HomeMy WebLinkAboutRESOLUTION - 9-19 - 2/12/2019 - Gateway Agreement - First AmendmentRESOLUTION NO.9-19
A RESOLUTION AMENDING RESOLUTION NO.40-18 AND AUTHORIZING THE
MAYOR TO EXECUTE A FIRST AMENDMENT TO MEMORANDUM OF
UNDERSTANDING AND ADDENDUM TO AGREEMENT BETWEEN THE ELK GROVE
VILLAGE POLICE DEPARTMENT AND GATEWAY FOUNDATION, INC.
NOW, THEREFORE, BE IT RESOLVED by the Mayor and Board of Trustees of the
Village of Elk Grove Village, Counties of Cook and DuPage, State of Illinois, as follows:
Section 1: That the Mayor be and is hereby authorized to sign the attached documents
marked:
AMENDMENT TO MEMORANDUM OF UNDERSTANDING
ADDENDUM TO AGREEMENT
BETWEEN
ELK GROVE POLICE DEPARTMENT
AND
GATEWAY FOUNDATION, INC.
a copy of which is attached hereto and made a part hereof as if fully set forth and the Village Clerk is
authorized to attest said documents upon the signature of the Mayor.
Section 2: That this Resolution shall be in full force and effect from and after its passage and
approval according to law.
VOTE: AYES: 4 NAYS: 0 ABSENT:2
PASSED this 12th day of February 2019.
APPROVED this 12th day of February 2019.
APPROVED:
Mayor Craig B. Johnson
Village of Elk Grove Village
ATTEST:
Loretta M. Murphy, Village Clerk
Amendment to Memorandum of Understanding
This Amendment to the Memorandum of Understanding is entered into by and between the Elk
Grove Village Police Department, and Gateway Foundation, Inc. (Gateway). Both parties entered into a
memorandum of understanding to establish a coordination of treatment services for the period of June 1,
2018 through June 30, 2019 (the "MOU").
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged, the parties do hereby execute and deliver this amendment to the MOU revising
C. the reimbursement provisions. Toward that end, both the Elk Grove Village Police Department and
Gateway agree that:
1. Section C shall be restated in its entirety to read as follows:
Elk Grove Village Police Department agrees to reimburse Gateway $325.00 per day for participants
whom do not have third -party commercial insurance, Medicaid or who are ineligible for DHS DASA
benefits. In the event Gateway receives State rates for residential substance abuse treatment services
that exceed the rate set forth in this agreement, the contract rate shall be increased upon thirty (30)
days' notice from Gateway to Elk Grove Village Police Department. Gateway agrees if the Elk Grove
Village Police Department referral is currently covered by Medicaid, or commercial insurance, or
meets the DASA eligibility requirements, then in that event, Medicaid, DASA or the commercial
insurance will be billed first for covered services, subject to applicable laws. The Elk Grove Village
Police Department funds will be available for those Elk Grove Village Police Department participants
who have no third party coverage or who have exhausted other third party coverage. Community Law
Enforcement Partnership for Deflection and Addiction Treatment Act Grant funds will be available to
fulfill the financial obligations of the Elk Grove Village Police Department during the period January
1, 2019 through June 30, 2019, and the obligations of the Elk Grove Village Policy Department during
such period shall not exceed $28,438. Invoices submitted to the Elk Grove Village Police Department
will include the participants name and dates of services.
2. The Division of Alcoholism and Substance Abuse (DASA) was renamed the Division of
Substance Use Prevention and Recovery (SUPR). Any reference to DASA will be replaced by
SUPR throughout the agreement
All remaining terms and conditions of the MOU except as otherwise modified herein will remain in full
force and effect.
IN WITNESS WHEREOF, the parties hereto have executed the Amendment on the date beside their
respective signatures
Village of Elk Grove Village
An Illinois Home Rule Municipal Corporation
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Gateway Foun ion, Inc.
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ADDENDUM TO AGREEMENT
The The Village of Elk Grove on behalf of the Elk Grove Police Department ,
hereafter referred to as the "Implementing Agency" and Gateway Foundation, Inc. hereafter referred
to as the "CONTRACTOR", agree to adhere to and comply with the following terms and conditions, as an
addendum to, and in the performance of, the agreement to which these provisions are attached.
