HomeMy WebLinkAbout18-44 Resolution No. 18-44
RESOLUTION
AUTHORIZING ACCEPTANCE OF ILLINOIS DEPARTMENT OF TRANSPORTATION
DISTRACTED DRIVING/OCCUPANT PROTECTION PROGRAM GRANT AND
RATIFYING THE EXECUTION OF AN INTERGOVERNMENTAL AGREEMENT
(Agreement No. DD-18-0471)
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,ILLINOIS,that
the City of Elgin, Illinois hereby accepts the Illinois Department of Transportation Distracted
Driving/Occupant Protection grant in the amount of$7,104.00 for distracted driving and occupant
protection enforcement.
BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,
ILLINOIS,that it hereby ratifies and approves the execution of an intergovernmental agreement by
Richard G. Kozal, City Manager, and Kimberly A. Dewis, City Clerk,with the State of Illinois and
Illinois Department of Transportation regarding the Distracted Driving/Occupant Protection
Program, a copy of which is attached hereto and made a part hereof by reference.
s/David J. Kaptain
David J. Kaptain, Mayor
Presented: April 11, 2018
Adopted: April 11, 2018
Vote: Yeas: 9 Nays: 0
Attest:
s/Kimberly Dewis
Kimberly Dewis, City Clerk
'" Agreement No. DD-18-0471 11-01
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BETWEEN
THE STATE OF ILLINOIS, ILLINOIS DEPARTMENT OF TRANSPORTATION
AND
CITY OF ELGIN
The ILLINOIS DEPARTMENT OF TRANSPORTATION (Grantor),with its principal office at
2300 S. Dirksen Parkway, Springfield, IL. 62764
and CITY OF ELGIN (Grantee),with its principal office at
150 Dexter Ct., Elgin, IL 60120
and payment address(if different than principal office)at n/a
hereby enter into this Inter-Governmental Grant Agreement(Agreement), pursuant to the Intergovernmental
Cooperation Act, 5 ILCS 220/1 et seq. Grantor and Grantee are collectively referred to herein as"Parties”or
individually as a"Party."
PART ONE—THE UNIFORM TERMS
RECITALS
WHEREAS, it is the intent of the Parties to perform consistent with all Exhibits and attachments hereto
and pursuant to the duties and responsibilities imposed by Grantor under the laws of the State of Illinois and
in accordance with the terms, conditions and provisions hereof.
NOW,THEREFORE, in consideration of the foregoing and the mutual agreements contained herein, and
for other good and valuable consideration,the value, receipt and sufficiency of which are acknowledged, the
Parties hereto agree as follows:
ARTICLE I
AWARD AND GRANTEE SPECIFIC INFORMATION AND CERTIFICATION
1.1 DUNS Number; SAM Registration; Nature of Entity. Under penalties of perjury, Grantee
certifies that 010224772 is Grantee's correct DUNS number, that 366005862
is Grantee's correct FEIN or Social Security Number, and that Grantee has an active State registration and
SAM registration. Grantee is doing business as a(check one):
❑ Individual ❑ Pharmacy-Non Corporate
❑ Sole Proprietorship ❑ Pharmacy/Funeral Home/Cemetery Corp.
❑ Partnership ❑ Tax Exempt
❑ Corporation(includes Not For Profit) ❑ Limited Liability Company(select
❑ Medical Corporation applicable tax classification)
❑ Governmental Unit ❑ P=partnership
❑ Estate or Trust ❑ C=corporation
❑ Pharmacy-Non Corporate
If Grantee has not received a payment from the State of Illinois in the last two years, Grantee must submit a
W-9 tax form with this Agreement.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
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Agreement No. DD-18-0471 11-01
1.2 Amount of Agreement. Grant Funds(check one) ® shall not exceed or ❑ are estimated
to be$7,104.00, of which$7,104.00, are federal funds. Grantee agrees to accept Grantor's payment as
specified in the Exhibits and attachments incorporated herein as part of this agreement.
1.3 Identification Numbers. If applicable,the Federal Award Identification Number(FAIN)is
18X920405eIL17, the Federal awarding agency is National Highway Traffic Safety Administration, and the
Federal Award date is 03/27/17 If applicable, the Catalog of Federal Domestic Assistance(CFDA)Name is
State and Community Highway Safety and Number is 20.616. The Catalog of State Financial Assistance
(CSFA)Number is 494-10-0343.
1.4 Term. This Agreement shall be effective on 04/16/2018 and shall expire on 04/30/2018 unless
terminated pursuant to this Agreement.
1.5 Certification. Grantee certifies under oath that(1)all representations made in this Agreement are
true and correct and (2)all Grant Funds awarded pursuant to this Agreement shall be used only for the
purpose(s)described herein. Grantee acknowledges that the Award is made solely upon this certification
and that any false statements, misrepresentations, or material omissions shall be the basis for immediate
termination of this Agreement and repayment of all Grant Funds.
REMAINDER OF THIS PAGE IS LEFT INTENTIONALLY BLANK.
State of Illinois
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Agreement No. DD-18-0471 11-01
1.6 Signatures. In witness whereof,the Parties hereto have caused this Agreement to be executed
by their duly authorized representatives.
® Check if under$250,000. If under$250,000 the Secretary's signature may be delegated.
Illinois Dep e-ntof Tran City • •m
BY: ('J �""" By: � -
Signature of Paul Loete,Director ( Signature of Authorized Representative
By: Date: �L
Signature of Desigrtee Printed Name: Rick Kozal
Date: -1 I Lt Printed Title: City Manager
Printed Name: • Email: kozal_r@cityofelgin.org
Printed Title:
� Designee
By: �.Ji1{r By: Nl�-
Sig Pi
of Phil Kaufmann,Chief Counsel Sign ture of Authorized Representative
By: Date:
Signature of Designee Printed Name:
Date: Printed Title:
Printed Name: Email:
Printed Title:
Designee
By: t 1
Sigture of Jeff Heck,Chief Financial Officer
By:
Signature of Designee
Date:
Printed Name:
Printed Title:
Designee
By: W
ignature of Randy Blankenhorn,Secretary
By:
Signature of Designee
Date:
Printed Name: Jeff Heck
Printed Title: Chief Financial Officer
Designee
By: N �
Si nature of Fourth Other Approver's Name&Title
By:
Signature of Designee
Date:
Printed Name:
Printed Title:
Designee
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
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Agreement No. DD-18-0471 11-01
ARTICLE II
REQUIRED REPRESENTATIONS
2.1 Standing and Authority. Grantee warrants that:
(a) Grantee is validly existing and in good standing, if applicable, under the laws of the
State in which it was incorporated,organized,or created.
(b) Grantee has the requisite power and authority to execute and deliver this
Agreement and all documents to be executed by it in connection with this Agreement,to perform its
obligations hereunder and to consummate the transactions contemplated hereby.
(c) If Grantee is an agency under the laws of jurisdiction other than Illinois, Grantee
warrants that it is also duly qualified to do business in Illinois and is in good standing with the Illinois
Secretary of State.
(d) The execution and delivery of this Agreement,and the other documents to be
executed by Grantee in connection with this Agreement, and the performance by Grantee of its
obligations hereunder have been duly authorized by all necessary entity action.
(e) This Agreement and all other documents related to this Agreement, including the
Uniform Grant Application,the Exhibits and attachments to which Grantee is a party constitute the
legal,valid and binding obligations of Grantee enforceable against Grantee in accordance with their
respective terms.
2.2 Compliance with Internal Revenue Code. Grantee certifies that it does and will comply with all
provisions of the Federal Internal Revenue Code(26 USC 1),the Illinois Revenue Act(35 ILCS 5),and all
rules promulgated thereunder, including withholding provisions and timely deposits of employee taxes and
unemployment insurance taxes.
2.3 Compliance with Federal Funding Accountability and Transparency Act of 2006. Grantee
certifies that it does and will comply with the reporting requirements of the Federal Funding Accountability
and Transparency Act of 2006(P.L. 109-282)(FFATA)with respect to Federal Awards greater than or equal
to$25,000. A FFATA sub-award report must be filed by the end of the month following the month in which
the award was made.
2.4 Compliance with Uniform Grant Rules(2 CFR Part 200). Grantee certifies that it shall adhere to
the applicable Uniform Administrative Requirements, Cost Principles,and Audit Requirements,which are
published in Title 2, Part 200 of the Code of Federal Regulations, and are incorporated herein by reference.
See 44 III.Admin.Code 7000.30(b)(1)(A).
2.5 Compliance with Registration Requirements. Grantee and its sub-Grantees shall: (i)be
registered with the Federal SAM;(ii)be in good standing with the Illinois Secretary of State, if applicable;
and(iii)have a valid DUNS number. It is Grantee's responsibility to remain current with these registrations
and requirements. If Grantee's status with regard to any of these requirements change,or the certifications
made in and information provided in the Uniform Grant Application changes, Grantee must notify the
Grantor in accordance with ARTICLE XVIII.
State of Illinois
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Agreement No. DD-18-0471 11-01
ARTICLE III
DEFINITIONS
3.1 Definitions. Capitalized words and phrases used in this Agreement have the following meanings:
"2 CFR Part 200" means the Uniform Administrative Requirements, Cost Principles,and Audit
Requirements for Federal Awards published in Title 2, Part 200 of the Code of Federal Regulations.
"Agreement"or"Grant Agreement" has the same meaning as in 44 III.Admin. Code 7000.20.
