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HUMAN SERVICE AGENCY TRANSPORTATION RESOLUTION <br />State Funds <br />FY 2011 RESOLUTION <br />Applicant seeking permission to apply for Human Service Transportation funding, enter into agreement with the North <br />Carolina Department of Transportation, provide the necessary assurances, and the required local match. <br />A motion was made by (Board Member's Name) and Seconded by (Board Member's Name or N/A, if not required) for the <br />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 Carolina <br />have designated the North Carolina Department of Transportation (NCDOT) as the agency responsible for <br />administering federal and state public transportation funds; and <br />WHEREAS, the North Carolina Department of Transportation receives funds from the North Carolina General <br />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 for the <br />provision of rural public transportation services; and <br />WHEREAS, (Legal Name of Applicant) hereby assures and certifies that it will comply with the federal and state <br />statutes, regulations, executive orders, and all administrative requirements related to the applications made to <br />and grants received from the North Carolina Department of Transportation; <br />NOW, THEREFORE, be it resolved that the (Authorized official's Title)* Of (Name of Applicant's Governing Body) <br />is hereby authorized to submit a grant application for state funding, provide the required local match, make <br />the necessary assurances and certifications and be empowered to enter into an agreement with the NCDOT to <br />provide rural public transportation services. <br />I (Certifying Official's Name)* (Certifying Official's Title) do hereby certify that the above is a true and correct copy of <br />an excerpt from the minutes of a meeting of the (Name of Applicant's Governing BoarcQ duly held on the day of <br />2010. <br />Signature of Certifying Official <br />*Note that the authorized official, certifying official, and notary public should be three separate individuals. <br />Seal Subscribed and sworn to me (date> <br />Notary Public * <br />Printed Name and Address <br />My commission expires (dare) <br />................................................. <br />Affix Se <br />G-1 Page 82 <br />