Art3_Yucaipa_FY21_Transit_StopAccess_ClaimSigned San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name:MLdft s Grant Allocation No: t22-0702-0752-00
Claimant:
Address: 34272 Yucaipa Blvd
Yucaipa,CA 92399
Attention: Todd Gutjahr
Phone No: 909-797-248gx289
E-mail Address: tgutjahr@yucaipa.org
Award Amount
Purpose: Please check one purpose.
❑ Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3
O Transit Stop Access Improvements,PUC 99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
Date: 4/11/2022
Signature
Todd Gutjahr,Public Works Analyst
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.
Arta_Yucaipa_FY21_Transit_StopAccess_Claim
Claim Form Page 1
TDA Article 3: Claims/Change Request
Type of Request TDA Article 3:Claims
Project Title Yucaipa City Wide Bus Stop Enhancements
Project Type Bike and Pedestrian Project
Contact Name Todd Gutjahr
Agency Yucaipa
Contact Phone 19097972489289
Contact Email tgutjahr@yucaipa.org
Type of Claim Claim Form&Authorizing Resolution
Claim Form & Authorizing Resolution
Signed Claim Form SBCTA Claim Form.pdf 186.22KB
Authorizing Resolution No.2022-08.pdf 998.68KB
Resolution