"Allocable Costs"means costs allocable to a particular cost objective if the goods or services involved
are chargeable or assignable to such cost objective in accordance with relative benefits received or other
equitable relationship. Costs allocable to a specific Program may not be shifted to other Programs in order
to meet deficiencies caused by overruns or other fund considerations,to avoid restrictions imposed by law
or by the terms of this Agreement, or for other reasons of convenience.
"Allowable Costs" has the same meaning as in 44 III.Admin. Code 7000.20.
"Award" has the same meaning as in 44 III.Admin. Code 7000.20.
"Budget"has the same meaning as in 44 III.Admin. Code 7000.20.
"CFDA"or"Catalog of Federal Domestic Assistance" has the same meaning as in 44 III.Admin. Code
7000.20.
"Close-out Report"means a report from the Grantee allowing the Grantor to determine whether all
applicable administrative actions and required work have been completed,and therefore closeout actions
can commence.
"Conflict of Interest" has the same meaning as in 44 III.Admin. Code 7000.20.
"Consolidated Financial Report"means a financial information presentation in which the assets,equity,
liabilities, and operating accounts of an entity and its subsidiaries are combined(after eliminating all inter-
entity transactions)and shown as belonging to a single reporting entity.
"Cost Allocation Plan' has the same meaning as in 44 III.Admin. Code 7000.20.
"CSFA"or"Catalog of State Financial Assistance"has the same meaning as in 44 III.Admin. Code
7000.20.
"Direct Costs" has the same meaning as in 44 III.Admin. Code 7000.20.
"Disallowed Costs" has the same meaning as in 44 III.Admin. Code 7000.20.
"DUNS Number" means a unique nine digit identification number provided by Dun&Bradstreet for
each physical location of Grantee's organization. Assignment of a DUNS Number is mandatory for all
organizations seeking an Award from the State of Illinois.
"FAIN"means the Federal Award Identification Number.
"FFATA"or"Federal Funding Accountability and Transparency Act" has the same meaning as in 31
USC 6101; P.L. 110-252.
State of Illinois
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Agreement No. DD-18-0471 11-01
"Fixed-Rate" has the same meaning as in 44 III.Admin. Code 7000.20. "Fixed-Rate" is in contrast to
fee-for-service,44 III.Admin. Code 7000.20.
"GAAP"or"Generally Accepted Accounting Principles" has the same meaning as in 44 III.Admin.
Code 7000.20.
"Grant Funds" has the same meaning as in 30 ILCS 705.
"Indirect Costs"has the same meaning as in 44 III.Admin. Code 7000.20.
"Indirect Cost Rate"means a device for determining in a reasonable manner the proportion of indirect
costs each Program should bear. It is a ratio(expressed as a percentage)of the Indirect Costs to a Direct
Cost base. If reimbursement of Indirect Costs is allowable under an Award, Grantor will not reimburse those
Indirect Costs unless Grantee has established an Indirect Cost Rate covering the applicable activities and
period of time, unless Indirect Costs are reimbursed at a fixed rate.
"Indirect Cost Rate Proposal" has the same meaning as in 44 III.Admin. Code 7000.20.
"Net Revenue"means an entity's total revenue less its operating expenses, interest paid,depreciation,
and taxes. "Net Revenue"is synonymous with"Profit."
"Nonprofit Organization" has the same meaning as in 44 III.Admin. Code 7000.20.
"Notice of Award"has the same meaning as in 44 III.Admin. Code 7000.20.
"OMB" has the same meaning as in 44 III.Admin. Code 7000.20.
"Prior Approval" has the same meaning as in 44 III.Admin. Code 7000.20.
"Profit"means an entity's total revenue less its operating expenses, interest paid,depreciation, and
taxes. "Profit"is synonymous with"Net Revenue."
"Program"means the services to be provided pursuant to this Agreement.
"Program Costs"means all Allowable Costs incurred by Grantee and the value of the contributions
made by third parties in accomplishing the objectives of the Award during the Term of this Agreement.
"Program Income"has the same meaning as in 44 III.Admin.Code 7000.20.
"Related Parties"has the meaning set forth in Financial Accounting Standards Board(FASB)
Accounting Standards Codification(ASC)850-10-20.
"SAM"means the federal System for Award Management(SAM);which is the Federal repository into
which an entity must provide information required for the conduct of business as a recipient. 2 CFR 25
Appendix A(1)(C)(1).
"State" means the State of Illinois.
"Term" has the meaning set forth in Paragraph 1.4.
"Unallowable Costs" has the same meaning as in 44 III.Admin. Code 7000.20.
State of Illinois
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Agreement No. DD-18-0471 11-01
ARTICLE IV
PAYMENT
4.1 Availability of Appropriation; Sufficiency of Funds. This Agreement is contingent upon and
subject to the availability of sufficient funds. Grantor may terminate or suspend this Agreement, in whole or
in part,without penalty or further payment being required, if(i)sufficient funds for this Agreement have not
been appropriated or otherwise made available to the Grantor by the State or the Federal funding source,
(ii)the Governor or Grantor reserves funds, or(iii)the Governor or Grantor determines that funds will not or
may not be available for payment. Grantor shall provide notice, in writing,to Grantee of any such funding
failure and its election to terminate or suspend this Agreement as soon as practicable. Any suspension or
termination pursuant to this Section will be effective upon the date of the written notice unless otherwise
indicated.
4.2 Illinois Grant Funds Recovery Act. Any Grant Funds remaining that are not expended or
legally obligated by Grantee at the end of the Agreement period,or in the case of capital improvement
Awards at the end of the time period Grant Funds are available for expenditure or obligation, shall be
returned to Grantor within forty-five(45)days in accordance with the Grant Funds Recovery Act(30 ILCS
705/1 et seq.). In the event of a conflict between the Grant Funds Recovery Act and the Grant
Accountability and Transparency Act,the provisions of the Grant Accountability and Transparency Act shall
control.30 ILCS 708/80.
4.3 Cash Management Improvement Act of 1990. Unless notified otherwise in PART TWO or
PART THREE, Federal funds received under this Agreement shall be managed in accordance with the
Cash Management Improvement Act of 1990(31 USC 6501 et seq.)and any other applicable Federal laws
or regulations.
4.4 Payments to Third Parties. Grantee agrees that Grantor shall have no liability to Grantee
when Grantor acts in good faith to redirect all or a portion of any Grantee payment to a third party. Grantor
will be deemed to have acted in good faith when it is in possession of information that indicates Grantee
authorized Grantor to intercept or redirect payments to a third party or when so ordered by a court of
competent jurisdiction.
4.5 Modifications to Estimated Amount. If the Agreement amount is established on an
estimated basis,then it may be increased by mutual agreement at any time during the Term. Grantor may
decrease the estimated amount of this Agreement at any time during the Term if(i)Grantor believes
Grantee will not use the funds during the Term,(ii)Grantor believes Grantee has used funds in a manner
that was not authorized by this Agreement, (iii)sufficient funds for this Agreement have not been
appropriated or otherwise made available to the Grantor by the State or the Federal funding source,(iv)the
Governor or Grantor reserves funds, or(v)the Governor or Grantor determines that funds will or may not be
available for payment. Grantee will be notified, in writing, of any adjustment of the estimated amount of this
Agreement. In the event of such reduction, services provided by Grantee under Exhibit A may be reduced
accordingly. Grantee shall be paid for work satisfactorily performed prior to the date of the notice regarding
adjustment. 2 CFR 200.308.
4.6 Interest.
(a) All interest earned on Grant Funds held by a Grantee shall become part of the
Grant Funds when earned and be treated accordingly for all purposes, unless otherwise provided in
PART TWO or PART THREE. 30 ILCS 705/10.
(b) Grant Funds shall be placed in an insured account,whenever possible,that bears
interest, unless exempted under 2 CFR Part 200.305(b)(8)or prohibited from doing so by state law.
All interest earned shall be considered Grant Funds and are subject to the same restrictions, unless
there is an applicable Federal program rule that takes precedence.
State of Illinois
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Agreement No. DD-18-0471 11-01
(c) A Grantee who is required to reimburse Grant Funds pursuant to an action brought
under the Grant Funds Recovery Act, and who enters into a deferred payment plan for the purpose
of satisfying a past due debt, shall be required to pay interest on such debt as required by Section
10.2 of the Illinois State Collection Act of 1986,30 ILCS 210; See also 30 ILCS 705/10.
4.7 Timely Billing Required. Grantee must submit any payment request to Grantor within thirty
(30)days of the end of the quarter, unless another billing schedule is specified in PART TWO or PART
THREE. Failure to submit such payment request timely will render the amounts billed an unallowable cost
which Grantor cannot reimburse. In the event that Grantee is unable,for good cause,to submit its payment
request timely, Grantee shall timely notify Grantor and may request an extension of time to submit the
payment request. Grantor's approval of Grantee's request for an extension shall not be unreasonably
withheld.
4.8 Certification. Pursuant to 2 CFR 200.415,each invoice and report submitted by Grantee
must contain the following certification by an official authorized to legally bind the Grantee:
By signing this report[or payment request], I certify to the best of my
knowledge and belief that the report[or payment request]is true,complete,
and accurate, and the expenditures,disbursements and cash receipts are
for the purposes and objectives set forth in the terms and conditions of the
Federal or State award. I am aware that any false,fictitious, or fraudulent
information,or the omission of any material fact, may subject me to
criminal, civil or administrative penalties for fraud,false statements,false
claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31,
Sections 3729-3730 and 3801-3812).
