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All Roads Transportation Safety (Arts) Program Systemic Application - Application Summary Page Page 9

ODOT ARTS Systemic Application Form

Form Date: 3/27/15

Part 5: Project Commitment

(See application

Instructions)

Application Verification & Project Commitment

To ensure the agency's commitment to the safety project and the accuracy of the application, the application

must list the Agency's Transportation/Traffic Engineering Manager.

The manager listed below is attesting to:

1. The application is accurate and represents the total scope of the planned project;

2. The agency understands the Project Delivery Requirements for the ARTS Program, is prepared to meet these

requirements and commits to funding the necessary match;

3. The agency (other than the Oregon Department of Transportation) understands that they will be required to

sign an Intergovernmental Agreement (IGA) with ODOT prior to receiving any project funds. The IGA with the

state will detail the requirements for the use and management of requested funds; and

4. The agency understands if ODOT staff determine that any of the above requirements are not met, or data is

inaccurate, or the application fails to meet the program guidelines and application instructions, the application will

be rejected and will not be eligible to receive federal safety funding.

Transportation Manager:

Sue D'Agnese

Name (Last, First):

Title:

Region 1 Traffic Unit Manager

Signature:

(No signature required if submitted electronically)

03/26/2015

Date:

Sue

Digitally signed by Sue D'Agnese

I am submitting an electronic copy of my application. Electronic submittal was

DN: cn=Sue D'Agnese, o=Oregon Dept

of Transportation, ou=Region 1 Traffic

Management Unit,

D'Agnese

approved by the identified authorizing individual.

email=susanne.l.dagnese@odot.state.o

r.us, c=US

Date: 2015.03.27 16:58:01 -07'00'

Agency Name: ODOT

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All Roads Transportation Safety (Arts) Program Systemic Application - Application Summary Page Page 9