Art3_TwentyninePalms_FY23_BikePed_Channel Trail_ClaimSigned San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Channel Trail Class I Grant Allocation No:;L24-0702-0749-00
Claimant:,City of Twentynine Palms
Address:6136 Adobe Road
Attention: Richard Pedersen,City Engineer
Phone No: 765-801-7615
E-mail Address: richardpedersen@caa.inc
Award Amount, S 420,750.00
Purpose: Please check one purpose.
Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUQ 99233.3
❑ Transit Stop Access Improvements,PUC 99233.3
Note:this form only needs to be completed and submited with the full award amount once.
Authorizing Signature:
(Authorized A :nt specified in Authorizing Resolution)
Date: 1-May-24
S-fg Iture
Richard Pedersen City Engineer 1-May-24
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_TwentyninePalms_FY23_BikePed_Channel Trail_(iaim.xlsx
Claim Form Page 1