ARTICLE V
SCOPE OF GRANT ACTIVITIES/PURPOSE OF GRANT
5.1 Scope of Grant Activities/Purpose of Grant. Grantee will conduct the Grant Activities or
provide the services as described in the Exhibits and attachments, including Exhibit A(Project Description)
and Exhibit B(Deliverables), incorporated herein and in accordance with all terms and conditions set forth
herein and all applicable administrative rules. In addition,the State's Notice of Award is incorporated herein
as an attachment. All Grantor-specific provisions and programmatic reporting required under this
Agreement are described in PART TWO(The Grantor-Specific Terms). All Project-specific provisions and
reporting required under this Agreement are described in PART THREE.
5.2 Scope Revisions. Grantee shall obtain Prior Approval from Grantor whenever a Scope
revision is necessary for one or more of the reasons enumerated in 2 CFR 200.308. All requests for Scope
revisions that require Grantor approval shall be signed by Grantee's authorized representative and
submitted to Grantor for approval. Expenditure of funds under a requested revision is prohibited and will not
be reimbursed if expended before Grantor gives written approval. See 2 CFR 200.308.
5.3 Specific Conditions. If applicable,specific conditions required after a risk assessment will
be included in Exhibit G. Grantee shall adhere to the specific conditions listed therein.
State of Illinois
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Agreement No. DD-18-0471 11-01
ARTICLE VI
BUDGET
6.1. Budget. The Budget is a schedule of anticipated grant expenditures that is approved by
Grantor for carrying out the purposes of the Award. When Grantee or third parties support a portion of
expenses associated with the Award, the Budget includes the non-Federal as well as the Federal share
(and State share if applicable)of grant expenses. The Budget submitted by Grantee at application,or a
revised Budget subsequently submitted and approved by Grantor, is considered final and is incorporated
herein as an attachment.
6.2. Budget Revisions. Grantee shall obtain Prior Approval from Grantor whenever a Budget
revision is necessary for one or more of the reasons enumerated in 2 CFR 200.308. All requests for Budget
revisions that require Grantor approval shall be signed by Grantee's authorized representative and
submitted to Grantor for approval. Expenditure of funds under a requested revision is prohibited and will not
be reimbursed if expended before Grantor gives written approval. 2 CFR 200.308.
6.3. Discretionary Line Item Transfers. Unless prohibited from doing so in 2 CFR 200.308,
transfers between approved line items may be made without Grantor's approval only if the total amount
transferred does not exceed the allowable variance of the greater of either(i)ten percent(10%)of the
Budget line item or(ii)one thousand dollars($1,000)of the Budget line item. Discretionary line item
transfers may not result in an increase to the Budget.
6.4. Non-discretionary Line Item Transfers. Total line item transfers exceeding the allowable
variance of the greater of either(i)ten percent(10%)of the Budget line item or(ii)one thousand dollars
($1,000)of the Budget line item require Grantor approval as set forth in Paragraph 6.2.
6.5. Notification. Within thirty(30)calendar days from the date of receipt of the request for
Budget revisions, Grantor will review the request and notify Grantee whether the Budget revision has been
approved, denied, or the date upon which a decision will be reached.
ARTICLE VII
ALLOWABLE COSTS
7.1. Allowability of Costs;Cost Allocation Methods. The allowability of costs and cost allocation
methods for work performed under this Agreement shall be determined in accordance with 2 CFR 200
Subpart E and Appendices III, IV, and V.
7.2. Indirect Cost Rate Submission.
(a) This Paragraph 7.2 applies only to:
(i) A Grantee who charges, or expects to charge, any Indirect Costs;and
(ii) A Grantee who is allowed to charge Indirect Costs under federal or state
statutes, state administrative rules,and agency or program rules, regulations and policies.
(b) A Grantee must submit an Indirect Cost Rate Proposal in accordance with federal
regulations for approval no later than three months after the effective date of the Award, in a format
prescribed by Grantor.
(i) Appendix VII to 2 CFR Part 200 governs Indirect Cost Rate Proposals for
State and local governments.
(ii) Appendix Ill to 2 CFR Part 200 governs Indirect Cost Rate Proposals for
institutions of higher education.
State of Illinois
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(c) A Grantee who has a current, applicable rate negotiated by a cognizant Federal
agency shall provide to Grantor a copy of its Indirect Cost Rate acceptance letter from the Federal
government. Grantor will accept that Indirect Cost Rate, up to any statutory, rule-based or
programmatic limit. However,for Grantees to which Appendix Ill of 2 CFR Part 200 applies,the rate
amount must not exceed 26%(see 2 CFR Part 200, Appendix III(C)(8)).
7.3 Transfer of Costs. Cost transfers between Grants,whether as a means to compensate for
cost overruns or for other reasons,are unallowable. See 2 CFR 200.451.
7.4. Higher Education Cost Principles. The Federal cost principles that apply to public and
private institutions of higher education are set forth in 2 CFR Part 200 Subpart E and Appendix III.
7.5. Government Cost Principles. The Federal cost principles that apply to State, local and
Federally-recognized Indian tribal governments are set forth in 2 CFR Part 200 Subpart E,Appendix V, and
Appendix VII.
7.6. Financial Management Standards. The financial management systems of Grantee must
meet the following standards:
(a) Accounting System. Grantee organizations must have an accounting system that
provides accurate, current, and complete disclosure of all financial transactions related to each
State-and Federally-funded Program. Accounting records must contain information pertaining to
State and Federal pass-through awards,authorizations,obligations, unobligated balances,assets,
outlays, and income. These records must be maintained on a current basis and balanced at least
quarterly. Cash contributions to the Program from third parties must be accounted for in the general
ledger with other Grant Funds. Third party in-kind(non-cash)contributions are not required to be
recorded in the general ledger, but must be under accounting control, possibly through the use of a
memorandum ledger. See 2 CFR 200.302.
(b) Source Documentation. Accounting records must be supported by such source
documentation as canceled checks, bank statements, invoices, paid bills, donor letters,time and
attendance records,activity reports,travel reports, contractual and consultant agreements,and
subaward documentation. All supporting documentation should be clearly identified with the Award
and general ledger accounts which are to be charged or credited.
(i) The documentation standards for salary charges to grants are prescribed
by 2 CFR 200.430, and in the cost principles applicable to the entity's organization
(Paragraphs 7.4 through 7.5).
(ii) If records do not meet the standards in 2 CFR 200.430,then Grantor may
notify Grantee in PART TWO, PART THREE or Exhibit G of the requirement to submit
Personnel activity reports. See 2 CFR 200.430(i)(8). Personnel activity reports shall
account on an after-the-fact basis for one hundred percent(100%)of the employee's actual
time, separately indicating the time spent on the grant, other grants or projects,vacation or
sick leave,and administrative time, if applicable. The reports must be signed by the
employee,approved by the appropriate official,and coincide with a pay period. These time
records should be used to record the distribution of salary costs to the appropriate accounts
no less frequently than quarterly.
(iii) Formal agreements with independent contractors, such as consultants,
must include a description of the services to be performed,the period of performance,the
fee and method of payment, an itemization of travel and other costs which are chargeable
to the agreement,and the signatures of both the contractor and an appropriate official of
Grantee.
State of Illinois
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(iv) If third party in-kind(non-cash)contributions are used for Grant purposes,
the valuation of these contributions must be supported with adequate documentation.
(c) Internal Control. Effective control and accountability must be maintained for all
cash, real and personal property, and other assets. Grantee must adequately safeguard all such
property and must provide assurance that it is used solely for authorized purposes. Grantee must
also have systems in place that provide reasonable assurance that the information is accurate,
allowable,and compliant with the terms and conditions of this Agreement.
(d) Budget Control. Records of expenditures must be maintained for each Award by
the cost categories of the approved Budget(including indirect costs that are charged to the Award),
and actual expenditures are to be compared with Budgeted amounts at least quarterly.
(e) Cash Management. Requests for advance payment shall be limited to Grantee's
immediate cash needs. Grantee must have written procedures to minimize the time elapsing
between the receipt and the disbursement of Grant Funds to avoid having excess funds on hand. 2
CFR 200.305.
7.7 Federal Requirements. All Awards,whether funded in whole or in part with either Federal
or State funds, are subject to Federal requirements and regulations,including but not limited to 2 CFR Part
200,44 III. Admin.Code 7000.30(b)and the Financial Management Standards in Paragraph 7.6.
7.8 Profits. It is not permitted for any person or entity to earn a Profit from an Award. See, e.g.,
2 CFR 200.400(g);see also 30 ILCS 708/60(a)(7).
7.9 Management of Program Income. Grantee is encouraged to earn income to defray
program costs where appropriate, subject to 2 CFR 200.307.
ARTICLE VIII
REQUIRED CERTIFICATIONS
8.1 Certifications. Grantee shall be responsible for compliance with the enumerated
certifications to the extent that the certifications apply to Grantee.
(a) Bribery. Grantee certifies that it has not been convicted of bribery or attempting to
bribe an officer or employee of the State of Illinois, nor made an admission of guilt of such conduct
which is a matter of record(30 ILCS 500/50-5).
(b) Bid Rigging. Grantee certifies that it has not been barred from contracting with a
unit of State or local government as a result of a violation of Paragraph 33E-3 or 33E-4 of the
Criminal Code of 1961 (720 ILCS 5/33E-3 or 720 ILCS 5/33E-4, respectively).