SECTION 1. INDEPENDENT CONTRACTOR
The CONTRACTOR, in the performance of this agreement, shall act as an independent contractor and not as an
agent or employee of the Authority or the Implementing Agency. The Illinois Criminal Justice Information
Authority (Authority) shall not be responsible for the performance, acts or omissions of the Contractor. The
Implementing Agency shall be liable, and agrees to be liable for, and shall indemnify, defend and hold the
Authority harmless for all claims, suits, judgments and damages arising from the performance of this agreement, to
the extent permitted by law.
SECTION 2. TRANSPARENCY ACT COMPLIANCE
The CONTRACTOR agrees to comply with any and all requirements of 2 C.F.R. §33.200 that are imposed on
recipients of federal funds by the Federal Funding Accountability and Transparency Act of 2006. The
CONTRACTOR agrees to comply with the following:
a) To acquire and use a DUNS (Data Universal Numbering System) number. The DUNS number shall be procured from Dun
and Bradstreet, Inc online at www.dunandbradstreet.com or by calling 1-866-705-5711.
CONTRACTOR'S DUNS Number: 040883779
b) To maintain a current registration in the System for Award Management (SAM) database. The CONTRACTOR
must update or renew their CCR registration at least once per year to maintain an active status. Information about
registration procedures can be accessed at www.sam.gov.
CONTRACTOR'S SAM registration is valid until: 10/23/2019
c) The CONTRACTOR shall provide their Commercial And Government Entity (CAGE) Code. The CAGE Code
request process is incorporated into the SAM registration.
CONTRACTOR'S CAGE Code: 4PWE1
d) The CONTRACTOR further agrees that all agreements entered into with subcontractors, shall require
compliance by the subgrantee or contractor with the Federal Funding Accountability and Transparency Act of 2006
and all requirements of 2 C.F.R. §33.200 including obtaining a DUNS number and maintaining registration with the
CCR.
e) The acquisition of a DUNS number and registration with the CCR database is not required of contractors and
subcontractors who are individuals.
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SECTION 3. RECORD RETENTION:
CONTRACTOR agrees to retain financial and program records for a minimum of 3 years after the expiration date
of this agreement, or 3 years after closure of CONTRACTOR's most recent audit report, whichever is later.
CONTRACTOR shall maintain, for this 3-year period, adequate books, records, and supporting documents to
verify the amounts, recipients, and uses of all disbursements of funds passing in conjunction with this agreement;
the agreement and all books, records, and supporting documents related to the agreement shall be available for
review and audit by the Auditor General, the Authority, or any person duly authorized by the Authority; and
CONTRACTOR agrees to cooperate fully with any audit conducted by the Auditor General, the Authority or any
person duly authorized by the Authority, and to provide full access to all relevant materials. Failure to maintain the
books, records, and supporting documents required by this Section shall establish a presumption in favor of the
State for the recovery of any funds paid by the State under the agreement for which adequate books, records, and
supporting documentation are not available to support their purported disbursement.
Records shall be maintained beyond the 3-year period if any litigation, claim, audit, fiscal review, negotiation, or
other action involving the records has been started before the expiration of the above three-year period; in such
cases, these records must be retained until completion of the action and resolution of all issues which arise from it,
or until the end of the regular three-year period, whichever is later.
SECTION 4. CERTIFICATION:
CONTRACTOR certifies that it has not been barred from contracting with a unit of state or local government as a
result of a violation of Section 33E-3 or 33E-4 of the Criminal Code of 1961.
SECTION 5. CRIMINAL CONVICTIONS
The CONTRACTOR certifies that its board members, executive officers, directors, administrators, supervisors,
managers, and financial officers and anyone holding such a position of authority have not been convicted of theft,
fraud, or any other crime involving dishonesty within the past ten (10) years.
The CONTRACTOR shall notify the Implementing Agency if any of its board members, executive officers,
directors, administrators, supervisors, managers, or financial officers or anyone holding such a position of authority
have been convicted of theft, fraud, or any other crime involving dishonesty within the past ten (10) years or
become convicted of theft, fraud, or any other crime involving dishonesty. The Implementing Agency may
terminate this agreement at the Implementing Agency's discretion, if any of the CONTRACTOR's board members,
executive officers, directors, administrators, supervisors, managers, or financial officers or anyone holding such a
position of authority have been convicted of theft, fraud, or other crime of dishonesty within the past ten (10) years
or become convicted of theft, fraud, or any crime involving dishonesty.
SECTION 6. ELIGIBILITY FOR EMPLOYMENT IN THE UNITED STATES:
CONTRACTOR shall complete and keep on file, as appropriate, the Immigration and Naturalization Service
Employment Eligibility Form (I-9). This form shall be used by CONTRACTOR to verify that persons employed by
CONTRACTOR are eligible to work in the United States.
