AV Bus Stop Improvements_Signed Claim San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Apple Valley Bus Stop Improvements Grant Allocation No: L24-0702-0751-00
Claimant: VVTA
Address: 17150 Smoke Tree Street
Hesperia,CA 92345
Attention: Megan Christian
Phone No: 760-995-3472
E-mail Address: mchristian@vvta.org
Award Amount $ 128,002.00
Purpose: Please check one purpose.
❑ Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
0 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 11/20/2023
Signature
Nancie Goff,Chief Executive Officer
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 AV Claim Form
Claim Form Page 1