(c) Debt to State. Grantee certifies that neither it, nor its affiliate(s), is/are barred from
receiving an Award because Grantee,or its affiliate(s), is/are delinquent in the payment of any debt
to the State, unless Grantee,or its affiliate(s), has/have entered into a deferred payment plan to pay
off the debt, and Grantee acknowledges Grantor may declare the Agreement void if the certification
is false(30 ILCS 500/50-11).
(d) Educational Loan. Grantee certifies that it is not barred from receiving State
agreements as a result of default on an educational loan(5 ILCS 385/1 et seq.).
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(e) International Boycott. Grantee certifies that neither it nor any substantially owned
affiliated company is participating or shall participate in an international boycott in violation of the
provision of the U.S. Export Administration Act of 1979(50 USC Appendix 2401 et seq. or the
regulations of the U.S. Department of Commerce promulgated under that Act(15 CFR Parts 730
through 774).
(f) Dues and Fees. Grantee certifies that it is not prohibited from receiving an Award
because it pays dues or fees on behalf of its employees or agents,or subsidizes or otherwise
reimburses them for payment of their dues or fees to any club which unlawfully discriminates(775
ILCS 25/1 et seq.).
(g) Pro-Children Act. Grantee certifies that it is in compliance with the Pro-Children
Act of 2001 in that it prohibits smoking in any portion of its facility used for the provision of health,
day care,early childhood development services,education or library services to children under the
age of eighteen(18),which services are supported by Federal or State government assistance
(except such portions of the facilities which are used for inpatient substance abuse treatment)(20
USC 7181-7184).
(h) Drug-Free Work Place. If Grantee is not an individual, Grantee certifies it will
provide a drug free workplace pursuant to the Drug Free Workplace Act. 30 ILCS 580/3. If Grantee
is an individual and this Agreement is valued at more than$5,000, Grantee certifies it shall not
engage in the unlawful manufacture, distribution, dispensation, possession, or use of a controlled
substance during the performance of the Agreement. 30 ILCS 580/4. Grantee further certifies that
it is in compliance with the government-wide requirements for a drug-free workplace as set forth in
41 USC 8102.
(I) Motor Voter Law. Grantee certifies that it is in full compliance with the terms and
provisions of the National Voter Registration Act of 1993(52 USC 20501 et seq.).
(j) Clean Air Act and Clean Water Act. Grantee certifies that it is in compliance with
all applicable standards, order or regulations issued pursuant to the Clean Air Act(42 USC§7401 et
seq.)and the Federal Water Pollution Control Act, as amended(33 USC§1251 et seq.).
(k) Debarment. Grantee certifies that it is not debarred,suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this Agreement by any
Federal department or agency(45 CFR Part 76),or by the State(See 30 ILCS 708/25(6)(G)).
(I) Non-procurement Debarment and Suspension. Grantee certifies that it is in
compliance with Subpart C of 2 CFR Part 180 as supplemented by 2 CFR Part 376, Subpart C.
(m) Grant for the Construction of Fixed Works. Grantee certifies that all Programs
for the construction of fixed works which are financed in whole or in part with funds provided by this
Agreement shall be subject to the Prevailing Wage Act(820 ILCS 130/0.01 et seq.)unless the
provisions of that Act exempt its application. In the construction of the Program, Grantee shall
comply with the requirements of the Prevailing Wage Act including, but not limited to,inserting into
all contracts for such construction a stipulation to the effect that not less than the prevailing rate of
wages as applicable to the Program shall be paid to all laborers,workers,and mechanics
performing work under the Award and requiring all bonds of contractors to include a provision as will
guarantee the faithful performance of such prevailing wage clause as provided by contract.
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(n) Health Insurance Portability and Accountability Act. Grantee certifies that it is
in compliance with the Health Insurance Portability and Accountability Act of 1996(HIPAA), Public
Law No. 104-191,45 CFR Parts 160, 162 and 164, and the Social Security Act,42 USC 1320d-2
through 1320d-7, in that it may not use or disclose protected health information other than as
permitted or required by law and agrees to use appropriate safeguards to prevent use or disclosure
of the protected health information. Grantee shall maintain,for a minimum of six(6)years,all
protected health information.
(o) Criminal Convictions. Grantee certifies that neither it nor any managerial agent of
Grantee has been convicted of a felony under the Sarbanes-Oxley Act of 2002, nor a Class 3 or
Class 2 felony under Illinois Securities Law of 1953, or that at least five(5)years have passed since
the date of the conviction. Grantee further certifies that it is not barred from receiving an Award
under 30 ILCS 500/50-10.5,and acknowledges that Grantor shall declare the Agreement void if this
certification is false(30 ILCS 500/50-10.5).
(p) Forced Labor Act. Grantee certifies that it complies with the State Prohibition of
Goods from Forced Labor Act,and certifies that no foreign-made equipment, materials,or supplies
furnished to the State under this Agreement have been or will be produced in whole or in part by
forced labor, convict labor,or indentured labor under penal sanction(30 ILCS 583).
(q) Illinois Use Tax. Grantee certifies in accordance with 30 ILCS 500/50-12 that it is
not barred from receiving an Award under this Paragraph. Grantee acknowledges that this
Agreement may be declared void if this certification is false.
(r) Environmental Protection Act Violations. Grantee certifies in accordance with
30 ILCS 500/50-14 that it is not barred from receiving an Award under this Paragraph. Grantee
acknowledges that this Agreement may be declared void if this certification is false.
(s) Goods from Child Labor Act. Grantee certifies that no foreign-made equipment,
materials, or supplies furnished to the State under this Agreement have been produced in whole or
in part by the labor of any child under the age of twelve(12)(30 ILCS 584).
(t) Federal Funding Accountability and Transparency Act of 2006. Grantee
certifies that it is in compliance with the terms and requirements of 31 USC 6101.
ARTICLE IX
CRIMINAL DISCLOSURE
9.1. Mandatory Criminal Disclosures. Grantee shall continue to disclose to Grantor all violations
of criminal law involving fraud, bribery or gratuity violations potentially affecting this Award. See 30 ILCS
708/40. Additionally, if Grantee receives over$10 million in total Grant Funds,funded by either State or
Federal funds,during the period of this Award, Grantee must maintain the currency of information reported
to SAM regarding civil,criminal or administrative proceedings as required by 2 CFR 200.113 and Appendix
II of 2 CFR Part 200, and 30 ILCS 708/40.
ARTICLE X
UNLAWFUL DISCRIMINATION
10.1. Compliance with Nondiscrimination Laws. Both Parties,their employees and
subcontractors under subcontract made pursuant to this Agreement, remain compliant with all applicable
provisions of State and Federal laws and regulations pertaining to nondiscrimination,sexual harassment
and equal employment opportunity including, but not limited to,the following laws and regulations and all
subsequent amendments thereto:
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(a) The Illinois Human Rights Act(775 ILCS 5/1-101 et seq.), including,without
limitation,44 III.Admin. Code Part 750,which is incorporated herein;
(b) The Public Works Employment Discrimination Act(775 ILCS 10/1 et seq.);
(c) The United States Civil Rights Act of 1964(as amended)(42 USC 2000a-and
2000h-6). (See also guidelines to Federal Financial Assistance Recipients Regarding Title VI
Prohibition Against National Origin Discrimination Affecting Limited English Proficient Persons
[Federal Register: February 18, 2002(Volume 67, Number 13, Pages 2671-2685)]);
(d) Section 504 of the Rehabilitation Act of 1973(29 USC 794);
(e) The Americans with Disabilities Act of 1990(42 USC 12101 et seq.); and
(f) The Age Discrimination Act(42 USC 6101 et seq.).
ARTICLE XI
LOBBYING
11.1 Improper Influence. Grantee certifies that no Grant Funds have been paid or will be paid by
or on behalf of Grantee 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, Grantee
certifies that it has filed the required certification under the Byrd Anti-Lobbying Amendment(31 USC 1352),
if applicable.
11.2 Federal Form LLL. 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.
11.3 Lobbying Costs. Grantee 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.
11.4 Procurement Lobbying. Grantee 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 1-2007).
EO 1-2007 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-year period preceding the procurement lobbying activity.
11.5 Subawards. Grantee must include the language of this ARTICLE XI in the award
documents for any subawards made pursuant to this Award at all tiers. All sub-awardees are also subject to
certification and disclosure. Pursuant to Appendix 11(1)to 2 CFR Part 200, Grantee shall forward all
disclosures by contractors regarding this certification to Grantor.
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11.6 Certification. 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.
ARTICLE XII
MAINTENANCE AND ACCESSIBILITY OF RECORDS; MONITORING
12.1 Records Retention. Grantee shall maintain for three(3)years from the date of submission
of the final expenditure report, adequate books,all financial records and, supporting documents, statistical
records, and all other records pertinent to this Award,adequate to comply with 2 CFR 200.333, unless a
different retention period is specified in 2 CFR 200.333. If any litigation,claim or audit is started before the
expiration of the retention period,the records must be retained until all litigation,claims or audit exceptions
involving the records have been resolved and final action taken.
12.2 Accessibility of Records. Grantee, in compliance with 2 CFR 200.336, shall make books,
records, related papers,supporting documentation and personnel relevant to this Agreement available to
authorized Grantor representatives,the Illinois Auditor General, Illinois Attorney General,any Executive
Inspector General,the Grantor's Inspector General, Federal authorities, any person identified in 2 CFR
200.336, and any other person as may be authorized by Grantor(including auditors), by the State of Illinois
or by Federal statute. Grantee shall cooperate fully in any such audit or inquiry.