SECTION 7. CONFIDENTIALITY OF INFORMATION:
To the extent permitted by Illinois state law, including the Illinois Freedom of Information Act, 5 ILCS 140/1 et
seq., CONTRACTOR agrees not to use or reveal any research or statistical information furnished under this
program by any person and identifiable to any specific private person for any purpose other than the purpose for
which such information was obtained in accordance with applicable federal legislation, regulations and guidelines.
Such information shall be immune from legal process and shall not, without the consent of the person furnishing the
Page 2 of 8 Updated October 25, 2016
information, be admitted as evidence or used for any purpose in any action, suit or other judicial, legislative or
administrative proceeding.
SECTION 8. PROCUREMENT REQUIREMENTS/CONFLICT OF INTEREST:
All procurement transactions shall be conducted by CONTRACTOR in a manner to provide, to the maximum
extent practical, open and free competition. CONTRACTOR must use procurement procedures that minimally
adhere to applicable executive orders, state laws, and regulations. No employee, officer or agent of
CONTRACTOR shall participate in the selection, or in the award or administration of a contract supported by state
of Illinois funds if a conflict of interest, real or apparent, would be involved.
SECTION 9. APPLICABLE LAW:
CONTRACTOR shall operate in conformance with the following State laws and guidelines, currently in effect and
hereafter amended, when applicable: federal legislation, regulations and guidelines regarding the applicable federal
grant program; the Office of Justice Programs' Financial Guide; Office of Management and Budget Circulars A-21,
A-87, A-102, A-110, A-122, and A-133; the Illinois Grant Funds Recovery Act (30 ILCS 705); Illinois
Procurement Code (30 ILCS 500); the State Comptroller Act (15 ILCS 405); the U.S. Department of Justice
Regulations Governing Criminal History Record Information Systems (28 CFR Part 20.1 et seq.); the U.S.
Department of Justice Regulations Governing Confidentiality of Identifiable Research and Statistical Information
(28 CFR Part 22.1 et seq.); the U.S. Department of Justice Regulations Governing Governmentwide Debarment and
Suspension (28 CFR Part 67.100 et seq.) and the rules of the Authority (20 Ill. Adm. Code 1520 et seq.).
CONTRACTOR shall comply with all applicable laws, regulations, and guidelines of the State of Illinois, the
Authority in the performance of this agreement, currently in effect and hereafter amended, including but not limited
to: the provisions of 28 CFR applicable to grants and cooperative agreements including Part 18, Administrative
Review Procedures; Part 20, Criminal Justice Information Systems; Part 22, Confidentiality of Identifiable
Research and Statistical Information; Part 23, Criminal Intelligence Systems Operating Policies; Part 30,
Intergovernmental Review of Department of Justice Programs and Activities; Part 42, Non-Discrimination/Equal
Employment Opportunity Policies and Procedures; Part 46, Protection of Human Subjects; Part 61, Procedures for
Implementing the National Environmental Policy Act; Part 63, Floodplain Management and Wetland Protection
Procedures; and Part 67, Governmentwide Debarment and Suspension (Nonprocurement); provisions of 48 CFR
regarding federal acquisition principles, including Part 31, Contract Cost Principles and Procedures; Section 8136
of the Department of Defense Appropriations Act of 1988 (P.L. 100-463, effective October 1, 1988); National
Environmental Policy Act of 1969, 42 U.S.C. pars. 4321 et seq.; National Historic Preservation Act of 1966, 16
U.S.C. pars. 470 et seq.; Flood Disaster Protection Act of 1973, 42 U.S.C. pars 4001 et seq.; Clean Air Act of 1970,
42 U.S.C. pars. 7401 et seq.; Clean Water Act, 33 U.S.C. pars. 1368 et seq.; Executive Order 11738; and EPA
regulations (40 CFR Part 15); Federal Water Pollution Control Act of 1948, as amended, 33 U.S.C. pars. 1251 et
seq.; Safe Drinking Water Act of 1974, 42 U.S.C. pars. 300f et seq.; Endangered Species Act of 1973, 16 U.S.C.
