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Art3_Fontana_FY21_BikePed_KathyBinksSRTS_ClaimSigned TDA Article 3: Claims/Change Request Type of Request TDA Article 3:Claims Project Title Kathy Binks Elementary(SRTS) Project Type Bike and Pedestrian Project Contact Name Chris Smethrust Agency Fontana Contact Phone 909-350-6649 Contact Email csmethurst@fontana.org Type of Claim Claim Form&Authorizing Resolution Claim Form & Authorizing Resolution Signed Claim Form Kathy Binks Claim File.pdf 23.73KB Authorizing Please_DocuSign_TDA_Cycle_3_Resolution_No_... 318.74KB Resolution Sail Bernardino Associated Govemments Claim Form Article 3 Grant Program Project Name: Kathy Binks Elementary(SRTS) Grant Allocation No: L22-0702-0737-00 Claimant: City of Fontana Address: 8353 Sierra Avenue Fontana,CA 92335 Attention: Christopher Smethurst Phone No: (909) 350-6649 E-mail Address: csmethurst@fontana.org Award Amount $ 160,000.00 Purpose: Please check one purpose. Ua Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3 cl Transit Stop Access Improvements,PUC 99233.3 Authdiiiing Signattff // (Authorized Agled i Authorizing R lution) L - Date: Signature Ricardo Sandoval, Director of Engineering/City 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. Art3_Fontana_FY21_BikePed_KathyBinksSRTS_Claim.xlsx Claim Form Page 1