Art3_Rancho Cucamonga_FY23_BikePed_Cucamonga Creek_ClaimSignedSan Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name:Cucamonga Creek Channel: Foothill to Base Line Grant Allocation No:L24-0702-0745-00
Claimant: Rancho Cucamonga
Address:
Attention:
Phone No:
E-mail Address:
162,415.00$
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
Cesar Guevara, Associate Engineer
909-774-4057
cesar.guevara@cityofrc.us
Condition of Approval:
Article 3 Bicycle/Pedestrian Facilities, Public Utilities Code (PUC) 99233.3
Award Amount
Art3_Rancho Cucamonga_FY23_BikePed_Cucamonga Creek_Claim
Claim Form Page 1
DocuSign Envelope ID: 43A93BF7-6CA9-43B0-8D01-009B7283FE97
3/27/2024 | 3:40 PM PDT