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Home My WebLink About03-325 Resolution No. 03-325 RESOLUTION AUTHORIZING EXECUTION OF A HIGHWAY SAFETY PROJECT AGREEMENT WITH THE ILLINOIS DEPARTMENT OF TRANSPORTATION (Occupant Protection Enforcement Zone Program) BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that David M. Dorgan, City Manager, be and is hereby authorized and directed to execute a Highway Safety Project Agreement on behalf of the City of Elgin with the Illinois Department of Transportation for the Occupant Protection Enforcement Zone Program, a copy of which is attached hereto and made a part hereof by reference . s/ Ed Schock Ed Schock, Mayor Presented: November 19, 2003 Adopted: November 19, 2003 Vote : Yeas : 6 Nays : 0 Attest : s/ Dolonna Mecum Dolonna Mecum, City Clerk , 4. , V. Illinois Department Highway Safety of Transportation Project Agreement Division of Traffic Safety 3215 Executive Park Drive/P.O. Box 19245 Springfield, Illinois 62794-9245 1. Applicant Elgin Police Department For Office Use Only Agency: Project Number: OP4-1720-156 Address: 151 Douglas Avenue Project Occupant Protection Enforcement Zone Elgin, IL 60128 Title: Program Yof PSP/Task: 19/06 Fund Fundinin g 1 TIN/FEIN: 36-6005862 PSP Title: Section 405 Funds 2. Governmental Elgin Police Department 3. Starting Date: November 20, 2003 Unit: 4. Expiration Date: September 30, 2004 Address: 151 Douglas Avneue 5A-E. Project Description (attached) Elgin, IL 60120 TIN/FEIN: 36-6005862 5F. Project Description Summary: This project provides funds for the agency to hireback officers during Click It or Ticket mobilization period. During this period certified officers working overtime will conduct enforcement zones daily in support of Illinois occupant protection laws. Proposed 5G. Project Budget Federal Local Total Personal Services $7,194 $0 $7,194 Fringe Benefits 0 0 0 Social Security 0 0 0 Travel 0 0 0 Contractual Services 0 0 0 Printing 0 0 0 Commodities 0 0 0 Equipment 0 0 0 Oper/Auto/Equipment 0 0 0 Totals $7,194 $0 $7,194 6. A Acceptance-It is understood and agreed by the undersigned that this project is subject to the attached agreement conditions. B "Obligation of the state shall cease immediately,without penalty or further payment being required if,in any fiscal year,the Illinois General Assembly or federal funding source fails to appropriate or otherwise make available funds for this contract." 7A. Project Director: 7B. Authorizing Official: Name: Thomas Olson Name: DAVID DO R G A N Title: Sergeant Title: - G I T Y. MANAGER Address: 151 Douglas Avenue, Elgin, IL 60128 Address: • 150 DOUGLAS ELGIN IL - 601 Lt: Phone: 847-289-26 11 Fax: 289-2950 Phone: 847 1 5591 . Fax:84 7 931 50 1 u Signature: S �✓ihe) Y-0--- Signature: AO Date: 1- is-o3 Date: / Z a 3 7C. Division of Traffic Safety Approval and Authorization to Expend Funds: Tom DiLello, Director,Division of Traffic Safety Name Title Signature Date TS 1980(Rev. 9/95) - TIllinois Department Highway Safety Project of Transportation Single Audit Act Certification Division of Traffic Safety 3215 Executive Park Drive/P.O. Box 19245 Springfield, Illinois 62794-9245 The Illinois Department of Transportation's Division of Traffic Safety (DTS) is the agency responsible for administering Illinois' federal highway safety funds. The Single Audit Act of 1984 (P.L. 98-502) and the Amendments of 1996 (P.L. 104-156) requires state and local governments that receive $300,000 or more in federal financial assistance a year to have an audit made in accordance with the Office of Management and Budget (OMB) Circular A-133. One copy of the completed audit report must be provided to the Division of Traffic Safety and one copy sent to: Bureau of Census Data Preparation Division 1201 East 10th Street Jefferson, Indiana 47132 Attn: Single Audit Clearinghouse Audit reports must be submitted to the Division of Traffic Safety within "30 days after completion of the audit, but no later than one year after the end of the audit period." Federal funds are provided for this project by the U.S. Department of Transportation. The program is listed in the Catalog of Federal Domestic Assistance (CFDA) as State &Community Highway Safety 20.600. In order for the Division of Traffic Safety to fulfill its responsibility, this form must be completed, signed and returned to verify your agency's intent to comply with the Single Audit Act requirements. Applicant Agency Elgin Police Department Project Number OP4-1720-156 Project Title Occupant Protection Fnforcement 7one Program Project Period 11/70/03- 9/30/04 Total Cost $7,194 Federal $7,194 Local $0 To Be Completed by Applicant Agency: Period Audit to Cover: to Date Audit to Commence: Audit Conducted by: Telephone: Certification: We certify the above information to be correct and that we will comply with the Single Audit Act as detailed in OMB circular A-133. /� ,,pi Signature of Authorizingficial Printed Name Telephone 014) Date P �(1\ a-��->r� SiSIHOM-t�S IC��S�J 8L '��T1_ tot ‘1-I$ ;�. i ature of P oject Direct or Printed Name Telephone Date Rt c Bf4++G -§'41 - 931-S42tt 11/2443 Signature of Fiscal Officer Printed Name Telephone Date TS'2225(Rev.8/98) Illinois Department Title VI Compliance Certification of Transportation Division of Traffic Safety 3215 Executive Park Drive/P.O.Box 19245 Springfield, Illinois 62794-9245 Public Law 88-352 -July 2, 1964 Title