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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 return both pages of the original document by the filing deadline (October 31, 2022) may result in the <br /> suspension of Highway Allocation funds until the documents are filed. <br /> COUNTY <br /> ANNUAL CERTIFICATION OF PROGRAM COMPLIANCE <br /> TO <br /> NEBRASKA BOARD OF PUBLIC ROADS CLASSIFICATIONS <br /> AND STANDARDS <br /> 2022 <br /> In compliance with the provisions of the State of Nebraska Statutes, sections 39-2115, 39-2119, 39-2120, <br /> 39-2121, and 39-2510(2), requiring annual certification of program compliance to the Board of Public Roads <br /> Classifications and Standards, the County of AA`\ hereby certifies that it: <br /> (Print name of county) <br /> ✓ has developed, adopted, and included in its public records the plans, programs, or standards required by <br /> sections 39-2115 and 39-2119; <br /> ✓ meets the plans, programs, or standards of design, construction, and maintenance for its highways, <br /> roads, or streets; <br /> ✓ expends all tax revenue for highway, road, or street purposes in accordance with approved plans, <br /> programs, or standards, including county and municipal tax revenue as well as highway-user revenue <br /> allocations; <br /> ✓ uses a system of revenue and costs accounting which clearly includes a comparison of receipts and <br /> expenditures for approved budgets, plans, programs, and standards; <br /> ✓ uses a system of budgeting which reflects uses and sources of funds in terms of plans, programs, or <br /> standards and accomplishments; <br /> ✓ uses an accounting system including an inventory of machinery, equipment, and supplies; <br /> ✓ uses an accounting system that tracks equipment operation costs; <br /> ✓ has included in its public records the information required under subsection (2) of section 39-2510; and <br /> ✓ has included in its public records a copy of this certif' n and the resolution of the governing <br /> body authorizing the signing orthly certificatio y t ty Board Chairperson. <br /> e•f C <br /> L 1� — l( —�.o�� <br /> Sig - Count . ._ • Chairperson(Required) (Date) <br /> SNE TgT�O4 ` V r /�j <br /> h; tit Signa ure o ounty Highway Superintendent(Optional) (Date <br /> 41 Q r. 3 a <br /> 4`w;w,pG =y' Return the completed original signing resolution and annual <br /> u _ certification of program compliance by October 31, 2022 to: <br /> N�nVN\q;i---- j86n_ <br /> ,Iru_� Nebraska Board of Public Roads Classifications and Standards <br /> PO Box 94759 <br /> Lincoln NE 68509 <br /> Page 2 of 2 <br />