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DocuSign Envelope ID: 3068A826-D9DD-44A9-A383-16200B061238 <br /> Illinois Department Bucksheet <br /> of Transportation Reset Form <br /> ® Under$250,000 ❑ Over$250,000 <br /> Priority <br /> Normal <br /> Office District/CO Bureau <br /> Planning & Programming I CO IlPlanning <br /> File Subject Amount Range <br /> Agreement, Signature $240,000.00 <br /> Secretary Explanation <br /> Subject <br /> Executive Signatures for Grant Execution <br /> Project in Relation to <br /> Statewide Planning and Research Funds/494-00-1439 <br /> Description of Action <br /> Decatur Area EV Readiness Plan <br /> DBE Goal ❑ IL Works ❑ Capitol/Stimulus ❑ Notary Required <br /> None ❑ FY Deadline Fiscal Year Date <br /> Consultant Name/Contractor Letting Date <br /> N/A <br /> County District Job Number PTB-Item <br /> Macon N/A N/A <br /> Amount of Agreement Route <br /> 240000.00 11 <br /> Section Phase Contract Number A reement Number <br /> N/A N/A SB98(643) 23-1439-39187 <br /> State Dollars Federal Dollars Local Dollars Total Dollars <br /> 240000.00 60000.00 11300000.00 <br /> Source of State Fund % Reimburse from Feds <br /> 494-00-1439 80.00000000 <br /> Remarks <br /> Copy of the Fully Executed Agreement " 23-1439-39187" will be sent to the program area, the program area <br /> ill provided the grantee "City of Decatur, Illinois" a copy of the fully executed agreement along with the reporting <br /> requirements. <br /> Completed 05/02/2023 OS 500(Rev. 12/07/21) <br />