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Do not recreate or revise the pages of this document,as revisions and recreations will not be accepted. <br /> Failure to complete and return: If a county had an appointed and Licensed City Street Superintendent for all or part of Calendar Year <br /> 2020 and the county does not complete and return the original Signing Resolution, original Year-End Certification, and a copy of the <br /> documentation of the county highway superintendent(s)appointment to the NDOT by December 31,2020,the county will not receive <br /> an Incentive Payment for Calendar Year 2020. <br /> Year-End Certification of County Highway Superintendent <br /> For Determining Incentive Payment <br /> January 1, 2020 to December 31, 2020 <br /> *This certifies that STEPHEN P. RIEHLE , License Number S- 1469 Class A , <br /> (Print name of Superintendent as appears on license card) (A or B) <br /> was the appointed County Highway Superintendent of HALL County <br /> (Print name of County) <br /> from JAY 1 ,2020 to DECEMBER 31 ,2020 <br /> Month Date Month Date <br /> and actually performed all of the following duties: <br /> 1. Developing and annually updating a long-range plan based on needs and coordinated with adjacent local governmental <br /> units; <br /> 2. Developing an annual program for design,construction,and maintenance; <br /> 3. Developing an annual budget based on programmed projects and activities; <br /> 4. Submitting such plans, programs,and budgets to the local governing body for approval; and <br /> 5. Implementing the capital improvements and maintenance activities provided in the approved plans, programs, and <br /> budgets. <br /> And further certifies that the superintending services of the above listed individual were provided by: (Check one box) <br /> ® Employment 0 Contract 0 Contract(interlocal agreement) between this County and <br /> with this (consultant) the following listed County(ies)and/or Municipality(ies) <br /> County with this <br /> County PAMELA E. LANCASTER <br /> Signature of County Board Chairperson <br /> * If more than one individual or the County Board provided superintending services during the calendar year, list each <br /> successive superintendent using a separate certification. The amount will be computed based on (a) your most recent <br /> Federal Census, rural population; (b)whether or not your county appointed a licensed County Highway Superintendent for all <br /> 12 months; (c)lass of license,A or B; (d)whether your Superintendent is employed,or under contract(consultant or interlocal <br /> agreement with another county and/or incorporated municipality); and (e) whether or not the Superintendent performed all of <br /> the duties listed. Reference Neb. Rev. Stat. §§39-2302 and 39-2501 through 39-2505. If your county did not have an <br /> appointed Superintendent, write "County Board" as the name of"Superintendent." Failure to return the resolution, <br /> certification, and documentation of the superintendents appointment will result in your county not receiving an <br /> Incentive Payment for Calendar Year 2020. <br /> Note: In addition to this annual, Year-End certification of superintendent to the Nebraska Department of Transportation, (due <br /> December 31s9, the county is also responsible for filing the"County Annual Certification of Program Compliance"and"Signing <br /> Resolution"with the Board of Public Roads Classifications and Standards(due October 31s9. Reference Neb. Rev. Stat. §§39- <br /> 2115, 39-2119, 39-2120, 39-2121 and 39-2510(2). <br /> Return the completed original resolution and <br /> certification,and a copy of the documentation of <br /> _s;"rs , appointment by December 31, 2020 to: <br /> g sa <br /> ,-�.;, Highway Local Liaison Coordinator <br /> �: . Boards-Liaison Services Section <br /> \° , '�';,`_' Local AssistanceDivision <br /> \.'r+„e.,,;,,.f;`r Nebraska Department of Transportation <br /> PO Box 94759 <br /> Lincoln NE 68509-4759 <br /> / Paae 2 of 3 <br />