12.3 Failure to Maintain Books and Records. Failure to maintain books,records and supporting
documentation, as described in this ARTICLE XII, shall establish a presumption in favor of the State for the
recovery of any funds paid by the State under this Agreement for which adequate books, records and
supporting documentation are not available to support disbursement.
12.4 Monitoring and Access to Information. Grantee must monitor its activities to assure
compliance with applicable State and Federal requirements and to assure its performance expectations are
being achieved. Grantor shall monitor the activities of Grantee to assure compliance with all requirements
and performance expectations of the award. Grantee shall timely submit all financial and performance
reports,and shall supply, upon Grantor's request, documents and information relevant to the Award.
Grantor may make site visits as warranted by program needs. See 2 CFR 200.328 and 200.331. Additional
monitoring requirements may be in PART TWO or PART THREE.
ARTICLE XIII
FINANCIAL REPORTING REQUIREMENTS
13.1 Required Periodic Financial Reports. Grantee agrees to submit financial reports as
requested and in the format required by Grantor. Grantee shall file quarterly reports with Grantor describing
the expenditure(s)of the funds related thereto, unless more frequent reporting is required by the Grantee
pursuant to specific award conditions. 2 CFR 200.207. The first of such reports shall cover the first three
months after the Award begins. Quarterly reports must be submitted no later than 30 calendar days
following the three month period covered by the report. Additional information regarding required financial
reports may be set forth in Exhibit G. Failure to submit the required financial reports may cause a delay or
suspension of funding. 30 ILCS 705/1 et seq.; 2 CFR 207(b)(3)and 200.327.
13.2 Close-out Reports.
(a) Grantee shall submit a Close-out Report within 60 calendar days following the end
of the period of performance for this Agreement. In the event that this Agreement is terminated
prior to the end of the Term, Grantee shall submit a Close-out Report within 60 calendar days of
such termination. The format of this Close-out Report shall follow a format prescribed by Grantor. 2
CFR 200.343.
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(b) If an audit or review of Grantee occurs and results in adjustments after Grantee
submits a Close-out Report, Grantee will submit a new Close-out Report based on audit
adjustments, and immediately submit a refund to Grantor, if applicable. 2 CFR 200.344.
13.3 Annual Financial Reports.
(a) This Paragraph 13.3 applies to all Grantees, unless exempted by PART TWO or
PART THREE.
(b) Grantees shall submit Annual Financial Reports within 180 days after the Grantee's
fiscal year ending on or after June 30. This deadline may be extended at the discretion of the
Grantor.
(c) The Annual Financial Report must cover the same period the Audited Financial
Statements cover. If no Audited Financial Statements are required,however, then the Annual
Financial Report must cover the same period as the Grantee's tax return.
(d) Annual Financial Reports must include an in relation to opinion from the report
issuer on the Cost and Revenue schedules included in the Annual Financial Report.
(e) Annual Financial Reports shall follow a format prescribed by Grantor.
(f) Notwithstanding anything herein to the contrary,when such reports or statements
required under this section are prepared by the Illinois Auditor General, if they are not available by
the above-specified due date, they will be provided to Grantor within thirty(30)days of becoming
available.
13.4 Effect of Failure to Comply. Failure to comply with reporting requirements shall result in the
withholding of funds,the return of improper payments or Unallowable Costs,will be considered a material
breach of this Agreement and may be the basis to recover Grant Funds. Grantee's failure to comply with
this ARTICLE XIII,ARTICLE XIV, or ARTICLE XV shall be considered prima facie evidence of a breach and
may be admitted as such,without further proof, into evidence in an administrative proceeding before
Grantor, or in any other legal proceeding.
ARTICLE XIV
PERFORMANCE REPORTING REQUIREMENTS
14.1 Required Periodic Performance Reports. Grantee agrees to submit Performance Reports
as requested and in the format required by Grantor. Performance Measures listed in Exhibit E must be
reported quarterly, unless otherwise specified in PART TWO or PART THREE. Unless so specified,the
first of such reports shall cover the first three months after the Award begins. If Grantee is not required to
report performance quarterly, then Grantee must submit a Performance Report at least annually. In unusual
circumstances where more frequent reporting is necessary some Grantees may be required to submit
monthly Performance Reports; in such cases, Grantor shall notify Grantee of same in PART TWO or PART
THREE. Pursuant to 2 CFR 200.328, periodic Performance Reports shall be submitted no later than 30
calendar days following the period covered by the report. For certain construction-related Awards, such
reports may be exempted as identified in PART TWO or PART THREE. 2 CFR 200.328. Failure to submit
such required Performance Reports may cause a delay or suspension of funding. 30 ILCS 705/1 et seq.
14.2 Close-out Performance Reports. Grantee agrees to submit a Close-out Performance
Report, in the format required by Grantor,within 60 calendar days following the end of the period of
performance. See 2 CFR 200.343.
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14.3 Content of Performance Reports. Pursuant to 2 CFR 200.328(b)(2)all Performance
Reports must include Program qualitative and quantitative information, including a comparison of actual
accomplishments to the objectives of the award established for the period;where the accomplishments can
be quantified, a computation of the cost if required; performance trend data and analysis if required; and
reasons why established goals were not met, if appropriate. Appendices may be used to include additional
supportive documentation. Additional content and format guidelines for the Performance Reports will be
determined by Grantor contingent on the Award's statutory, regulatory and administrative requirements, and
are included in PART TWO or PART THREE of this Agreement.
14.4 Performance Standards. Grantee shall perform in accordance with the Performance
Standards set forth in Exhibit F. See 2 CFR 200.301 and 200.210.
ARTICLE XV
AUDIT REQUIREMENTS
15.1 Audits. Grantee shall be subject to the audit requirements contained in the Single Audit Act
Amendments of 1996(31 USC 7501-7507)and Subpart F of 2 CFR Part 200, and the audit rules set forth
by the Governor's Office of Management and Budget. See 30 ILCS 708/65(c).
15.2 Audit Requirements.
Laj Single and Program-Specific Audits. If,during its fiscal year, Grantee expends
$750,000 or more in Federal Awards(direct federal and federal pass-through awards combined)
Grantee must have a single audit or program-specific audit conducted for that year as required by 2
CFR 200.501 and other applicable sections of Subpart F of 2 CFR Part 200. The audit and
reporting package(including data collection form and management letters)must be completed as
described in 2 CFR 200.512(single audit)or 2 CFR 200.507(program-specific audit). The audit
(and package)must be submitted to Grantor within the earlier of(i)30 calendar days after receipt of
the auditor's report(s)or(ii) nine(9)months after the end of the audit period.
ll Financial Statement Audit. If,during its fiscal year, Grantee expends less than
$750,000 in Federal Awards, Grantee is subject to the following audit requirements:
(i) If,during its fiscal year, Grantee expends more than $300,000 in Federal
and State Awards,singularly or in any combination, Grantee must have a financial
statement audit conducted in accordance with the Generally Accepted Government Auditing
Standards(GAGAS).
(ii) If,during its fiscal year,Grantee expends less than$300,000 in Federal
and State Awards, but the total revenue it receives is in excess of$300,000, Grantee must
have a financial statement audit conducted in accordance with the Generally Accepted
Auditing Standards(GAAS).
(iii) Grantee must submit its financial statement audit report(s)and any
management letters issued by the auditor within the earlier of(i)30 calendar days after
receipt of the auditor's report(s)or(ii) 180 days after the end of the audit period.
15.3 Performance of Audits. For those organizations required to submit an independent audit
report, the audit is to be conducted by the Illinois Auditor General, or a Certified Public Accountant or
Certified Public Accounting Firm licensed in the State of Illinois. For audits required to be performed subject
to Generally Accepted Government Auditing Standards, Grantee shall request and maintain on file a copy of
the auditor's most recent peer review report and acceptance letter.
15.4 Report Timing. Notwithstanding anything herein to the contrary,when such reports or
statements required under this section are prepared by the Illinois Auditor General, if they are not available
by the above-specified due date,they will be provided to Grantor within thirty(30)days of becoming
available.
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ARTICLE XVI
TERMINATION; SUSPENSION; NON-COMPLIANCE
16.1 Termination.
(a) This Agreement may be terminated, in whole or in part,by either Party for any or no
reason upon thirty(30)calendar days'prior written notice to the other Party. If terminated by the
Grantee, Grantee must include the reasons for such termination, the effective date,and, in the case
of a partial termination,the portion to be terminated. If Grantor determines in the case of a partial
termination that the reduced or modified portion of the Award will not accomplish the purposes for
which the Award was made, Grantor may terminate the Agreement in its entirety. 2 CFR
200.339(a)(4).
(b) This Agreement may be terminated, in whole or in part, by Grantor without advance
notice:
(i) Pursuant to a funding failure under Paragraph 4.1;
(ii) If Grantee fails to comply with the terms and conditions of this or any Award,
application or proposal, including any applicable rules or regulations,or has made a false
representation in connection with the receipt of this or any Grant;
(iii) For cause,which may render the Grantee ineligible for consideration for future
grants from the Grantor or other State agencies;or
(iv) If Grantee breaches this Agreement and either(1)fails to cure such breach
within 15 calendar days'written notice thereof, or(2)if such cure would require longer than
15 calendar days and the Grantee has failed to commence such cure within 15 calendar
days'written notice thereof. In the event that Grantor terminates this Agreement as a result
of the breach of the Agreement by Grantee,Grantee shall be paid for work satisfactorily
performed prior to the date of termination.
