Art3_AppleValley_FY21_BikePed_VillageNorth_ClaimSigned San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name: Village North Pedestrian Improvements Grant Allocation No: L22-0702-0731-01
Claimant: Town of Apple Valley
Address: 14955 Dale Evans Parkway
Apple Valley,CA 92307
Attention: Rich Berger
Phone No: 760-240-7000 ext 7530
E-mail Address: rberger@applevalley.org
Award Amount :$ 361,818.00
Purpose: Please check one purpose.
Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
❑ Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 1/4/2022
Signature
Douglas B. Robertson,Town 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.
Art3_AppleValley_FY21_B i kePed_V i Ilage N o rth_Cla im
Claim Form Page 1