Laserfiche WebLink
Docusign Envelope ID:66C2AD72-7598-4F51-916D-14A4E6D65669 <br /> BE IT MUTUALLY AGREED that all remaining provisions of the original agreement not altered by the Amendment shall remain in full <br /> force and effect and the Amendment shall be binding upon the inure to the benefit of the parties hereto,their successor and assigns. <br /> The LPA further agrees as a condition of payment,that it accepts and will comply with the application provisions set forth in this <br /> Amendment and all addenda indicated above. <br /> APPROVED <br /> Local Public Agency <br /> Name of Official Print or Type Name <br /> Title of Official <br /> Mayor <br /> S' nature&Date <br /> C)v� <br /> The abovigignature certifies the agency's TIN number is <br /> 376001308 conducting business as a Govemmental 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 Signature&Date <br /> Docusig ned by: <br /> 7/9/2024 12:4 PM CDT <br /> By: Greg Lupton,P.E.,Acting Engineer of Local Roads Signature&Date <br /> N/A <br /> Justan W.Mann,Deputy Director of Highways PI <br /> Da Signed by: <br /> 7/5/2024110:0 AM CDT <br /> :ZGTifflaeP'Vrater,Chief Counsel Signature&Date <br /> D—Signed by: <br /> k&.ad �. 7/9/2024 111:2 2 AM CDT <br /> 89F32C4E4ED7410... <br /> Vicki Wilson Chief Fiscal Officer Signature&Date <br /> D—Signed by: <br /> 7/9/2024 112: 2 PM CDT <br /> l/(ki ksew <br /> NOTE:if the LPA signature is by an APPOINTED official,a resolution authorizing said appointed official to execute this <br /> agreement is required. <br /> Completed 06/11/24 Page 2 of 4 BLR 05311 (Rev.01/18123) <br />