Art3_Yucaipa_FY17_BikePed_OakGlen_ClaimSigned San Bernardino Associated Governments
Claim Form
Article 3 Grant Program
Project Name: Oak Glen Rd Bike&Pedestrian Facility Grant Allocation No: L18-0702-0752-00
Claimant: City of Yucaipa
Address: 34272 Yucaipa Blvd
Attention:
Phone No: (909)797-2489
E-mail Address: kkunkel@yucaipa.org
Amount Requested
for Reimbursement: $ 89,728.00
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: 5/30/2023
Signature
Fermin Preciado,Director of Development Services/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.
Ar13 Yucaipa_FY17_BikePed_OakGlen_Claim(1)
Claim Form Page 1