Art3_ FY25_VV Replacement Damaged Shelters Signed Claim Form_Claim San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: VVTA Systemwide Replacement of Damaged Bus ShOtartt Allocation No:,L26-Art3-VVT-25
Claimant:'VVTA
Address: 17150 Smoke Tree Street
Hesperia,CA 92345
Attention: Dana Fleming
Phone No: (760)995-3479
E-mail Address: dfleming@vvta.org
Award Amount 5 39,456.00
Purpose: Please check one purpose.
âť‘ Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUQ 99233.3
0 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
&(A
Date: 12/1/2025
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_WTA_FY25_Transit—Replacement Damaged Shelters_Claim.xlsx
Claim Form Page 1