Art3_VVTA_FY21_Transit_Roadeo Drive_SignedClaim San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name: 13735 Rodeo Dr Grant Allocation No: L22-0702-0751-03
Claimant: Victor Valley Transit Authority
Address: 17150 Smoke Tree Street
Hesperia,CA 92345
Attention: Marie Downing
Phone No: (760)9953575
E-mail Address: mdowning@vvta.org
Award Amount $ 26,890.82
Purpose: Please check one purpose.
❑ Article 3 Bicycle/Pedestrian Facilities,Public UtfNties Code(PUC)99233.3
2 Transit Stop Access Improvements,PUC99233.3
Authorizing Signature:
(Authorized Agent specified in Authorizing Resolution)
■
ate: 17.®
gnature
Kevin Kane,Executive Director/CEO
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 VVTA M1 TransJt Rodeo claim
Claim Form Page 1