Art3_LomaLinda_FY19_Transit_BartonCA_Inv_CLOSEDApproved by Ginger Koblasz on 1/26/23
San Bernardino Associated Governments
Reimbursement Request
Article 3 Grant Program
Claimant: City of Loma Linda
Grant Information (completed by SANBAG)
Article 3
Total Project Award Percent Local Match Percent Local
Project Name Cost Amount Article 3 Amount
Accessibility Improvements at Barton and
California -EB and WB $ 39,371 $ 31,497 80% $ 7,874
Instructions: Please comnlete 1 throu11h 4 below.
Amount
1) Article 3 Project Cost (amount being requested for
reimbursement)$ 29,151
2) Local Match Proiect Cost $ 7,288
Total $ 36,439
Project Costs to Date (include amount requested above)
3) Article 3 $ 29,151 Local Match Amount Remaining
4) Local Match $ 7,288 Article 3 Balance Remaining
Total $ 36,439 Total Amount Remaining
I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge.
The same authority that signs the Claim Form must sign this form.
Art3_Lomalinda_FY19_ Transit_BartonCA_Claim (6)
Reimbursement Request
Date:
Match
20%
586
2,346
2,932
Page 1
DATE VENDOR DESCRIPTION AMT
03/19/20 Lowe's Companies Inc Wood, Steel Wire Mesk, Bar ties $94.41
03/25/20 Lowe's Companies Inc Wood and concrete $212.99
03/30/20 Lowe's Companies Inc Wood $48.56
06/15/20 Great Westen Recreation (2)5" canopies w/single bench $6,867.63
03/31/20 Robertson's Concrete for bus pads $1,164.98
02/28/20 Tolar Manufacturing Co., Inc. Construction of bus shelters $20,682.00
09/14/20 Lowe's Companies Inc Concrete for bus pads $208.54
09/16/20 Lowe's Companies Inc Hardwared for bus stop benches $29.65
09/22/20 Lowe's Companies Inc Concrete for bus pads $180.94
$29,489.70
Back-up Documentation
Labor Costs/Local Match Amt