R94-140 AUTHORIZING EXECUTION OF HIGHWAY SAFETY PROJECT AGREEMENT

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f �f10lS ��1'Y1� Highway Safety Project df T��p��jp�'� Singie Audit Act Certificetion Division of Traffic Safety � 3215 Executive Park Drive/P.O. Box 19245 Springfield, Illinois 62794-9245 . The Illinois Department of Transportation's Division of Traffic Safety(DTS) is the agency responsible for administering Illinois'federal highway safety funds. The Single Audit Act of 1984 (P.L. 98-502) requires state and local govemmer�ts that receive$25,000 or more in federal financial assistance a year to have an audit made in accordance with the Office of Management and Budget(OMB) Circular A-128. One copy of the completed audk report must be provlded to the Diviston of Trafflc Safety and one copy seM to: Bureau of Census Data Preparation Division 1201 East 10th Street Jefferson, Indiana 47132 Attn: Single Audit Clearinghouse Audit reports must be submitted to the Division of Traffic Safety within "30 days after completbn of the audit, but no later than one year after the end of the audit period." • Federal funds are provided for this project by the U.S. Department of Transportation. The program is listed in the Catalog of Federal Domestic Assistance (CFDA) as State 8�Community Highway Safety 20.600. In order for the Division of Traffic Safety to fuffill fts responsibility,this form must be completed, signed and retumed to verify your agency's interrt to comply with the Single Audit Act requiremeMs. Applicant Agency Ci ty of Decatur Project Number TE5-1410-028 Project Tdle Traffi c Si gn Upgrade Project Period lOf 1/94 - 9/30/95 Total Cost $151,438 Federal $113,458 �� $37,980 To Be Completed by AppllcaM Agency: ' May 1, 1994 April 30, 1995 Period Audit to Cove�: Mav 1, 1995 to AAril 30, 1996 June 1995 Date Audit to CommenCe: June. 1996 Audit ConduCted by: Firm to be named at a later date . Telephone Certif(catlon: We certrfy the above i�fiormation to be correct and that we will comply with the Single Audit Act as detailed in OMB Circular A-128. . Signature of Authorizinp Offiaal Printed Name Telephone Daoe y� � %Cly� �'��47Tf�Ev/ �, �t/E wc-- Lc� ��-vz�y�L�y� q-�z-q y Signature of Projeci DirecDor Pnnted Name , Telephone �ate �Ps�-�-, Y� . Co��- � ��.,-� `�� C��-�.rL at-►-�a�-a��a 9��2-� , Signature of Fscal Officer Printed Name Telephone Date TS 2225 (3/94)