Art3_Barstow_FY25_BikePed_Rimrock_SignedClaim San Bemardino County Transportation Authority
Claim Form
Article 3 Grant Program
Project Name: Rimrock Road Reconstruction Project(Bike/Ped Components) Grant Allocation No:L26-Art3-BAR-G4
Claimant: City of Barstow
Address:220 E. Mt. View Suite A
Barstow, CA
92311 Attention:
Phone No:
E-mail Address:
Award Amount $ 490,000M;
Purpose: Please check one purpose.
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 specified in A ing Resolution)
///Z�Z Date: v h
Z/
Signature
_Rochelle Clayton, City Manager
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.
M3_Barstow_FY25_Bike Ped_RimrockReco n_Claim
Claim Form Page 1