Art3_Fontana_FY25_BikePed_FontanaMiddleSchoolSRTS_ClaimSigned San Bernardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Fontana Middle School SRTS Sidewalk Gap Closure Grant Allocation No: L26-Art3-FON-08
Claimant: City of Fontana
Address: 16860 Valencia Ave,Fontana,CA 92335
Attention: City of Fontana
Phone No: (909)350-6681
E-mail Address: gbravo@fontanaca.gov
Award Amount $ 475,000.00
Purpose: Please check one purpose.
p Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUQ 99233.3
❑ Transit Stop Access Improvements,PUC99233.3
Note:this form only needs to be completed and submited with the full award amount once.
Authorizing Signature:
(Authorized Agent s ecified in Authorizing Resolution)
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Date: Di3I%I2O26
Signature
610 k1M, Public VOMS Director/ T9 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.
TDA3 Claim Form FY25-BikePed Fontana Middle School SRTS.xlsx
Claim Form Page 1