16.2 Suspension. Grantor may suspend this Agreement, in whole or in part, pursuant to a
funding failure under Paragraph 4.1 or if the Grantee fails to comply with terms and conditions of this or any
Award. If suspension is due to Grantee's failure to comply, Grantor may withhold further payment and
prohibit Grantee from incurring additional obligations pending corrective action by Grantee or a decision to
terminate this Agreement by Grantor. Grantor may determine to allow necessary and proper costs that
Grantee could not reasonably avoid during the period of suspension.
16.3 Non-compliance. If Grantee fails to comply with applicable statutes, regulations or the
terms and conditions of this or any Award, Grantor may impose additional conditions on Grantee,as
described in 2 CFR 200.207. If Grantor determines that non-compliance cannot be remedied by imposing
additional conditions, Grantor may take one or more of the actions described in 2 CFR 200.338. The
Parties shall follow all Grantor policies and procedures regarding non-compliance, including, but not limited
to,the procedures set forth in the State of Illinois Grantee Compliance Enforcement System.
16.4 Objection. If Grantor suspends or terminates this Agreement, in whole or in part,for cause,
or takes any other action in response to Grantee's non-compliance, Grantee may avail itself of any
opportunities to object and challenge such suspension, termination or other action by Grantor in accordance
with any applicable processes and procedures, including, but not limited to, the procedures set forth in the
State of Illinois Grantee Compliance Enforcement System. 2 CFR 200.341.
16.5 Effects of Suspension and Termination.
(a) Grantor may credit Grantee for expenditures incurred in the performance of
authorized services under this Agreement prior to the effective date of a suspension or termination.
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(b) Grantee shall not incur any costs or obligations that require the use of these Grant
Funds after the effective date of a suspension or termination, and shall cancel as many outstanding
obligations as possible.
(c)Costs to Grantee resulting from obligations incurred by Grantee during a suspension or
after termination of the Agreement are not allowable unless:
(i) Grantor expressly authorizes them in the notice of suspension or
termination; and
(ii) The costs result from obligations properly incurred before the effective date
of suspension or termination,are not in anticipation of the suspension or termination, and
the costs would be allowable if the Agreement was not suspended or terminated. 2 CFR
200.342.
16.6 Close-out of Terminated Agreements. If this Agreement is terminated, in whole or in part,
the Parties shall comply with all close-out and post-termination requirements of this Agreement. 2 CFR
200.339(c).
ARTICLE XVII
SUBCONTRACTS/SUB-GRANTS
17.1 Sub-recipients/Delegation. Grantee may not subcontract nor sub-grant any portion of this
Agreement nor delegate any duties hereunder without Prior Approval of Grantor. The requirement for Prior
Approval is satisfied if the subcontractor or sub-Grantee has been identified in the Uniform Grant
Application, such as,without limitation,a Project Description,and Grantor has approved.
17.2 Application of Terms. Grantee shall advise any sub-Grantee of funds awarded through this
Agreement of the requirements imposed on them by Federal and State laws and regulations, and the
provisions of this Agreement.
ARTICLE XVIII
NOTICE OF CHANGE
18.1 Notice of Change. Grantee shall notify the Grantor if there is a change in Grantee's legal
status, Federal employer identification number(FEIN), DUNS number, SAM registration status, Related
Parties, or address. See 30 ILCS 708/60(a). If the change is anticipated, Grantee shall give thirty(30)days'
prior written notice to Grantor. If the change is unanticipated, Grantee shall give notice as soon as
practicable thereafter. Grantor reserves the right to take any and all appropriate action as a result of such
change(s).
18.2 Failure to Provide Notification. Grantee shall hold harmless Grantor for any acts or
omissions of Grantor resulting from Grantee's failure to notify Grantor of these changes.
18.3 Notice of Impact. Grantee shall immediately notify Grantor of any event that may have a
material impact on Grantee's ability to perform this Agreement.
18.4 Circumstances Affecting Performance; Notice. In the event Grantee becomes a party to
any litigation, investigation or transaction that may reasonably be considered to have a material impact on
Grantee's ability to perform under this Agreement, Grantee shall notify Grantor, in writing,within five(5)
calendar days of determining such litigation or transaction may reasonably be considered to have a material
impact on the Grantee's ability to perform under this Agreement.
18.5 Effect of Failure to Provide Notice. Failure to provide the notice described in Paragraph
18.4Error! Reference source not found.shall be grounds for immediate termination of this Agreement and
any costs incurred after notice should have been given shall be disallowed.
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ARTICLE XIX
STRUCTURAL REORGANIZATION
19.1 Effect of Reorganization. Grantee acknowledges that this Agreement is made by and between
Grantor and Grantee, as Grantee is currently organized and constituted. No promise or undertaking made
hereunder is an assurance that Grantor agrees to continue this Agreement, or any license related thereto,
should Grantee significantly reorganize or otherwise substantially change the character of its corporate
structure,business structure or governance structure. Grantee agrees that it will give Grantor prior notice of
any such action or changes significantly affecting its overall structure and will provide any and all
reasonable documentation necessary for Grantor to review the proposed transaction including financial
records and corporate and shareholder minutes of any corporation which may be involved.This 0 does not
require Grantee to report on minor changes in the makeup of its governance structure. Nevertheless, PART
TWO or PART THREE may impose further restrictions. Failure to comply with this ARTICLE XIX shall
constitute a material breach of this Agreement.
ARTICLE XX
AGREEMENTS WITH OTHER STATE AGENCIES
20.1 Copies upon Request. Grantee shall, upon request by Grantor,provide Grantor with copies
of contracts or other agreements to which Grantee is a party with any other State agency.
ARTICLE XXI
CONFLICT OF INTEREST
21.1 Required Disclosures. Grantee must immediately disclose in writing any potential or actual
Conflict of Interest to the Grantor. 2 CFR 200.112 and 44 III.Admin.Code 7000.40(b)(3).
21.2 Prohibited Payments. Grantee agrees that payments made by Grantor under this
Agreement will not be used to compensate,directly or indirectly, any person currently holding an elective
office in this State including, but not limited to,a seat in the General Assembly. In addition,where the
Grantee is not an instrumentality of the State of Illinois, as described in this Paragraph,Grantee agrees that
payments made by Grantor under this Agreement will not be used to compensate, directly or indirectly,any
person employed by an office or agency of the State of Illinois whose annual compensation is in excess of
sixty percent(60%)of the Governor's annual salary, or$106,447.20(30 ILCS 500/50-13).An instrumentality
of the State of Illinois includes,without limitation, State departments,agencies, boards,and State
universities. An instrumentality of the State of Illinois does not include,without limitation, municipalities and
units of local government and related entities. 2 CFR 200.64.
21.3 Request for Exemption. Grantee may request written approval from Grantor for an
exemption from Paragraph 21.2. Grantee acknowledges that Grantor is under no obligation to provide such
exemption and that Grantor may, if an exemption is granted,grant such exemption subject to such
additional terms and conditions as Grantor may require.
ARTICLE XXII
EQUIPMENT OR PROPERTY
22.1 Transfer of Equipment. Grantor shall have the right to require that Grantee transfer to
Grantor any equipment, including title thereto, purchased in whole with Grantor funds,if Grantor determines
that Grantee has not met the conditions of 2 CFR 200.439(a). Grantor shall notify Grantee in writing should
Grantor require the transfer of such equipment. Upon such notification by Grantor, and upon receipt or
delivery of such equipment by Grantor, Grantee will be deemed to have transferred the equipment to
Grantor as if Grantee had executed a bill of sale therefor.
22.2 Prohibition against Disposition/Encumbrance. The Grantee is prohibited from, and may not
sell, transfer,encumber(other than original financing)or otherwise dispose of said equipment, material,or
real property during the Grant Term without Prior Approval of Grantor. Any real property acquired using
Grant Funds must comply with the requirements of 2 CFR 200.311.
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22.3 Equipment and Procurement. Grantee must comply with the uniform standards set forth in
2 CFR 200.310-200.316 governing the management and disposition of property which cost was supported
by Grant Funds. Any waiver from such compliance must be granted by either the President's Office of
Management and Budget,the Governor's Office of Management and Budget, or both, depending on the
source of the Grant Funds used. Additionally, Grantee must comply with the standards set forth in 2 CFR
200.317-200.326 for use in establishing procedures for the procurement of supplies and other expendable
property,equipment, real property and other services with Grant Funds. These standards are furnished to
ensure that such materials and services are obtained in an effective manner and in compliance with the
provisions of applicable Federal and State statutes and executive orders.
ARTICLE XXIII
PROMOTIONAL MATERIALS; PRIOR NOTIFICATION
23.1 Publications,Announcements,etc. Use of Grant Funds for promotions is subject to the
prohibitions for advertising or public relations costs in 2 CFR 200.421(e). In the event that Grantor funds are
used in whole or in part to produce any written publications, announcements, reports,flyers, brochures or
other written materials, Grantee agrees to include in these publications,announcements, reports,flyers,
brochures and all other such material,the phrase"Funding provided in whole or in part by the[Grantor]."
Exceptions to this requirement must be requested, in writing,from Grantor and will be considered authorized
only upon written notice thereof to Grantee.
23.2 Prior Notification/Release of Information. Grantee agrees to notify Grantor ten(10)days
prior to issuing public announcements or press releases concerning work performed pursuant to this
Agreement,or funded in whole or in part by this Agreement, and to cooperate with Grantor in joint or
coordinated releases of information.
