HomeMy WebLinkAboutRESOLUTION - 9-21 - 2/9/2021 - MFT-2021 Roadway Maintenance Programa, � a
Resolution for Maintenance -
`6( pf Tppn Under the Illinois Highway Code o 4
Resolution Number Resolution Type Section Number
9-21 Original 21-00000-00-G M
BE IT RESOLVED, by the President and Board of Trustees of the Village of
Governing Body Type Local Public Agency Type
Elk Grove Village Illinois that there is hereby appropriated the sum of One Million
Name of Local Public Agency
Four Hundred Ninty Nine Thousand Eight Hindred Eighty Five and 00/100 Dollars ( $1,499,885.00 )
of Motor Fuel Tax funds for the purpose of maintaining streets and highways under the applicable provisions of Illinois Highway Code from
05/01 /21 to 04/30/22
Beginning Date Ending Date
BE IT FURTHER RESOLVED, that only those operations as listed and described on the approved Estimate of Maintenance Costs,
including supplemental or revised estimates approved in connection with this resolution, are eligible for maintenance with Motor Fuel Tax
funds during the period as specified above.
BE IT FURTHER RESOLVED, that Village of Elk Grove Village
Local Public Agency Type Name of Local Public Agency
shall submit within three months after the end of the maintenance period as stated above, to the Department of Transportation, on forms
available from the Department, a certified statement showing expenditures and the balances remaining in the funds authorized for
expenditure by the Department under this appropriation, and
BE IT FURTHER RESOLVED, that the Clerk is hereby directed to transmit four (4) ceritified originals of this resolution to the district office
of the Department of Transportation.
1 Loretta M. Murphy Village Clerk in and for said Village
Name of Clerk Local Public Agency Type Local Public Agency Type
of Elk Grove Village in the State of Illinois, and keeper of the records and files thereof, as
Name of Local Public Agency
provided by statute, do hereby certify the foregoing to be a true, perfect and complete copy of a resolution adopted by the
President and Board of Trustees of Elk Grove Village at a meeting held on 02/09/21
Governing Body Type Name of Local Public Agency ate
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this 9th day of February, 2021
�— Month, Year
(SEAL)
Clerk Signature
APPROVED
Regional Engineer
Department of Transportation Date
Printed 02/01/21 BLR 14220 (Rev. 02/08/19)
Instructions for BLR 14220
This form shall be used when a Local Public Agency (LPA) wants to perform maintenance operations using Motor Fuel Tax (MFT) funds.
Refer to Chapter 14 of the Bureau of Local Roads and Streets Manual (BLRS Manual) for more detailed information. This form is to be
used by a Municipality or a County. Road Districts will use BLR 14221. For signature requirements refer to Chapter 2, Section 3.05(b) of
the BLRS Manual.
When filling out this form electronically, once a field is initially completed, fields requiring the same information will be auto -populated.
Resolution Number Insert the resolution number as assigned by the LPA, if applicable.
Resolution Type From the drop down box, choose the type of resolution:
-Original would be used when passing a resolution for the first time for this project.
-Supplemental would be used when passing a resolution increasing appropriation above
previously passed resolutions.
-Amended would be used when a previously passed resolution is being amended.
Section Number Insert the section number of the improvement covered by the resolution.
Governing Body Type From the drop down box choose the type of administrative body. Choose Board for County; Council or
President and Board of Trustees for a City, Village or Town.
LPA Type From the drop down box choose the LPA body type; County, City, Town or Village.
Name of LPA Insert the name of the LPA.
Resolution Amount Insert the dollar value of the resolution for maintenance to be paid for with MFT funds in words,
followed by the same amount in numerical format in the ().
Beginning Date Insert the beginning date of the maintenance period. Maintenance periods must be a 12 or 24 month
consecutive period.
Ending Date Insert the ending date of the maintenance period.
LPA Type From the drop down box choose the LPA body type; County, City, Town or Village.
Name of LPA Insert the name of the LPA.
Name of Clerk Insert the name of the LPA Clerk.
LPA Type
From the drop down box choose the LPA body type; County, City, Town or Village.
LPA Type
From the drop down box choose the LPA body type; County, City, Town or Village.
Name of LPA
Insert the name of the LPA.
Governing Body Type
From the drop down box choose the type of administrative body. Choose Board for County; Council or
President and Board of Trustees for a City, Village or Town.
Name of LPA Insert the name of the LPA.
Date Insert the date of the meeting.
Day Insert the day the Clerk signed the document.
Month, Year Insert the month and year of the clerk's signature.
Clerk Signature Clerk shall sign here.
Approved The Department of Transportation representative shall sign and date here upon approval.
Three (3) certified signed originals must be submitted to the Regional Engineer's District office.
Following IDOT's approval, distribution will be as follows:
Local Public Agency Clerk
Engineer (Municipal, Consultant or County)
District
Printed 02/01/21 BLR 14220 (Rev. 02/08/19)