pars. 1531 et seq.; Wild and Scenic Rivers Act of 1968, as amended, 16 U.S.C. pars. 1271 et seq.; Historical and
Archeological Data Preservation Act of 1960, as amended, 16 U.S.C. pars. 469 et seq.; Coastal Zone Management
Act of 1972, 16 U.S.C. pars. 1451 et seq.; Coastal Barrier Resources of 1982, 16 U.S.C. pars. 3501 et seq.; Indian
Self Determination Act, 25 U.S.C. par. 450f; Intergovernmental Cooperation Act of 1968, 42 U.S.C. 4201 et seq.;
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 U.S.C. pars. 4601 et seq.;
Hatch Political Activity Act of 1940, as amended, 5 U.S.C. pars. 1501 et seq.; Animal Welfare Act of 1970, 7
U.S.C. pars. 2131 et seq.; Demonstration Cities and Metropolitan Development Act of 1966, 42 U.S.C. pars. 3301
et seq.; Federal Fair Labor Standards Act of 1938, as amended, 29 U.S.C. pars. 201 et seq.; and E.O. 11246 "Equal
Employment Opportunity," as amended by E.O. 11375, and supplemented by regulations at 41 CFR Part 60.
Failure of CONTRACTOR to comply with applicable laws, regulations, and guidelines may result in the
suspension or termination of this agreement, or pursuit of other remedies that may be legally available.
SECTION 10. CERTIFICATIONS REGARDING DEBARMENT AND A DRUG -FREE WORKPLACE:
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As required by the Authority, CONTRACTOR shall complete and submit the state Certification Regarding A Drug -
Free Workplace and shall certify that neither it nor its principals are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal
department or agency.
SECTION 11. STATEMENTS. PRESS RELEASES. ETC.:
When issuing statements, press releases, requests for proposals, bid solicitations, and other documents describing
projects or programs funded in whole or in part with state of Illinois funds, the CONTRACTOR shall clearly state
(1) the percentage of the total cost of the program or project which will be financed with state of Illinois funds, and
(2) the dollar amount of state of Illinois funds for the project or program.
SECTION 12. COPYRIGHTS. PATENTS:
If this agreement results in a copyright, the Illinois Criminal Justice Information Authority, reserve a royalty -free,
nonexclusive and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for
government purposes, the work or the copyright to any work developed under this agreement and any rights of
copyright to which a grantee, subgrantee or a contractor purchases ownership with grant support.
If this agreement results in the production of patentable items, patent rights, processes, or inventions, the
CONTRACTOR shall immediately notify the Implementing Agency, and the Implementing Agency shall notify the
Authority. The Authority will provide the Implementing Agency and CONTRACTOR with further instruction on
whether protection on the item will be sought and how the rights in the item will be allocated and administered in
order to protect the public interest.
SECTION 13. PUBLICATIONS:
CONTRACTOR shall submit to the Implementing Agency, and the Implementing Agency shall submit to the
Illinois Criminal Justice Information Authority for review, a draft of any publication that will be issued by
CONTRACTOR describing or resulting from programs or projects funded in whole or in part with state of Illinois
funds, no later than 60 days prior to its printing.
Any such publication shall contain the following statement:
"This project was supported by grant from the Illinois Criminal Justice Information Authority. Points of view or
opinions contained within this document are those of the author and do not necessarily represent the official
position or policies of the State of Illinois, or the Illinois Criminal Justice Information Authority."
These publication requirements pertain to any written, visual or sound publication, but are inapplicable to press
releases, newsletters and issue analyses. Exceptions to these requirements may be granted upon prior Authority
approval,
SECTION 14. INSPECTION AND AUDIT:
If required by revised Office of Management and Budget Circular A-133 "Audits of States, Local Governments,
and Non -Profit Organizations," CONTRACTOR agrees to provide for an independent audit of its activities in
accordance with A-133. Such audits shall be made annually, unless A-133 allows CONTRACTOR to undergo
biennial audits. All audits shall be conducted in accordance with Government Auditing Standards, Standards for
Audit of Governmental Organizations, Programs, Activities and Functions; the Guidelines for Financial and
Compliance Audits of Federally Assisted Programs; any compliance supplements approved by the Office of
Management and Budget; and generally accepted auditing standards established by the American Institute of
Certified Public Accountants. Copies of all audits must be submitted to the Authority no later than 9 months after
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the close of the Implementing Agency's audit period.
Known or suspected violations of any law encountered during audits, including fraud, theft, embezzlement, forgery,
or other serious irregularities, must be immediately communicated to the Authority and appropriate federal, State,
and local law enforcement officials.
CONTRACTOR agrees to develop and maintain a record -keeping system to document all agreement related
activities and expenditures. These records will act as the original source material for compilation of data and
records required by the Authority and all other program activity.
