Orange County NC Website
b --29- y� #2 �AI'-- <br />Staterd'North Carolina, County of Orange <br />Appendix C <br />Certified Statement <br />Pursuant to G.S. 136-44.27, the North Carolina Elderly and Disabled Transportation <br />Assistance Program, and pursuant to the Medicaid Transportation Assistance Program <br />this is to certify that the undersigned is the duly elected, qualified and acting chairperson of they <br />Board or County Commissioners of the. County of orange .� _ North Carolina, <br />and that the following statements are true and correct: <br />1. That the funds received pursuant to G.S. 136114.27 will be used to provide additional transportation services <br />for the elderly and disabled, exceeding the quantity of trips provided prior to the receipt of these funds. <br />2. That the funds received pursuant to G.S. 136114.27 will not be used to supplant existing Federal, State or local <br />funds designated to provide elderly and disabled transportation services in the county. <br />3. That the funds received pursuant to G.S. 13611427 will be used in a manner consistent with the local <br />Transportation Development Plan approved by the NC Department of Transportation and the Board of <br />Commissioners. <br />4. It is understood that all semiannual allocations to the County pursuant to G.S. 13611427 subsequent <br />to the first allocation will be made following the receipt of the progress report for the preceding six months by the <br />North Carolina Department of Transportation, Public Transportation and Rail Division. <br />b. That any interest earned on these funds will be expended in accordance with G.S. 136 - 44.27. <br />6. That the funds received pursuant to Section 220 of House Bill 83 will be used to provide additional transportation <br />services for Medicaid eligible pregnant women and children (ages 0-19), and will be used to satisfy the maintenance <br />of effort requirement which means the county will increase transportation services above the level in fiscal year 1989 -90. <br />7. That the funds received pursuant to Section 220 of House Bill 83 will not supplant existing Federal, State, or local <br />funds designated to provide transportation services for Medicaid eligible pregnant women and children in the county. <br />8. That the funds received pursuant to Section 220 ofHouse Bill 83 will be used in a manner consistent with the local <br />Transportation Development Plan approved by the NC Department of Transportation and the Board of Commissioners. <br />9. That the funds received pursuant to Section 220 of House BM 83 will not be used toward the purchase of capital equipment. <br />WITNESS my hand and official seal, this 29th <br />P414- 7 <br />State of North Carolina <br />County Orange <br />NOiA RY <br />*x* <br />o PUBLIC <br />J <br />F COU <br />day of <br />June <br />19 92. <br />this— 29tb— day of � J u n c, , 19-9 2 , <br />7 <br />Notary Public <br />My commission eSpireS December 10 1995 PO Box 8181, M i 1 l.sborough, NC 27278 <br />Address <br />*Note that the signatures on this statement should be those of four (4) separate individuals. <br />