ARTICLE XXIV
INSURANCE
24.1 Purchase and Maintenance of Insurance. Grantee shall maintain in full force and effect
during the Term of this Agreement casualty and bodily injury insurance,as well as insurance sufficient to
cover the replacement cost of any and all real or personal property,or both, purchased or,otherwise
acquired, or improved in whole or in part,with funds disbursed pursuant to this Agreement. 2 CFR 200.310.
Additional insurance requirements may be detailed in PART TWO or PART THREE.
24.2 Claims. If a claim is submitted for real or personal property,or both, purchased in whole
with funds from this Agreement and such claim results in the recovery of money, such money recovered
shall be surrendered to Grantor.
ARTICLE XXV
LAWSUITS
25.1 Independent Contractor. Neither Grantee nor any employee or agent of Grantee acquires
any employment rights with Grantor by virtue of this Agreement. Grantee will provide the agreed services
and achieve the specified results free from the direction or control of Grantor as to the means and methods
of performance. Grantee will be required to provide its own equipment and supplies necessary to conduct
its business; provided, however,that in the event,for its convenience or otherwise, Grantor makes any such
equipment or supplies available to Grantee,Grantee's use of such equipment or supplies provided by
Grantor pursuant to this Agreement shall be strictly limited to official Grantor or State of Illinois business and
not for any other purpose, including any personal benefit or gain.
25.2 Liability. Neither Party shall be liable for actions chargeable to the other Party under this
Agreement including, but not limited to, the negligent acts and omissions of Party's agents, employees or
subcontractors in the performance of their duties as described under this agreement, unless such liability is
imposed by law. This agreement shall not be construed as seeking to enlarge or diminish any obligation or
duty owed by one Party against the other or against a third party.
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ARTICLE XXVI
MISCELLANEOUS
26.1 Gift Ban. Grantee is prohibited from giving gifts to State employees pursuant to the State
Officials and Employees Ethics Act(5 ILCS 430/10-10)and Executive Order 15-09.
26.2 Access to Internet. Grantee must have Internet access. Internet access may be either dial-
up or high-speed. Grantee must maintain,at a minimum, one business e-mail address that will be the
primary receiving point for all e-mail correspondence from Grantor. Grantee may list additional e-mail
addresses at any time during the Term of this Agreement. The additional addresses may be for a specific
department or division of Grantee or for specific employees of Grantee. Grantee must notify Grantor of any
e-mail address changes within five(5)business days from the effective date of the change.
26.3 Exhibits and Attachments. Exhibits A through G, PART TWO, PART THREE, if applicable,
and all other exhibits and attachments hereto are incorporated herein in their entirety.
26.4 Assignment Prohibited. Grantee acknowledges that this Agreement may not be sold,
assigned, or transferred in any manner by Grantee,to include an assignment of Grantee's rights to receive
payment hereunder,and that any actual or attempted sale,assignment, or transfer by Grantee without the
Prior Approval of Grantor in writing shall render this Agreement null,void and of no further effect.
26.5 Amendments. This Agreement may be modified or amended at any time during its Term by
mutual consent of the Parties,expressed in writing and signed by the Parties.
26.6 Severability. If any provision of this Agreement is declared invalid, its other provisions shall
not be affected thereby.
26.7 No Waiver. No failure of either Party to assert any right or remedy hereunder will act as a
waiver of either Party's right to assert such right or remedy at a later time or constitute a course of business
upon which either Party may rely for the purpose of denial of such a right or remedy.
26.8 Applicable Law; Claims. This Agreement and all subsequent amendments thereto, if any,
shall be governed and construed in accordance with the laws of the State of Illinois. Any claim against
Grantor arising out of this Agreement must be filed exclusively with the Illinois Court of Claims. 705 ILCS
505/1 et seq. Grantor does not waive sovereign immunity by entering into this Agreement.
26.9 Compliance with Law. This Agreement and Grantee's obligations and services hereunder
are hereby made and must be performed in compliance with all applicable Federal and State laws,
including,without limitation, Federal regulations, State administrative rules, including 44 III.Admin.Code
7000, and any and all license requirements or professional certification provisions.
26.10 Compliance with Confidentiality Laws. If applicable,Grantee shall comply with applicable
State and Federal statutes, Federal regulations and Grantor administrative rules regarding confidential
records or other information obtained by Grantee concerning persons served under this Agreement. The
records and information shall be protected by Grantee from unauthorized disclosure.
26.11 Compliance with Freedom of Information Act. Upon request, Grantee shall make available
to Grantor all documents in its possession that Grantor deems necessary to comply with requests made
under the Freedom of Information Act. (5 ILCS 140/7(2)).
26.12 Precedence. In the event there is a conflict between this Agreement and any of the exhibits
or attachments hereto,this Agreement shall control. In the event there is a conflict between PART ONE
and PART TWO or PART THREE of this Agreement, PART ONE shall control. In the event there is a
conflict between PART TWO and PART THREE of this Agreement, PART TWO shall control. In the event
there is a conflict between this Agreement and relevant statute(s)or Administrative Rule(s),the relevant
statute(s)or rule(s)shall control.
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26.13 Headings. Article and other headings contained in this Agreement are for reference
purposes only and are not intended to define or limit the scope, extent or intent of this Agreement or any
provision hereof.
26.14 Entire Agreement. Grantee and Grantor acknowledge that this Agreement constitutes the
entire agreement between them and that no promises,terms,or conditions not recited, incorporated or
referenced herein, including prior agreements or oral discussions, shall be binding upon either Grantee or
Grantor.
26.15 Counterparts. This Agreement may be executed in one or more counterparts,each of
which shall be considered to be one and the same agreement, binding on all Parties hereto, notwithstanding
that all Parties are not signatories to the same counterpart. Duplicated signatures, signatures transmitted
via facsimile,or signatures contained in a Portable Document Format(PDF)document shall be deemed
original for all purposes.
26.16 Attorney Fees and Costs. Unless prohibited by law, if Grantor prevails in any proceeding to
enforce the terms of this Agreement, including any administrative hearing pursuant to the Grant Funds
Recovery Act or the Grant Accountability and Transparency Act,the Grantor has the right to recover
reasonable attorneys'fees, costs and expenses associated with such proceedings.
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EXHIBIT A
PROJECT DESCRIPTION
CSFA Number: 494-10-0343 NOSA/SAIN Number: 343-5721
GATA Registration Number: 674095
The Grantee shall utilize grant funds to maximize efforts emphasizing distracted driving laws during a two-
week, high-visibility distracted driving state-wide crackdown. These efforts include officer hireback
(overtime)enforcement details to allow for increased enforcement.This will raise awareness of distracted
driving laws in Illinois. The Grantee officer hireback(overtime)enfocement details shall increase the
number of distracted driving and other traffic citations issued from April 16-30,2018.
The main goals of the Grantor are:
1. To reduce the occurrence of distracted driving and raise awareness of its dangers to vehicle
occupants(driver and passengers)as well as pedestrians and bicyclists.
Distraction occurs when drivers divert their attention from the driving task to focus on some other
activity, mainly cell phone and texting. Based on national police-reported data on fatal crashes in
the United States during 2015,3,477 out of people died in motor vehicle crashes in which
distraction was a contributing factor.That is about 10 percent of all crash deaths(35,095).Of a total
3,477 fatalities,476,or 1 percent of people killed on the roads, died in crashes involving cellphone
use.
2. To increase number of distracted driving citations(mainly cell phone and texting).
Since 2014,all the hireback grant-funded law enforcement agencies are required to submit their
enforcement data including total citation data(e.g.,cell,texting,seat belt violation, DUI arrest and
so on)during our major holiday campaigns. The total percent cell phone/texting citations have
increased significantly from 3.8% in 2014 to 7.1%in 2017.
By increasing enforcement activities and raising awareness of distracted driving issues,the Grantor will
implement the Distracted Driving Mini Grant to help lower the number of fatal and injury crashes on Illinois
roadways.
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EXHIBIT B
DELIVERABLES OR MILESTONES
The Grantee shall submit BSPE 205 form, Local/State Mobilizations Data Collection, to the Grantor no
later than 5 P.M.on Tuesday, May 15, 2018 and the form should be submitted electronically to
DOT.TSorants(cilillinois.gov. BSPE 205 form requires Grantee to list the total number of specific
enforcement actions taken during the reporting period for Daytime and Nighttime periods. Daytime is
defined as 6:00 A.M.-9:00 P.M.; and Nighttime is 9:00 P.M.-6:00 A.M.
The Distracted Driving Mini Grant is funded by Federal highway safety funds. The Grantee shall have an
acceptable accounting system in existence capable of identifying the federal-related costs separately from
their general operating costs. The Grantee shall also adhere to all Fixing America's Surface Transportation
Act(FAST Act, P.L. 114-94) rules and regulations under 23 U.S.C.405(e)—Distracted Driving and 23
C.F.R. 1300.24-Distracted Driving Grants.
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EXHIBIT C
PAYMENT
Grantee shall receive $7,104.00 under this Agreement.
I. Invoices submitted by the Grantee will be for expenses that have been incurred to complete the
Scope of Services/Responsibilities in Exhibit A, Project Description. If the Grantee's invoices are
deemed by the Grantor or auditors to not be sufficiently documented for supplies and equipment
purchased,the Department may require further records and supporting documents to verify the
amounts, recipients and uses of all funds invoiced pursuant to this Agreement. Furthermore, if any
of the Deliverables or Milestones in Exhibit B are not satisfactorily completed,the Grantee will
refund payments made under this Agreement to the extent that such payments were made for any
such incomplete or unsatisfactory deliverable.
