AG 1992 07 06 - Laserfiche WebLink

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State of North Carolina, County of Appendix C Certified Statement Pursuant to G.S. 136-44.27, the North Carolina Elderly and Disabled Transportation Assistance Program, and pursuant to the Medicaid Trnn.qportation Assistance Program, this is to certify that the undersigned is the duly elected, qualified and actflag chaff'person of the Board of County Commissioners ofthe County of , North Carolina, and that the followfing statements are true and correct: That the funds received pursuant to G.S. 13644.27 will be ~cl to proxdde additional transporbation aery/cos for the elderly and disabled, exceeding the quantity of trips provided prior to the receipt of these funds. That the funds received pursuant to G.S. 13644.27 will not be mqed to supplant exSsting Federal, State or local funds designated to prmqde elderly and disabled transportation services in the county. That the funds received pursuant to G.S. 136 44.27 will be u.~-~d in a manner mnsistent with the local Transportation Development Plan approved by the NC Department of Transportation and the Board of Commissioners. It ]s understood that all semiannual allocations to the County pursuant to G.S. 13¢-44.27 subsequent to the first allocation will be made following the receipt of the progress report for the preceding six months by the North Carolina Department of Transportation, Public Transportation and Rail I)Mden. That any interest earned on these funds will be expended in accordance with G.S. 136 ~..27. That the funds received pursuant to Section 220 of House Bill 83 will be used to provide edd/tiona] transportation services for Medicaid eligible pregnant women end children (ages 0-19), and will be used to satisfy the maintenance of effort requirement which means the county will increase transportation sendces above the level in fi ~al year 1989-90. WITNESS my hand and official seal, this That the funds received pursuant to Section 220 of House Bill 83 will not supplant ex]sting Federal, State, or local funds designated to provide transporbation services for Medicaid eligible pregnant women and children in the county. That the funds received pursuant to Section 220 of House Bill 83 will be used in a manner consistent with the local Transportation Development Plan approved by the NC Department of Transporbation and the Board of Commissioners. That the funds received pursuant to Section 220 of Hom~e BiLl 83 will not be used toward the purchase of capital equipment. day of ,19. Attest: Certff)Sng Offidal ' State of North Carolina County Subscribed and sworn to me this Board of County Commissioners Chairperson * County Manager/Administrator day of ,19 (SEAL) Notary Public My commission expires Address *Note that the signatures on this statement should be those of four (4) separate individuals.