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Instructions for BLR 05310-Page 3 of 3 <br /> Approved <br /> Local Public Agency The appropriate LPA official shall insert their name,sign,and date.Insert the LPA°s <br /> TIN number and DUNS Number. <br /> Illinois Dept of Transportation The appropriate IDOT officials shall sign and date here. <br /> Division of Cost Table: <br /> When the LPA desires to use one or more lump-sum amounts before the federal percentage is calculated,specify the order in which it <br /> should be used and the"not to exceed"amount.The following provides an example of the wording that may be used: <br /> Lump-sum$60,000 TARP funds not to exceed 50%of final cost of project credited to the project to be utilized first. <br /> Lump-sum to be utilized second not to exceed$20,000 EDP funds. <br /> Lump-sum to be utilized third not to exceed$40,000 SMA funds. <br /> These specified amounts will be used in sequence,with the federal and local percentages calculated after they are deducted. <br /> When the LPA desires to use a percent"not to exceed"commitment,the federal and state funds will be used concurrently at the specified <br /> percentages up to the"not to exceed"amount <br /> Example: <br /> Maximum STR participation 80%not to exceed$100,000 <br /> Lump-sum SMA not to exceed$20,000 to be used as a match to the federal funds <br /> Be advised that the"not to exceed"amount specified under a percentage commitment will be tied up and unavailable for programming until <br /> the project is closed out and a documentation review has been completed by IDOT or FHWA,if required. <br /> Division of Cost Table: <br /> Use a separate line for each type of work as it relates to the fund type for federal,state and/or LPA funds. <br /> Type of Work Choose the type of work from the drop down list.Types to choose from are:Participating <br /> Construction, Non-Participating Construction,Preliminary Engineering,Construction <br /> Engineering,Right-of-Way, Railroads, Utilities,and Materials. <br /> Federal Funds If federal funds are being used on this project complete the following for federal funds. <br /> Fund Type Choose the type of federal fund type form the drop down. <br /> Amount Insert the amount of federal funds for the type listed under fund type. <br /> % Insert the percentage of federal funds for this type. <br /> State Funds If state funds are being used on this project complete the following for state funds. <br /> Fund Type Choose the type of State Funds from the drop down. <br /> Amount Insert the amount of state funds for the type listed under fund type. <br /> % Insert the percentage of state funds for this type. <br /> Local Public Agency Funds <br /> Fund Type Insert the type of LPA funds being used on this project. <br /> Amount Insert the amount of LPA funds for the type listed under fund type. <br /> % Insert the percentage of local funds for this type. <br /> Explanation Insert any necessary additional information as to how the funding is being applied for this <br /> project. <br /> A minimum of three(3)originals executed by the LPA must be submitted to the District through its Regional Engineer's Office. <br /> Distribution will be as follows: <br /> District file <br /> Bureau of Local Roads Central Office(2) <br /> Printed 01/12/22 BLR 05310(Rev.02/03121) <br /> Page 45 of 163 <br />