Art3_Victorville_FY19_BikePed_OldTownPhase1_Inv_RedactedSan Bernardino Associated Governments
Check List
Article 3 Grant Program
City of Victorville Date:8/16/2023
ckmark the items included in your submittal.
√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.
√3.Reimbursement Request Form (as needed)
This form is required for every reimbursement requested.
√4. 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.
Claimant:
Art3_Victorville_FY19_BikePed_OldTown_Claim
Check List Page 1
-Just need photos of the completed project. Emailed
Ximena to let her know on 9/27/23. -GK
-City submitted photos on 10/4 but it was impossible to
determine photo locations. Asked City to provide labels.
10/6/23 -GK
-Photos w/locations submitted thu LF site on 12/12/23.
Reimb approved on 12/28/23. - GK
City of Victorville
City Council Meeting
Minute Order
April 19, 2022
Written Communications
16. Old Town Sidewalk Connectivity Projects -Phases 1 and 2
Recommendation:
That Your Honorable City Council:
(1) Authorize the submittal of claims and requests for reimbursements for TDA
Article 3 funds from the San Bernardino Transportation Authority (SBCTA) for the
Old Town Sidewalk Connectivity Phase 1 Project in the amount of $244,000.00,
and the Phase 2 Project in the amount of $246,640.00.
(2) Authorize the City Engineer to certify the completion of both projects.
Motion was made to approve staff recommendation.
Moved:
Seconded:
Council Member Gomez
Mayor Pro Tern Irving
Motion passed 4-0
Ayes: Council Member Becerra, Council Member Gomez, Mayor Pro Tern Irving,
Mayor Jones
I, Jennifer Thompson, City Clerk of the City of Victorville, do hereby certify that this
document is a true and correct excerpt from the unofficial minutes of the Regular Meeting
of the City Council of the City of Victorville held on April 19, 2022 and the original of which
is on file in the City Clerk's office.
Dated: April 25, 2022
Attest: "'"tllll1t1,,, .. !t._ GIT. i,0''•,,,,,,,
,i' •••••.• ·-. ,_ . \4.. . i'-,
iK M ·- !,-• ('): =-· N..c'S •-1== ...... ' ' ·o =\ ·- .. i, s/;o/ "-:. •••••• .A.\.. ,l ,, * ,a r\' ,• ,, .. , ,,, ,,, lj1,,,, ',., in 1 ,,,,,,,
San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name:Grant Allocation No:L20-0702-0751-00
Claimant:
Address:
Attention:
Phone No:
E-mail Address:
244,000.00$
Purpose: Please check one purpose.
( )
Authorizing Signature:
(Claimant's Chief Adminstrator or Financial Officer)
Date: 8/16/2023
Signature
Brian Gengler, City Engineer
Type Name & Title
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
Brian Gengler
760-955-5200
bgengler@victorvilleca.gov
Condition of Approval:
Article 3 Bicycle/Pedestrian Facilities, Public Utilities Code (PUC) 99233.3(X)
Old Town Sidewalk Connectivity Project
Amount Requested
for Reimbursement:
City of Victorville
14343 Civil Dr
Victorville, Ca 92392
Art3_Victorville_FY19_BikePed_OldTown_Claim
Claim Form Page 1
San Bernardino Associated Governments
Reimbursement Request
Article 3 Grant Program
Claimant:City of Victorville
Total Project
Cost
Article 3
Award
Amount
Percent
Article 3 Local Match ATP Funds
622,375$ 244,000$ 39.2% 378,375$ -$
Instructions: Please complete 1 through 4 below.
Amount
244,000$
378,375$
622,375$
244,000$ 0
378,375$ 0
622,375$ 0
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.
