HomeMy WebLinkAboutRes 26-17 07/18/2017 Overhead Street Lights - Emerson Road11finots DepartmentResolutlon for ireprovert�ent
V .. U ofl�anspbfttion app:
Under the Illinois Highway Code
Resolution Number Resolution �y�
Section Number
10riginal
17-001 67 -00 -LT
BE IT RESOLVED, by the President and Board of Trustees of the Village
Governing Body Type
Local Public Agency Type
of Mount Prospect Illinois that the following described street(s)/road(s)/structure
be improved under
Name of Local Public Agency
the Illinois Highway Code. Work shall be done by Contract
Contract or Day Labor
For Roadway/Street improvements:
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m mmm��mmmmmmmm��.��.�mmmmmmmm �� mmm
Name of Street(s)/Road(s) Length (miles) Route From
To
Central Road 0.67 Emerson Street
Mount Prospect Road
For Structures:
.. m m m m �. n,. . . ........�...��........��....
Ex i sti n g � M �...��....,,�........................................ L .,�� Location
Name of Street(s)/Road(s) Structure No.out
.................................�.............
Feature Crossed
BE IT FURTHER RESOLVED,
.,o osed it l r`oyement shall consist o
1. That the p p
[Street light design and construction observation for the installation of new overhead
street lights including
controller, conduit and cable.
2, That there is hereby appropriated the sum of Fifty five thousand
„ ... ...... , Dollars ( $55, 000.00 } for the improvement of
said section from the Local Public Agency's allotment of Motor Fuel Tax funds.
BE IT FURTHER RESOLVED, that the Clerk is hereby directed to transmit four (4) certified originals of this resolution to the district office
of the Departm. . .........ent of Transportation.
I, Karen M. Agoranos Clerk in and for said
Name of Clerk Local Public Agency Type Local Public Agency Type
of in the State aforesaid, and Deeper of the records and files thereof, as provided by
Name of Local Public Agency
statute, do hereby certify the foregoing to be a true, perfect and complete original of a resolution adopted by
of at a meeting held on July 18, 2_017
Governing Body Type Name of Local Public Agency� Date
.�.a
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this day of July, 2017
Day Month, Year
(SEAL)
Clerk r� tr ..
Approved
Regional Engineer
Dep
qnLof Transportatlon. Date
Printed 07/13/17 BLR 09110 (Rev. 03113/17)
Instructions for BLR 09110
This form shall be used when a Local Public Agency (LPA) wants to construction an improvement using Motor Fuel Tax(MFT) funds. Refer
to Chapter 9 of the Bureau of Local Roads and Streets Manual (BLRS Manual) for more detailed information. For signature requirements
refer to Chapter 2, Section 3.05(b) of the BLRS Manual.
When filling out this form electronically, once a field is initially completed, fields requiring the same information will be auto -populated.
Resolution Number Enter the resolution number as assigned by the LPA, if applicable.
Resolution Type From the drop down box choose the type of resolution:
- Original would be used when passing a resolution for the first time for this project.
- Supplemental would be used when passing a resolution increasing appropriation above previously
passed resolutions.
- Amended would be used when a previously passed resolution is being amended.
Section Number Insert the section number of the improvement the resolution covers.
Governing Body Type From the drop down box choose the type of administrative body. Choose Board for County; Council for a
City or Town; President and Board of Trustees for a Village or Town.
LPA Type From the drop down box choose the LPA body type. Types to choose from are: County, City, Town or
Village.
Name of LPA Insert the name of the LPA.
Contract or Day Labor From the drop down choose either Contract or Day Labor.
Roadway/Street Improvements:
Name Street/Road Insert the name of the Street/Road to be improved. Use a separate line for each street/road. If there are
more names to be inserted than the table allows, type "See Attached" and place the additional information
on a separate piece of paper.
Length Insert the length of this segment of roadway being improved in miles.
Route Insert the Route number of the road/street to be improved if applicable.
From insert the beginning point of the improvement as it relates to the Street/Road listed to the left.
To Insert the ending point of the improvement as it relates to the Street/Road listed to the left.
Structures:
Name Street/Road Insert the name of the Street/Road on which the structure is located. Use a separate line for structure. If
there are more structures to be inserted than the table allows, type "See Attached" and place the additional
information on a separate piece of paper.
Existing Structure No,
Insert the existing structure number this resolution covers, if no current structure insert nla.
Route
Insert the Route number on which the structure is located.
Location
Insert the location of the structure.
Feature Crossed
Insert the feature the structure crosses.
I
Insert a description of the major items of work of the proposed improvement.
2
Insert the dollar value of the resolution for the proposed improvement to be paid for with M FT funds in
words followed by in the same amount in numerical format in the
Name of Clerk
Insert the name of the LPA clerk.
LPA Type
Insert the type of clerk based on the LPA type. Types to choose from are: County, City, Town or Village.
Name of LPA
Insert the name of the LPA.
Governing Body Type
Insert the type of administrative body. Choose Board for County; Council for a City or Town; President
and Board of Trustees for a Village or Town.
Name of LPA
Insert the name of the LPA.
Date
Insert the date of the meeting.
Printed 07/13/17 BLR 09110 (Rev. 03113117)
Day Insert the day Clerk is signing the document.
Month, Year Insert the month and year of the clerk's signature.
Seal The Clerk shall seal the document here.
Clerk Signature Clerk shall sign here.
Approved The Department of Transportation shall sign and date here once approved.
A minimum of four (4) certified signed originals must be submitted to the Regional Engineer's District office,
Following the Regional Engineer's approval, distribution will be as follows:
Local Public Agency Clerk
Engineer (Municipal, Consultant or County)
District Compliance Review
District File
Printed 07/13/17 BLR 09110 (Rev. 03113117)