09/08/2020 Resolutions 2020-213Do not recreate or revise the pages of this document, as revisions and recreations will not be accepted.
Failure to return both pages of the original document by the filing deadline (October 31) may result in the suspension of
Highway Allocation funds until the documents are filed.
RESOLUTION
SIGNING OF THE
MUNICIPAL ANNUAL CERTIFICATION OF PROGRAM COMPLIANCE FORM
2020
Resoiution No.�� � �
Whereas: State of Nebraska Statutes, sections 39-2115, 39-2119, 39-2120, 39-2121, and 39-2520(2),
requires an annual certification of program compliance to the Nebraska Board of Public Roads
Classifications and Standards; and
Whereas: State of Nebraska Statute, section 39-2120 also requires that the annual certification of program
compliance by each municipality shall be signed by the Mayor or Viliage Board Chairperson and shall
include a copy of a resolution of the governing body of the municipality authorizing the signing of the
certification form.
Be it resolved that the Mayor [�Village Board Chairperson ❑ of ��L�'� '�j�,C�'�(�
(Check one box) (Print name of murnc�pality)
is hereby authorized to sign the attached Municipal Annual Certification of Program Compliance form,
�,
Adopted this � day of , 20�at �('�; ���j�%.ii(�� Nebraska.
(na th)
�a � . � � .
�.�� .
���Il� , .�
� ������ C �
it� yCounci illage Board Member �
Move t e�adopti n of s i r.es lution
Member ' � �+� Seconded the Motion
Roll Call: �_ es No Abstained Absent
Resolution adopted, signed and billed as adopted.
Attest:
_ ..�,/ � �
(Signature of C/erk)
Page 1 of 2
City CouncilNillage Board Members
�.
1�:�.�i�, ��s e
Do not recreate or revise the pages of this document, as revisions and recreatiqns will not be accepted.
Failure to return both paqes of the original document by the filing deadline (October 31) may result in the suspension oF
Highway Allocation funds until the documents are filed.
MUNICIPAL
ANNUAL CERTIFICATION OF PROGRAM COMPLIANCE
TO
NEBRASKA BOARD OF PUBLIC ROADS CLASSIFICATIONS
AND STANDARDS
2020
In compliance with the provisions of the State of Nebraska Statutes, sections 39-2115, 39-2119, 39-2120,
39-2121, and 39-2520(2), requiring annual certification of program compliance to the Board of Public Roads
Classifications and Standards, the City � Village � of �,�y�,��(1 1_�lt:i`�,
(Check one box) (Prinl name of municipality)
hereby certifies that it:
✓ has developed, adopted, and included in its public records the plans, programs, or standards required by
sections 39-2115 and 39-2119;
✓ meets the plans, programs, or standards of design, construction, and maintenance for its highways,
roads, or streets;
✓ expends all tax revenue for highway, road, or street purpases in accordance with approved plans,
programs, or standards, including county and municipal tax revenue as well as highway-user revenue
allocations;
✓ uses a system of revenue and costs accounting which clearly includes a comparison of receipts and
expenditures for approved budgets, plans, programs, and standards;
✓ uses a system of budgeting which reflects uses and sources of funds in terms of plans, programs, or
standards and accomplishments;
✓ uses an accounting system including an inventory of machinery, equipment, and supplies;
✓ uses an accounting system that tracks equipment operation costs;
✓ has included in its public records the information required under subsection (2) of section 39-2520; and
✓ has attached to this certification, a copy of the resolution of the governing body authorizing the
signing of this certi#icatiott.by__the Mayor or Village Board Chairperson,
Page 2 ot 2
:..._ _ -
'P' -_���^��---�
Slgnature , A�ayor VNla�e BQasd Chairperson O(Requlred)
. ��,,�
,Yr ' ! / ,� /'- r
5�`_1� '°'°�,1�'.�'� � . - .
_ _�___�_, _
gnature ol C�ry Street Supenntendent (Optlonal)
� �u � �Y�
(Date)
9/11/202
_,_
(Dafe)
Return the completed oris�Inal,�ertl#9ca�tion and n solutiQr� by
October 31, 2020 to:
Nebraska Board of Public Roads Classifications and Standards
PO Box 94759
Lincoln NE 68509