Materials Management Planning Work Program Submittal Question Title * 1. County:Select the county that you are submitting the quarterly report and/or reimbursement request on behalf of. Alcona Alger Allegan Alpena Antrim Arenac Baraga Barry Bay Benzie Berrien Branch Calhoun Cass Charlevoix Cheboygan Chippewa Clare Clinton Crawford Delta Dickinson Eaton Emmet Genesee Gladwin Gogebic Grand Traverse Gratiot Hillsdale Houghton Huron Ingham Ionia Iosco Iron Isabella Jackson Kalmazoo Kalkaska Kent Keweenaw Lake Lapeer Leelanau Lenawee Livingston Luce Mackinac Macomb Manistee Marquette Mason Mecosta Menominee Midland Missaukee Monroe Montcalm Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Ontonagon Osceola Oscoda Otsego Ottawa Presque Isle Roscommon Saginaw St. Clair St. Joseph Sanilac Schoolcraft Shiawassee Tuscola Van Buren Washtenaw Wayne Wexford Question Title * 2. Multicounty Group Name (if applicable): Question Title * 3. State of Michigan Accounting System Vendor ID # (SIGMA VSS - Begins with "CV" or "VS" followed by seven digits): Question Title * 4. Address (Associated with SIGMA #): Question Title * 5. County Financial Contact:For purposes of the grant contract, please list a county contact. This may be different from the MMP Grant Manager that is specified in the work program. Name: Phone: Email: Question Title * 6. Work Program Upload Please upload your Work Program for a one year period. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your Work Program for a one year period. Question Title * 7. Please note any comments regarding your submittal: Question Title * 8. Electronic Signature:Please check each box below to indicate your understanding. Applicant certifies they are authorized to submit this work program on behalf of their county/ies. Applicant confirms that all necessary approvals have been achieved as required by law, including that the Materials Management Planning Committee has approved the uploaded work program. Question Title * 9. Electronic Signature of Work Program Submittal Contact: Contact Name: Title: Entity/Organization: Contact Email Address: Contact Phone Number: Done