Form BLR 02130 Resolution Requesting Consent to the Appointment of an Acting County Engineer - Illinois

Form BLR02130 is a Illinois Department of Transportation form also known as the "Resolution Requesting Consent To The Appointment Of An Acting County Engineer". The latest edition of the form was released in October 4, 2017 and is available for digital filing.

Download a PDF version of the Form BLR02130 down below or find it on Illinois Department of Transportation Forms website.

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Resolution Requesting Consent to the
Appointment of an Acting County Engineer
WHEREAS, a vacancy
on
in the office of County Engineer in
County, Illinois due
Date
County
to the removal, resignation or death of the incumbent County Engineer
which
Name of Incumbent
on
, and
Date
WHEREAS, in accordance with 605 ILCS 5/5/-204, the County Board must request and receive consent of the Department before
appointing an Acting County Engineer, and
, appoint
WHEREAS, this Board, due to this emergency, did on
Date
Name of Appointee
as Acting County Engineer.
THEREFORE, BE IT RESOLVED that the
County Board does hereby request the consent of the Department of
County
Transportation to the appointment of
as Acting County Engineer, and
Name of Appointee
BE IT FURTHER RESOLVED, that the County Clerk is hereby directed to transmit two (2) certified originals of this resolution to the district
office of the Department of Transportation.
I
County Clerk in and for said County of
in the State of Illinois, and
Name of Clerk
County
keeper of the records and files thereof as provided by statute, do hereby certify the foregoing to be a true, perfect and complete original of
a resolution adopted by the County Board of
at a meeting held on
.
Date
County
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
day of
.
Day
Month, Year
(SEAL)
Clerk Signature
Regional Engineer, Department of Transportation
Date
Printed 10/24/19
BLR 02130 (Rev. 10/04/17)
Resolution Requesting Consent to the
Appointment of an Acting County Engineer
WHEREAS, a vacancy
on
in the office of County Engineer in
County, Illinois due
Date
County
to the removal, resignation or death of the incumbent County Engineer
which
Name of Incumbent
on
, and
Date
WHEREAS, in accordance with 605 ILCS 5/5/-204, the County Board must request and receive consent of the Department before
appointing an Acting County Engineer, and
, appoint
WHEREAS, this Board, due to this emergency, did on
Date
Name of Appointee
as Acting County Engineer.
THEREFORE, BE IT RESOLVED that the
County Board does hereby request the consent of the Department of
County
Transportation to the appointment of
as Acting County Engineer, and
Name of Appointee
BE IT FURTHER RESOLVED, that the County Clerk is hereby directed to transmit two (2) certified originals of this resolution to the district
office of the Department of Transportation.
I
County Clerk in and for said County of
in the State of Illinois, and
Name of Clerk
County
keeper of the records and files thereof as provided by statute, do hereby certify the foregoing to be a true, perfect and complete original of
a resolution adopted by the County Board of
at a meeting held on
.
Date
County
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this
day of
.
Day
Month, Year
(SEAL)
Clerk Signature
Regional Engineer, Department of Transportation
Date
Printed 10/24/19
BLR 02130 (Rev. 10/04/17)
Instructions for BLR 02130
This form shall be used to appoint an acting county engineer. For more information refer to the Bureau of Local Roads and Street Manual
(BLRS) Chapter 2. For signature requirements refer to Chapter 2, Section 3.05(b) of the BLRS Manual. (Similar fields are auto populated
depending on the entry you choose in the first respective field.)
Vacancy
Insert the type of vacancy, choose from exists or will exist.
Date
Insert the date of expiration of the current incumbent's term.
Name of County
Insert the name of the county.
Name of Incumbent
Insert the name of the incumbent county engineer.
Status
Insert will occur or occurred based on when status of the vacancy.
Date
Insert the date of vacancy.
Date
Insert the date of the appointment by the county board.
Name of Appointee
Insert the name of the person appointed as acting county engineer.
Clerk Name
Insert the name of the County Clerk
Name of County
Insert the name of the county.
Name of County
Insert the name of the county.
Meeting Date
Insert the date of the meeting.
Day
Insert the day of the clerk's signature.
Month, Year
Insert the month and year of the clerk's signature.
Clerk's signature
The clerk will sign and date here.
A minimum of two (2)certified signed originals must be submitted to the Regional Engineer's District office.
Following the Regional Engineer's approval, distribution will be as follows:
District File
Central Bureau of Local Roads and Streets
Printed 10/24/19
BLR 02130 (Rev. 10/04/17)
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