Art3_Fontana_FY21_Transit_10Stops_ClaimSigned San Bernardino Associated Govemments
Claim Form
Article 3 Grant Program
Project Name: Transit Stops Improvements in the City of Fontana Grant Allocation No: L22-0702-0737-01
Claimant: City of Fontana
Address: 8353 Sierra Avenue
Fontana,CA 92335
Attention: Estephany Monroy
Phone No: (909) 350-6642
E-mail Address: emonroy@fontana.org
Award Amount $ 37,580.00''
Purpose: Please check one purpose.
i Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUCE 99233.3
2 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Author d td t pecified 'n`' dtIn IzingtResoIution)
P
Date:
Signature
Ricardo Sandoval,Director of Engineering/City Engineer
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_Fontana_FY21_Tra n sit_10Stops_Cla i m.xlsx
Claim Form Page 1