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4 <br /> HUMAN SERVICE AGENCY TRANSPORTATION RESOLUTION <br /> State Funds <br /> FY 2010 RESOLUTION <br /> Applicant seeking permission to apply for Human Service Transportation funding, <br /> enter Into agreement with The North Carolina Department of Transportation <br /> and to provide the necessary Assurances. <br /> A motion was made by(Board Member's Name) and seconded by(Board Member's Name or N/A, if not <br /> required) for the adoption of the following resolution, and upon being put to a vote was duly adopted. <br /> WHEREAS, Article 2B of Chapter 136 of the North Carolina General Statutes and the Governor of North <br /> Carolina have designated the North Carolina Department of Transportation (NCDOT)as the agency <br /> responsible for administering federal and state public transportation funds; and <br /> WHEREAS, the North Carolina Department of Transportation receives funds from the North Carolina <br /> General Assembly to provide assistance for rural public transportation projects; and <br /> WHEREAS, the purpose of these transportation funds is to provide grant monies to local agencies <br /> for the provision of rural public transportation services; <br /> WHEREAS, (Legal Name of Applicant) Orange County hereby assures and certifies that it will comply <br /> with the federal and state Statutes, regulations, executive orders, and all administrative requirements <br /> related to the applications made to and grants received from the North Carolina Department of <br /> Transportation; <br /> NOW, THEREFORE, be it resolved that the (Authorized Official's Title)*Chair of(Name of Applicant's <br /> Governing Body) Board of County Commissioners is hereby authorized to submit a grant application for <br /> state funding, make the necessary assurances and certifications and be empowered to enter into an <br /> agreement with the NCDOT to provide rural public transportation services. <br /> I (Certifying Official's Name)* (Certifying Official's Title) Chair, Board of County Commissioners do hereby <br /> certify that the above is a true and correct copy of an excerpt from the minutes of a meeting of the(Name of <br /> Applicant's Governing Board) Orange County Board of Commissioners duly held on the day of , <br /> 20 <br /> Signature of Certifying Official <br /> *Note that the authorized official, certifying official, and notary public must be three separate individuals. <br /> Subscribed and sworn to me (date) <br /> Aiyfr Seal Here <br /> Notary Public* <br /> Address <br /> My commission expires(date) <br />