2 Tier I Application ENG
Small Business Sustainability Program Tier I Financial Assistance Application Please Print or Type:
Business Name
Business Legal Name (if different)
FEIN/Tax ID
Business Street Address
San Jose
CA
City
State
Zip
Owner Name
Owner Email
Owner phone number
I hereby certify that neither I nor my business has filed a claim against, is currently in litigation with, or has previously been in litigation with the Santa Clara Valley Transportation Authority (VTA) or the City of San José concerning VTA’s Alum Rock-Santa Clara Bus Rapid Transit Project.
Owner Signature
Date
11-11-15
Business Name
Business Legal Name (if different)
FEIN/Tax ID
Business Street Address
San Jose
CA
City
State
Zip
Owner Name
Owner Email
Owner phone number
I hereby certify that neither I nor my business has filed a claim against, is currently in litigation with, or has previously been in litigation with the Santa Clara Valley Transportation Authority (VTA) or the City of San José concerning VTA’s Alum Rock-Santa Clara Bus Rapid Transit Project.
Owner Signature
Date
11-11-15
