Agenda 10-01-19 Item 5-a - NCDOT Public Transportation Division Public Transportation – 5311 Community Transportation Program Grant Application for FY2021

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4 WHEREAS, the applicant has or will provide all annual certifications and assurances to the State of North Carolina required for the project; NOW,THEREFORE,be it resolved that the (Authorized Official's Title)* of(Name of Applicant's Governing Body) is hereby authorized to submit grant application (s) for federal and state funding in response to NCDOT's calls for projects,make the necessary assurances and certifications and be empowered to enter into an agreement with the NCDOT to provide rural, small urban, and urban public transportation services. I (Certifying Official's Name)* (Certifying Official's Title) do hereby certify that the above is a true and correct copy of an excerpt from the minutes of a meeting of the (Name of Applicant's Governing Board) duly held on the day of Signature of Certifying Official *Note that the authorized official, certifying official, and notary public should be three separate individuals. ................................................................................................ Seal Subscribed and sworn to me Affix Notary Seal Here (date) Notary Public Printed Name and Address ................................................................................................: My commission expires (date) 2 Revised 04-03-19