for reimbursement) $ 44,515.11 2)Local Match Project Cost $ 83,401.86 Total $ 127,916.97 Project Costs to Date(include amount requested above) 3 Article 3 $ 44,515 4)Local Match $ 83,402 Total $ 127,917 Local Match Amount Remaining 79,598 Article 3 Balance Remaining 42,485 Total Amount Remaining 122,083 I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge. The same authority that signs the Claim Form must sign this form. 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