The Authority shall have access for purposes of monitoring, audit and examination to all relevant books,
documents, papers, and records of CONTRACTOR, and to relevant books, documents, papers and records of
subcontractors.
SECTION 15. REPORTING GRANT IRREGULARITIES
The Contractor shall promptly notify the Authority through their Authority Grant Monitor when an allegation is
made, or the Contractor otherwise receives information, reasonably tending to show the possible existence of any
irregularities or illegal acts in the administration of grant funds. The Authority, per its agency policy, shall
determine the reasonableness of the allegation of the irregularities or illegal action and determine the appropriate
course of action. Possible actions would include conducting an internal audit or other investigation or contacting the
proper authorities. Illegal acts and irregularities shall include but are not limited to such matters as conflicts of
interest, falsification of records or reports both data, fiscal and programmatic, and the misappropriation of funds or
other assets.
A copy of the Authority's policy is available on the web at hUp://www.iciia.state.il.ugpublic/.
Failure to report known irregularities can result in suspension of the Interagency Agreement or other remedial
action. In addition, if the Contractor's auditor or other staff becomes aware of any possible illegal acts or other
irregularities prompt notice shall be given to the Contractor's director or similarly situated personnel. The
Contractor, in turn, shall promptly notify the Authority as described above of the possible illegal acts or
irregularities. If the possible misconduct involves the Implementing Agency's director, the Implementing Agency
staff member shall provide prompt notice directly to the Authority.
In addition, the Authority, if in its judgment there is a reasonable allegation of irregularity or illegal act, shall
inform the Office of Justice Program's Office of the Comptroller, the Department of Justice's Office of
Professional Responsibility and the Office of Inspector General, and state and local law enforcement agencies or
prosecuting authorities, as appropriate, of any known violations of the law within their respective area of
jurisdiction.
The reporting of any irregularities, illegal acts and the proposed or actual corrective action shall be reported to the
Authority at:
Illinois Criminal Justice Information Authority
Attn: Grant Monitor
300 W. Adams Suite 200
Chicago, IL 60606
Phone: 312- 793-8550
SECTION 16. COMMENCEMENT OF PERFORMANCE
If performance has not commenced within 60 days of the starting date of this agreement, the Contractor agrees to
report by letter to the Authority the steps taken to initiate the program, the reasons for the delay, and the expected
Page 5 of 8 Updated October 25, 2016
starting date.
If the program is not operational within 90 days of the starting date of this agreement, the Contractor agrees to
submit a second letter to the Authority explaining the implementation delay. The Implementing Agency may at its
discretion either cancel this agreement or extend the implementation date of the program past the 90-day period.
If the program is interrupted for more than 30 days after commencement, due to loss of staff or any other reason,
the Contractor agrees to notify the Implementing Agency in writing explaining the reasons for the interruption and
the steps being taken to resume operation of the program. The Implementing Agency may, at its discretion, reduce
the amount of funds awarded and/or terminate this agreement if the program is interrupted for more than 90 days.
If this agreement is terminated due to this section, the Implementing Agency will only pay for those services
rendered as of the date service delivery ceased. Any funds advanced to the Contractor and not expended as of that
date shall be repaid to the Implementing Agency upon notification by the Implementing Agency
SECTION 17. REPORTING POTENTIAL FRAUD. WASTE OR SIMILAR MISCONDUCT.
The Contractor shall promptly refer to the Authority, any credible evidence that a principal, employee, agent,
contractor, subcontractor, or subgrantee has either committed a criminal or civil violation of laws pertaining to
fraud, conflict of interest, bribery, gratuity or similar misconduct involving grant funds.
Potential fraud, waste, abuse or misconduct shall be reported to the Authority by mail at:
Illinois Criminal Justice Information Authority
300 W. Adams Suite 200
Chicago, IL 60606
Phone: 312- 793-8550
SECTION 18. INTERNATIONAL ANTI -BOYCOTT CERTIFICATION
The Implementing Agency certifies that neither it nor any substantially -owned affiliated company is participating
or shall participate in an international boycott in violation of the provisions of the U.S. Export Administration Act
of 1979 or the regulations of the U.S. Department of Commerce promulgated under that Act.
