Highway Safety Project Agreement, Conditions and Certifications - eLAP 1A. Grantee: 2A. Project Title: FFY 2014 eLAP Grant 2B. Project Number: Task Number(s): 1B. Address: 2D. CFDA Number: 2E. Project Amount: 1C. County: 1D. FEIN: 3. Period: 5/30/2014 through 9/30/2014 1E. DUNS: 1F. Fund Type: 4. Vendor: 1G. Federal State Required signatures By signing the GOVERNMENTAL BODY and the DEPARTMENT agree to comply with and abide by all provisions set forth and any Appendices thereto. 5A. GRANTEE Project Director: 5B. GRANTEE Authorizing Representative: Name: Name: Title: Address: Address: Phone: Phone: E-mail: E-mail: Signature Date Signature Date William M. Barnes, Counsel Date (Approved as to form) By: Jared Thornley, Director Date Jeff Heck, Chief Fiscal Officer Date Division of Traffic Safety Director, Office of Finance & Administration By: Randall S. Blankenhorn, Secretary Date Department of Transportation By: Name Print Title
Highway Safety Project Agreement, Conditions and Certifications - eLAP 1A. Grantee: 2A. Project Title: FFY 2014 eLAP Grant 1B. Address: 2B. Project Number: Task Number(s): 1C. County: 2D. CFDA Number: 2E. Project Amount: 1D. FEIN: 3. Period: 5/30/2014 through 9/30/2014 1E. DUNS: 1F. Fund Type: 4. Vendor: 1G. Federal State Required signatures By signing the GOVERNMENTAL BODY and the DEPARTMENT agree to comply with and abide by all provisions set forth and any Appendices thereto. 5A. GRANTEE Project Director: 5B. GRANTEE Authorizing Representative: Name: Name: Title: Address: Address: Phone: Phone: E-mail: E-mail: Signature Date Signature Date William M. Barnes, Counsel Date (Approved as to form) By: Jared Thornley, Director Division of Traffic Safety Date Jeff Heck, Chief Fiscal Officer Director, Office of Finance & Administration Date By: Randall S. Blankenhorn, Secretary Department of Transportation Date By: Name Print Title
TS%2008%20eLAP.docx