In occasione delle elezioni Amministrative del giugno 2009 viene candidato alla presidenza della Provincia di Cremona, come indipendente appoggiato da una coalizione di centrodestra. Vince al primo turno. Oltre a Popolo della Libertà e Lega Nord, in Consiglio provinciale anche l'Udc ha dato l'appoggio esterno alla Giunta Salini. Le principali realizzazioni durante il mandato di presidente della Provincia sono state: il raddoppio della ex Statale Paullese (Crema-Milano); la valorizzazione del patrimonio della Provincia tramite la creazione di un Fondo Immobiliare; il rifacimento del ponte sul Po a Casalmaggiore; l'avvio dei cantieri per l'autostrada Cremona-Mantova; l'avvio di un percorso di semplificazione amministrativa su tutto il territorio, per ridurre i 115 Comuni ad 11 unità amministrative.
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