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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, 2026) may result in the suspension <br /> 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 /> 2026 <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 a l `l f C L r1 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, roads, <br /> 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 certification and the resolution of the governing <br /> body authorizing the signin• •fi this ce ' is bon"y the County Board Chairperson. <br /> I <br /> .ign. ..e o • =..rd Chairperson(Required) (Date) <br /> 21:17g <br /> Signature of County ighway Superintendent(Optional) (Date) <br /> Return the completed original signing resolution and annual <br /> certification of program compliance by October 31, 2026 to: <br /> �OF.TNE.S.T9 E1`1 , <br /> Nebraska Board of Public Roads Classifications and Standards <br /> ���'a PO Box 94759 <br /> \0 Lincoln NE 68509 <br /> or email to ndot.blshelp(a�nebraska.gov <br /> y Page 2 of 2 <br /> �IU��MgRCH�,ia61 / <br />