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Art3_Rialto_FY21_BikePed_MerrillSRTS_ClaimSigned San Bernardino Associated Governments Claim Form Article 3 Grant Program Project Name: Merrill SRTS Grant Allocation No: L22-0702-0747-01 Claimant: City of Rialto Address: 150 S. Palm Avenue Rialto,CA 92376 Attention: Marcus Fuller Phone No: (909)820-2525 E-mail Address: mfuller@rialtoca.gov Award Amount $ 639,404.61 Purpose: Please check one purpose. [j] Article 3 Bicycle/Pedestrian Facilities,Public Utilities Code(PUC)99233.3 ❑ Transit Stop Access Improvements,PUC99233.3 Authorizing Signature: (Authorized Agents ec' . in Authorizing Resolution) Date: Signature Marcus Fuller,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. Claim Form_BikePed_MerrilISRTS_Claim.xlsx Claim Form(2) Page 1