Laserfiche WebLink
The LPA further agrees as a condition of payment,that it accepts and will comply with the applicable provisions set forth in this agreement <br /> and all Addenda indicated above. <br /> APPROVED <br /> Local Public Agency <br /> Name of Official Print or Type Name <br /> Julie Moore Wolfe <br /> Title of Official <br /> Mayor <br /> Signature Date <br /> The above 4nature certifies the agency's TIN mber is <br /> 376001308 conducting business as a Go ernmental Entity. <br /> DUNS Number 075613000 <br /> UEI HCL3MP6L8XV5 <br /> APPROVED <br /> State of Illinois <br /> Department of Transportation <br /> Omer Osman P.E. Secretary of Transportation Date <br /> /�/�Z <br /> By: <br /> George A.Tapas, P.E. S.Ej, Enclineer of Local Roads&Streets Date <br /> c1 <br /> �7I73 <br /> Stephen M.Tr4P.E., tor of Hi hwa �I/Chief Engineer Date <br /> 4/11 <br /> Chief Counsel Date <br /> Vicki Wilson Chief Fiscal Officer Date <br /> s` <br /> NOTE:A resolution authorizing the local official(or their delegate)to execute this agreement and appropriation of local funds is <br /> required to be attached as an addendum.The resolution must be approved prior to,or concurrently with,the execution of this <br /> agreement.If BLR 09110 or BLR 09120 are used to appropriate local matching funds,attach these forms to the signature <br /> authorization Eesolution. <br /> ® Please check this box to open a fillable Resolution Form within this Addenda. <br /> Printed 05/03/23 Page 5 of 7 BLR 053100(Rev.03/13123) <br />