SECTION 19. SEXUAL HARASSMENT POLICIES
The Contractor agrees to establish and maintain written sexual harassment policies that shall include, at a
minimum, the following information:
1) The illegality of sexual harassment;
2) The definition of sexual harassment under State law;
3) A description of sexual harassment, utilizing examples;
4) The Contractor's internal complaint process including penalties;
5) The legal recourse, investigative and complaint process available through the Department of Human Rights
and the Commission;
6) Directions on how to contact Department of Human Rights and the Commission; and
7) Protections against retaliation as provided by the Human Rights Act. 775 ILCS 5/6-101
SECTION 20. USE OF FUNDS
Contractor certifies that it, and its subcontractors, shall use funds for only allowable services, activities and costs, as
described in the agreement between the Implementing Agency and the Contractor.
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The Contractor certifies that only those costs listed in the agreement between the Implementing Agency and the
Contractor shall be paid pursuant to this agreement. The Contractor understands the payment of funds shall be
withheld until such certifications are received by the Implementing Agency.
SECTION 21. GRANT FUNDS RECOVERY AND INVOLUNTARY WITHHOLDINGS
This Addendum to Agreement is subject to the Illinois Grants Recovery Act (30 ILCS 705/1 et. seq). The
CONTRACTOR certifies that it is not presently subject to a grant funds recovery action under the Illinois Grant
Funds Recovery Act (30 ILCS 705/1 et. seq) or an Involuntary Withholding by the State of Illinois or any other
state. The CONTRATOR also certifies that a grant recovery action has not been initiated against it by any grantor,
or an Involuntary Withholding action by the State of Illinois or any other state within the past five (5) years.
The CONTRACTOR shall notify the Implementing Agency if it is currently the subject of a grant funds recovery
action, has been the party to a grant funds recovery action in the past five (5) years, is currently subject to an
Involuntary Withholding by the State of Illinois or by any other state, or has been subject to an Involuntary
Withholding by the State of Illinois or by any other state within the past five (5) years. The Implementing Agency
may terminate this agreement, at the Implementing Agency's sole discretion, if the CONTRACTOR is a party to a
grant funds recovery action, has been a party to a grant funds recovery action within the past five (5) years,
becomes a party to a grant funds recovery action, is subject to an Involuntary Withholding, or has been the subject
of an Involuntary Withholding within the past five (5) years, or becomes subject to an Involuntary Withholding.
SECTION 22. CERTIFICATION REGARDING LOBBYING:
CONTRACTOR certifies that no Grant Funds have been paid or will be paid by or on behalf of CONTRACTOR
to any person for influencing or attempting to influence an officer or employee of any government agency, a
member of Congress or Illinois General Assembly, an officer or employee of Congress or Illinois General
Assembly, or an employee of a member of Congress or Illinois General Assembly in connection with the
awarding of any agreement, the making of any grant, the making of any loan, the entering into of any cooperative
agreement, or the extension, continuation, renewal, amendment or modification of any agreement, grant, loan or
cooperative agreement. 31 USC 1352. Additionally, Contractor certifies that it has filed the required certification
under the Byrd Anti -Lobbying Amendment (31 USC 1352), if applicable.
If any funds, other than Federally -appropriated funds, were paid or will be paid to any person for influencing or
attempting to influence any of the above persons in connection with this Agreement, the undersigned must also
complete and submit Federal Form LLL, Disclosure of Lobbying Activities Form, in accordance with its
instructions.
CONTRACTOR certifies that it is in compliance with the restrictions on lobbying set forth in 2 CFR Part
200.450. For any Indirect Costs associated with this Agreement, total lobbying costs shall be separately
identified in the Program Budget, and thereafter treated as other Unallowable Costs.
CONTRACTOR warrants and certifies that it and, to the best of its knowledge, its sub -grantees have complied
and will comply with Executive Order No. 1 (2007) (EO 1112007). EO 102007 generally prohibits Grantees and
subcontractors from hiring the then❑serving Governor's family members to lobby procurement activities of the
State, or any other unit of government in Illinois including local governments, if that procurement may result in a
contract valued at over $25,000. This prohibition also applies to hiring for that same purpose any former State
employee who had procurement authority at any time during the one Lyear period preceding the procurement
lobbying activity.
This certification is a material representation of fact upon which reliance was placed to enter into this transaction
and is a prerequisite for this transaction, pursuant to 31 USC 1352. Any person who fails to file the required
certifications shall be subject to a civil penalty of not less than $10,000, and not more than $100,000, for each
such failure.
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ACCEPTANCE OF ADDENDUM
The Implementine Agency and CONTRACTOR aeree to adhere to and comply with the above terms and
conditions, as an addendum to, and in the performance of, the agreement to which these provisions -are
attached.
Authorized representative of the Implementing Agency
Authori ed repr";111five of the CONTRACTOR
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Date
2--., 1
Date(