Signed: Date: 8/16/2023
Grant Information (completed by SANBAG)
Total Amount Remaining
5th Street Phase II Bicycle and Ped Proj
Project Name
3)Article 3
4) Local Match/ATP Funds
Total
Total
Project Costs to Date (include amount requested above)
1) Article 3 Cost (amount being requested for
reimbursement)
2) Local Match/ATP Funds Cost
Local Match/ATP Funds
Remaining
Article 3 Balance Remaining
Art3_Victorville_FY19_BikePed_OldTown_Claim
Reimbursement Request Page 1
Vendor Number Amount Check Check Date
LCR Earthwork Engineering EST. #3 PO 4385 $349,855.60 791023 06/28/2023
LCR Earthwork Engineering EST. #2 PO 4385 $202,875.00 790391 05/10/2023
LCR Earthwork Engineering EST #1 PO 4385 $109,644.00 789903 04/05/2023
Total Project Cost: $662,374.60
Old Town Sidewalk Connectivity Project, Phase I
Summary of Invoices
To The
Order Of LCR EARTHWORK & ENGINEERING CORP. 3200 E. GUASTI ROAD, SUITE 100 ONT ARIO, CA 91761
City of Victorville, Victorville, CA 92393
04/04/2023 EST #1 PO 4385 OLD TOWN SIDEWALK PROJECT CC23-051
04/04/2023 EST #1 RET PO 4385 CITY HELD RETOLD TOWN ; SIDEWALK
Page 1 of 1
Check Number
F ISSUE
104,161.80
0 - •"-' '- · " - , o- ••• 'f N /= - o- o- •• = o= -.M P
109,644.00
-5,482.20
,_,•- o ·----,0- .MP
Check Number: 00789903
0.00 $109,644.00
0.00. -$5,482.20
Vendor
Number
CheckDate CheckNumber
To The
Order Of
Pay
City of Victorville
P.O. Box 5001
Victorville,CA 92393-5001
(760) 955-5000 VOID 90 DAYS FROM DATE OF ISSUE
FILE COPY
NON-NEGOTIABLE
Vendor No.Vendor Name Check No.Check Date Check Amount
Paid AmountDescriptionInvoice NumberInvoice Date
Check Number:City of Victorville, Victorville, CA 92393
Disc TakenGross Amount
$192,731.25
*One Hundred Ninety-two Thousand Seven Hundred Thirty-one Dollars and 25 Cents*
LCR EARTHWORK & ENGINEERING CORP.
3200 E. GUASTI ROAD,SUITE 100
ONTARIO, CA 91761
21757 05/10/2023 00790391
00790391
$192,731.2521757LCR EARTHWORK & ENGINEERING CORP.05/10/202300790391
Page 1 of 1 00790391
05/09/2023 EST.#2 PO 4385 APO OLD TOWN SIDEWALK
PROJECT CC23-051
202,875.00 0.00 $202,875.00
05/09/2023 EST.#2 RET PO 4385 CITY HELD RET OLD TOWN
SIDEWALK
-10,143.75 0.00 -$10,143.75
Vendor
Number
CheckDate CheckNumber
To The
Order Of
Pay
City of Victorville
P.O. Box 5001
Victorville,CA 92393-5001
(760) 955-5000 VOID 90 DAYS FROM DATE OF ISSUE
FILE COPY
NON-NEGOTIABLE
Vendor No.Vendor Name Check No.Check Date Check Amount
Paid AmountDescriptionInvoice NumberInvoice Date
Check Number:City of Victorville, Victorville, CA 92393
Disc TakenGross Amount
$332,362.82
*Three Hundred Thirty-two Thousand Three Hundred Sixty-two Dollars and 82 Cents*
LCR EARTHWORK & ENGINEERING CORP.
3200 E. GUASTI ROAD,SUITE 100
ONTARIO, CA 91761
21757 06/28/2023 00791023
00791023
$332,362.8221757LCR EARTHWORK & ENGINEERING CORP.06/28/202300791023
Page 1 of 1 00791023
06/26/2023 EST.#3 PO 4385 APO OLD TOWN SIDEWALK
PROJECT CC23-051
349,855.60 0.00 $349,855.60
06/26/2023 EST.#3 RET PO 4385 CITY HELD RET OLD TOWN
SIDEWALK
-17,492.78 0.00 -$17,492.78
Old Town Connectivity
Project, Phase 1
Second and C Street
Old Town Connectivity Project, Phase 1
SITE 1: 2ND ST. FROM B ST. TO C ST.
SITE 2: 4TH ST. FROM C ST. TO D ST.
SITE 3: 5TH ST. FROM B ST. TO C ST.
SITE 4: FORREST AVE. FROM 4TH ST. TO 5TH ST.
SITE 5: A ST. FROM 4TH ST. TO 5TH ST.
SITE 6: A ST. FROM 5TH ST. TO 6TH ST.
SITE 7: A ST. FROM 6TH ST. TO 7TH ST.
SITE 8: B ST. FROM 4TH ST. TO 5TH ST.
SITE 10: C ST. FROM 2ND ST. TO 3RD ST.
SITE 11: C ST. FROM 4TH ST. TO 5TH ST.
SITE 12: C ST. FROM HESPERIA RD. TO 1OTH ST.
SITE 13: C ST. FROM 10TH ST. TO 11TH ST.