Art3_Chino_FY17_BikePed_Facilities_ClaimSigned San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Bicycle Path&Pedestrian rac►l►t►es
Project Name: project Grant Allocation No: L18-0702-0734-00
Claimant: City of Chino
Address: 13220 Central Avenue
Chino CA 91710
Attention: Maria Fraser,CIP Engineering Manager
Phone No: 909-334-3310
E-mail Address: Mfraser@cityofchino.org
Amount Requested
for Reimbursement: $ 353,081.00
Purpose: Please check one purpose.
(X) Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC) 99233.3
( ) Transit Stop Access Improvements,PUC 99233.3
Authorizing Signature:
(Claimant's Chief Adminstrator or Financial Officer)
Date: 02.10.2022
Signature
Matt Ballantyne,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.
Art3_C h i no_FY 17_B i ke Ped_Faci I ities_Clai m
Claim Form Page 1