HomeMy WebLinkAboutResolution #5310 - form BLR 09150 (request for expenditure/authorization of motor fuel tax funds) RESOLUTION NO. 5310
A RESOLUTION APPROVING FORM BLR 09150
WHEREAS, the Mayor and City Council have determined that it is necessary and in the
best interests of the City of Canton for City to make a request for the expenditure/authorization of
Motor Fuel Tax Funds to the State of Illinois, Department of Transportation.
NOW,THEREFORE, :E IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF CANTON,ILLINOIS,AS FOLLOWS:
1. The Recitals set forth above, and all facts and statements contained therein, are found
to be true and correct and are hereby incorporated and adopted as,part of this
Resolution;
2. The Form BLR 09150 (Request for Expenditure/Authorization of Motor Fuel Tax
Funds),substantially in form as attached hereto as"Exhibit A,"is hereby APPROVED;
3. That the City Engineer and/or the Mayor of the City of Canton, Illinois are hereby
authorized to execute said Agreement, and any other related and necessary documents,
on behalf of the City of Canton; and
4. That this Resolution shall be in full force and effect immediately upon its passage by the
City Council of the City of Canton, Illinois and approval by the Mayor thereof.
PASSED by the City Council of the City of Canton, Illinois at a regular meeting this 6th
day of April, 2021, upon a roll call vote as follows:
AYES: Alderman Andra Chamberlin, Quin Mayhew, John Lovell, Craig West, Angela
Hale, Jeff Fritz, Angela Lingenfelter
NAYS: None
ABSENT: Alderman Justin Nelson
APP OVE
nt cDowell, May
ATTE /IV
Diana 'avley- ock, City Clerk
XI�IIT A
Illinois Depart hent Request for Expenditure/Authorization M.
of TransportatB .n ,•f Motor Fuel Tax Funds '
Local Public Agency Type County Section Number
LI y 6f -anon Fulton 2 00068-88-TL
I hereby request authorization to expend Motor Fuel Tax Funds as indicated below:
Purpose Motor Fuel Tax Amount Rebuild Illinois Amount
County Engineer/Superintendent Salary&Expenses n/a
Contract Construction $5,132.00
Day Labor Construction
Engineering $769.00
Engineering Investigations
IMRF/Social Security n/a
Maintenance
Maintenance Engineering
Obligation Retirement n/a
Other
Right-of-Way(Itemized on 2nd page)
TOTAL $5,901.00
Comments
Per attached Joint Agreement JN-421-010- Installation of traffic signal cabinets, controllers, communication
equipment and video detection systems at various locations
Contract No. 68G19
Catalog No. 036151-OOD
Local yublic Agency OffALA
Date
jj—
Title
Mayor
Approved
Regional Engineer
Department of Transportation Date
Department of Transportation Use
Entered By Date •
Printed 04/07/21 Page 1 of 2 BLR 09150(Rev.07/31/20)
Itemization of Right-of-Way Request
Location of Property
Cost of
Acres Damage to
-- -
--Rafeel Addro s of Right-of Rctoeotiari £ast-Crf±a19d- tend-rtat
Street/Road Number Property Involved Property Owner Way Costs Acquired Acquired Total
1
I _
TOTAL
;Add Item ;T .1
Printed 04/07/21 Page 2 of 2 BLR 09150(Rev.07/31/20)
Instructions for BLR 09150
This form is used when it is necessary for the Local Public Agency(LPA)to request authorization to disburse Motor Fuel Tax(MFT)funds
for various purposes as listed. Some items are automatically authorized by IDOT upon approval of appropriate paperwork. For those items
that are not automatically authorized,the LPA must submit this form. It shall be accompanied by the appropriate documentation(e.g.
engineering bills, invoices for joint participation). Upon receipt of proper documentation, IDOT will authorize the necessary funds, up to the
maxi - - -_:.-.:-.--- .
signature requirements refer to Chapter 2,Section 3.05(b)of the BLRS Manual.
Local Public Agency Insert the name of the LPA.
Type From the drop down,select the City, County,Town,Village or Road District.
County From the drop down,select the name of the County in which the LPA is located.
Section Number Insert the section number assigned to the project the request for the authorization is for without
dashes. The dashes will be inserted automatically.
Purpose-Amount Insert the amount the request authorization for the purpose listed to the left, under the type of funds
the authorization is being requested for. Insert an amount under Motor Fuel Tax(MFT)is request is to
use MFT funds. Insert an amount under Rebuild Illinois(RBI)funds if request is to use RBI funding for
this purpose. Items listed as an N/A are not eligible for RBI funding.
Total This is a calculated field, no entry is necessary. It will calculate the total for each type of funding,for all
requested authorizations.
Comments Insert any comments that are relevant to the requested authorization(s).
Signed The appropriate LPA official must sign, indicate his/her title,and date here.
Approved The Department of Transportation representative shall sign and date here upon approval.
Department Use Only
Entered By For IDOT use only, indicate the name of the person entering information into the MFT system.
Date For IDOT use only, indicate the date of entry of the authorization into the MFT system.
Itemization of Right-of-Way Request •
Location of Property
Street/Road Insert the name of the Street/Road of the acquired/used property involved in the Right-of-Way.
Parcel Number Insert the parcel number as it applies to the location.
Address of Property Involved Insert the address of the property involved for this location.
Property Owner Insert the name of the owner(s)of the acquired/used right-of-way.
Relocation Costs Insert the relocation costs for this parcel, if applicable.
Acres Right-of-Way Insert the number of acquired/used right-of-way acres.
Cost of Land Acquires Insert the cost of land being acquired.
Cost of Damage to Land Not Insert the cost of damage to land not acquired.
Acquired
Total This is a calculated field, no entry is necessary. It is the sum of all costs for this parcel number.
Total(Overall) This is a calculated field, no entry is necessary. It is the sum of all costs involving right-of-way.
A minimum of three(3)signed originals must be submitted to the Regional Engineer's District office.
Following IDOT's approval,distribution will be as follows:
Local Public Agency Clerk
Engineer(Municipal,Consultant or County)
District
Printed 04/07/21 BLR 09150(Rev.07/31/20)