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AFFIDAVIT TO EXTEND/LOCAL AGENCY <br /> Local Agency: City of Decatur <br /> Address: 1 Gary K. Anderson Plaza <br /> Decatur, IL 62523 <br /> Obligation: AU 1423 <br /> Submitting Agency: Department of Transportation <br /> Division: Bureau of Local Roads <br /> Address: 2300 South Dirksen Parkway <br /> Springfield, IL. 62764 <br /> I, Michael T. McElroy, Mayor of the City of Decatur (Local Agency), hereby state the following: <br /> We concur with the request to extend the term of the subject agreement for reimbursement to the Local Agency <br /> for costs incurred for work performed on Job P-97-011-11. All work performed is within the terms of the work <br /> specified in the agreement. <br /> At the time the agreement was effective, the Local Agency anticipated that the state would extend the term of <br /> the agreement until the work was completed since this work is required to be performed for the Department of <br /> Transportaton on behalf of the State of Illinois. This amendment to extend the term of the agreement is made <br /> and entered into between the Illinois Department of Transportation and the City of Decatur. <br /> City of Decatur signed the amendment on : //-/7-.2c/ <br /> IDOT ob ined the necessary signatures for the amendment on: <br /> Affiant r <br /> �/- 17-,20JV <br /> am ) (Date) <br /> Subscribed and sworn before me this 17 day of ti 20&— <br /> Notary ublic <br /> + "OFFICIAL SEAL" <br /> LINDA M. SWARTZ + My Commission Expires: <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> -1- ,'eft"C•ORMNSSION EXPIRES 02-26-2015 4 <br /> (Seal) <br />