Art3_ChinoHills_FY21_BikePed_SierraVistaDelNorte_ClaimSigned San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name: Sierra Vista&Del Norte Improvements Grant Allocation No: L22-0702-0735-00
Claimant: City of Chino Hills
Address: 14000 City Center Drive
Chino Hills,CA 91709
Attention: Vivian Chou
Phone No: 909-364-2773
E-mail Address: vchou@chinohilis.org
Award Amount $ 170,965.00
Purpose: Please check one purpose.
El Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
❑ Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 20 2 Z_'
Signature
Benjamin Montgomery,City 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.
Art3_ChinoHills_FY21_BikePed_SierraVistaDelNorte_Claim(2)
Claim Form Pagel