County Transportation Infrastructure Fund Grant Program County Certification Forms (Page 2 of 4) in pdf

OCHILTREE COUNTY

County Name

_____________________________________

CERTIFICATION FORM 1

County Transportation Infrastructure Fund Grant Program

By submitting this form, signed and dated by an authorized representative of the county, the county

certifies to TxDOT each item indicated below.

Please mark the appropriate certification block(s) below, sign and date the form, include attachments as

noted and deliver to TxDOT’s designated district representative.

Within 30 Days after Execution of Grant Agreement with TxDOT

County Signature Authority — County Commissioners Court has adopted the attached resolution

authorizing county employee(s) signature authority for this program. (attach resolution)

Define Design Criteria and Specifications — County certifies design standards, specifications and

quality assurance requirements have been adopted for projects under this program. (no attachment

required)

List of Transportation Infrastructure Projects — County has developed the attached List of

Transportation Infrastructure Projects for all projects to be performed with the funds awarded.

(attach List of Transportation Infrastructure Projects)

Reimbursement of Funds — County certifies reimbursement requests under this program will be

prepared following generally accepted cost accounting practices and the Texas Uniform Grant

Management Standards. (no attachment required)

Periodic Requirements

Reimbursement Requests (Monthly when charges occur):

Billing — County shall submit billing statements including certification of work performed and copies

of all paid invoices and/or force account documentation for eligible and not previously submitted

expenses. (attach billing statement)

Schedule Updates (No less than semi-annually):

List of Transportation Infrastructure Projects — County has developed an update to the List of

Transportation Infrastructure Projects for all projects reflecting the current estimated development

timeline for all funded projects. (attach updated List of Transportation Infrastructure Projects)

List of Transportation Infrastructure Projects — There are no material changes to the most recently

submitted List of Transportation Infrastructure Projects. (no attachment required)

County Authorized Representative Signature

Date

_____________________________________

__________________

Earl J. McKinley

County Judge

County Authorized Representative Name

Title

_____________________________________

__________________

Counties are required to keep all program and project records related to the County Transportation Infrastructure Fund

Grant Program for three years from its receipt of final payment from TxDOT.

April 1, 2014

County Transportation Infrastructure Fund Grant Program County Certification Forms Page 2

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