VI-Nondiscrimination in Federally Assisted Programs Section 601 - No persons in the United States shall, on the grounds of race, color or national origin, be excluded from participating in, be denied the benefits of or be subjected to discrimination under any program or activity receiving federal financial assistance. A. Program/Project Occupant Protection Enforcement Zone Program B. Project Service Area Elgin Police Department C. Estimated Program/Project Commencement November 20, 2003 Estimated Program/Project Completion September 30, 2004 Please complete D, E and F: D. Will contras ors, subcontractors, suppliers or vendors be utilized in the project? ❑ Yes No E. Total number of persons to be utilized for the project by race and sex: (Include those individuals who are identified within the Personal Services line item-federal and local.) Race Male Female Caucasian 9 African American Hispanic 'L Asian American American Indian Total , I f F. I certify that administration of this program/project will be in accordance with Title VI of the Civil Rights Act of 1964. Applicant Agency Elgin Police Department Project Director . Sgt . Thomas Olson Telephone Number 847-289-2661 Signature Sit O(\\ 00..k,---- Date V TS 2223(Rev. 9/95) . • .. . • Illinois Department Local Projects of Transportation Highway Safety Project Division of Traffic Safety Agreement Certifications 3215 Executive Park Drive/P.O. Box 19245 Springfield, Illinois 62794-9245 Bribery The undersigned agency certifies that it has not been convicted of bribery or attempting to bribe an officer or employee of the State of Illinois, nor has the contractor made an admission of guilt of such conduct which is a matter of record, nor has an official, agent or employee of the vendor been so convicted nor made such admission of bribery. Further, the contractor is not in violation of Section 10.1 of the Illinois Purchasing Act, nor barred from bidding under Section 33E-3 or 33E-4 of the Criminal Code of 1961. Educational Loan Default The undersigned agency certifies that it is not in default on an education loan as provided in the Educational Loan Default Act(5 ILCS, 385/0.01 et. seq.). Document Retention The undersigned agency certifies that it will comply with the provision requiring that every contract for goods or services entered into shall provide that the contractor (and subcontractor) maintain certain records and documentation relating to the grand and/or contract for a minimum of three years after contract completion and final claim (49CFR, Part 18, Sect. 18.42). Federal Taxpayer Identification Number For individuals and sole proprietors; list social security number. For other entities, list employer identification number. Federal Employer Identification Number(FEINS) must not be used for sole proprietorships. Under penalties of perjury, the undersigned certifies that 36-6005862 is its correct Federal Taxpayer Identification Number. The undersigned is doing business as (please check one): ❑ Individual ❑ Real Estate Agent ❑ Sole Proprietorship _ Government Entity ❑ Partnership ❑ Tax Exempt Organization (IRC-501(a) only) ❑ Medical and Health Care ❑ Not-for-profit Corp. ❑ Corporation ❑ Services Provided Corp. ❑ Trust or Estate If you fail to furnish your correct taxpayer identification number to this agency, you are subject to an IRS penalty of 550 for • each such failure unless such failure is due to reasonable cause and not to willful neglect. Willfully falsifying certifica- tions or affirmations may subject you to criminal penalties, fines and/or imprisonment. Conflict of Interest The undersigned agency agrees to comply with the provisions of the Illinois Purchasing Act prohibiting conflict of interest (30 ILCS, 505/11.1-11.5). All the terms, conditions and provisions of those sections apply to this contract and are made a part of this contract the same as though they were incorporated and included herein. TS 2224 (Rev 12/01) Drug-Free Workplace A Drug Free Workplace Act-Certification for Drug Free Workplace: 1. As required by the Drug Free Workplace Act(30 ILCS, 580/1 et. seq.), no grantee or contractor with 25 or more employees shall receive a grant or be considered for the purpose of being awarded a contract for the procurement of any property or services from the State, unless the grantee or contractor has certified to the State that the grantee or contractor will provide a drug-free workplace. 2. Submission of this certification is a prerequisite for making or entering into this transaction imposed by the Drug Free Workplace Act. False certification or violation of the certification may result in sanctions including, but not limited to, suspension of contract or grant payments, termination of the contract or grant and debarment of contracting or grant opportunities with the State for at least one (1)year but not more than five (5)years. Certification: By signing this Agreement Certifications form, the undersigned affirms that he or she is authorized to execute this certification and that he or she has read and complied with each of the above certifications, that the required responses are true and correct and that the signature below constitutes an endorsement and execution of each certification and assurance as though each certification was individually signed. i/ Appli nt Agency Aut ori d Si ature ///2y) V/417/../) d sz 6 ten/ Dat Printed Name _2/ /6/4--/VA-e- Title