The Grantee must submit any claims for reimbursement for allowable expenditures along with all
supporting documentation to the Grantor's Claims Specialist by November 1,2018 in order to
receive reimbursement.
a. Any invoices/bills issued by the Grantee to the Grantor pursuant to this Agreement shall be sent
to the Grantor's Claims Specialist at:
Illinois Department of Transportation
Bureau of Safety Programs&Engineering
Attn: Cyndi Titus
2300 Dirksen Parkway, Room: 005
Springfield, IL 62764
II. All claims and supporting documents shall be signed by an authorized representative of the
Grantee.
a. The claim must include:
i. The Obligation Number,Agreement Number, DD-18-0471.
ii. Requests for reimbursement must be requested on Form BSPE 500b.
iii. Back up documentation,which may include invoices and receipts for expenditures must be
submitted with each claim.
iv. Certification by the Grantee's finance officer of accurate expenses.
b. No payments will be made for services performed prior to the effective date of this Agreement.
The Grantor will direct all payments to the Grantee's remittance address listed in this
Agreement.
III. Review and Approval
a. Upon submittal of a claim,the Grantor's representative reviews and checks:
i. Mathematical accuracy of the claim.
ii. That requested reimbursement is consistent with items included in the approved budget.
iii. That total amount requested for reimbursement is proportional to total amount budgeted.
iv. that expenditures for each line item are less than or equal to the budgeted amounts.
v. Completion of the work.
b. Failure to provide a complete claim may delay or prevent reimbursement. If there are problems
with the claim,the Grantor's representative will contact the Grantee to resolve the issue so
that payment can be made,assuming it is appropriate.This may include submission of a new or
corrected claim by the Grantee.
c. The Grantor's representative will review and approve or reject the claim within 30 days of the
Grantee's submittal. If rejected,the claim will not be processed for payment until any revisions
are approved by the Grantee.
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IV.Manager Approval
a. Once a claim is approved for payment,the Finance Manager processes the claim for payment
by the Comptroller.
V. Send Payment
a. Once approved,the Comptroller forwards payment either via Electronic Fund Transfer(EFT)or
by mailing a check to the Grantee's Remittance address listed on this Agreement.
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EXHIBIT D
CONTACT INFORMATION
CONTACT FOR NOTIFICATION:
Unless specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the
persons listed below.
GRANTOR CONTACT
Name: Chris Peters
Title: Safety Grant Administrator
Address: 2300 S. Dirksen Parkway, Rm.005/007, Springfield, IL 62764
Phone: 217/558-1717
TTY#:
Fax#: 217/782-0377
E-mail Address: christopher.peters@illinois.gov
GRANTEE CONTACT
Name: Kevin Senne
Title: Sergeant
Address: 150 Dexter Ct., Elgin, IL 60120
Phone: 847/289-2661
TTY#:
Fax#: 847/289-2563
E-mail Address: senne_k@cityofelgin.org
Additional Information:
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EXHIBIT E
PERFORMANCE MEASURES
The Grantee shall:
I. Grantee shall increase the number of distracted driving citations issued through officer hireback
(overtime)enforcement details from April 16-30,2018. The Grantee shall submit this information
via BSPE 205 form Local/State Mobilizations Data Collection, to the Grantor no later than 5 P.M.on
Tuesday, May 15, 2018. The BSPE 205 form shall be submitted electronically to
DOT.TSgrants@illinois.gov.
II. Respond to inquiries and/or requests by the Grantor and any authorized agent of the Grantor:
a. Respond within a maximum of five(5)business days.
b. Send all required documentation to DOT.TSqrantsillinois.gov or the email of the assigned
Grantor contact listed in Exhibit D of this Agreement.
c. Alert Grantor,the assigned Grantor contact listed in Exhibit D of this Agreement,and any
authorized agent of the Grantor to any issue with accessing, retrieving,securing, procuring,or
otherwise establishing necessary documentation as inquired or requested by the Grantor within
a maximum of five(5)business days.
i. Official documentation of any and all issues must be submitted to DOT.TSorants at?illinois.gov
or the email of the assigned Grantor contact listed in Exhibit D of this Agreement.
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EXHIBIT F
PERFORMANCE STANDARDS
Performance Standards shall include:
I. Increased citations issued through officer hireback(overtime)enforcement details from April 16-30,
2018.
II. Electronic submission of the BSPE 205 form submitted no later than 5 P.M.on Tuesday, May 15,
2018.
III.Timeliness of corrective actions will be determined on a case-by-case basis dependent on the
urgency to which an issues needs to be addressed.This may be determined by the Grantor,the
assigned Grantor contact listed in Exhibit D of this Agreement,any authorized agent of the Grantor,
a third party retained by the Grantor,or coordination between the Grantor and the Grantee.
a. The Grantee shall generate and maintain invoices, implementation plan documents and materials
and all other related documents including but not limited to email and mail correspondence in
addition to other materials as listed in this Agreement.
b.The Grantee is not permitted to file advance pay requests, but may file accurate quarterly
advance pay requests no sooner than 30 days prior to the start of the quarter for which an
advance is requested.
c. The Grantee shall file accurate documentation to be compliant with Exhibits B and E in this
Agreement.
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EXHIBIT G
SPECIFIC CONDITIONS
Grantor may remove(or reduce)a Specific Condition included in this Exhibit G by providing notice
in writing to the Grantee.
Financial and Regulatory Reporting (2 CFR 200.327)
Grantee shall submit quarterly IDOT BoBS 2832 form in addition to other
required reports.
Corrective Action(s) needed to change status:
Implementation of new or enhanced system, mitigating controls or a
combination of both.
Timeframe: One year from the implementation of corrective action.
II. Cost Principles(2 CFR 200.400)
Grantee shall submit quarterly IDOT BoBS 2832 form in addition to other
required reports.
Corrective Action(s) needed to change status:
Implementation of additional controls for reviewing and approval expenditures.
Timeframe: One year from the implementation of additional controls.
III. Fraud,Waste and Abuse
Grantee shall submit quarterly IDOT BoBS 2832 form in addition to other
required reports. Requires additional training.
Corrective Action(s) needed to change status:
Implementing a fraud awareness program including information on how to
report fraud, waste and abuse without fear of retaliation.
Timeframe: One year after implementation of corrective action.
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PART TWO—THE GRANTOR-SPECIFIC TERMS
In addition to the uniform requirements in PART ONE,the Grantor has the following additional requirements
for its Grantee:
AUDIT
In addition to the Audit requirements in Part One of the Agreement, Grantee shall permit the Grantor and
any authorized agent of the Grantor to inspect all work, materials, audit working papers, invoices,
implementation plan and all other related documents including but not limited to email and mail
correspondence,and other data and records pertaining to the Agreement; and to audit the books, records,
and accounts of the Grantee with regard to the Agreement. The Grantor may,at its sole discretion and at its
own expense, perform a final audit of the Agreement. Such audit may be used for settlement of the grant
and Agreement closeout. Grantee agrees to implement any audit findings contained in the Grantor's
authorized inspection or review, final audit, the Grantee's independent audit, or as a result of any duly
authorized inspection or review.
ETHICS
In addition to the requirements in Part One, Article XXI, "Conflict of Interest," the following requirements
apply.
A. Code of Conduct
1. Personal Conflict of Interest—The Grantee shall maintain a written code or standard of conduct
which shall govern the performance of its employees, officers, board members, or agent
engaged in the award and administration of contracts supported by state or federal funds. Such
code shall provide that no employee, officer, board member or agent of the Grantee may
participate in the selection, award, or administration of a contract supported by state or federal
funds if a conflict of interest, real or apparent would be involved. Such a conflict would arise
when any of the parties set forth below has a financial or other interest in the firm selected for
award:
a. the employee,officer, board member,or agent;
b. any member of his or her immediate family;
c. his or her partner;or
d. an organization which employs, or is about to employ,any of the above.
The conflict of interest restriction for former employees, officers, board members and agents
shall apply for one(1)year.
The code shall also provide that Grantee's employees, officers, board members, or agents shall
neither solicit nor accept gratuities, favors or anything of monetary value from contractors,
potential contractors, or parties to subcontracts. The Grantor may waive the prohibition
contained in this subsection, provided that any such present employee, officer, board member,
or agent shall not participate in any action by the Grantee or the locality relating to such
contract, subcontract, or arrangement. The code shall also prohibit the officers, employees,
board members, or agents of the Grantee from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict of interest or
personal gain.
2. Organizational Conflict of Interest — The Grantee will also prevent any real or apparent
organizational conflict of interest. An organizational conflict of interest exists when the nature of
the work to be performed under a proposed third party contract or subcontract may, without
some restriction on future activities, result in an unfair competitive advantage to the third party
contractor or Grantee or impair the objectivity in performing the contract work.
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PROCUREMENT PROCEDURES/EMPLOYMENT OF GRANTOR PERSONNEL
1. Procurement of Goods or Services — Federal Funds — For purchases of products or services
with any Federal funds that costs more than $3,000.00 but less than the simplified acquisition
threshold fixed at 41 U.S.C. 403(11), (currently set at $100,000.00) the Grantee shall obtain
price or rate quotations from an adequate number(no less than three (3)) of qualified sources.
Procurement of products or services with any Federal funds for $100,000 or more will
requirethe Grantee to use the Invitation for Bid process or the Request for Proposal process. In
the absence of formal codified procedures of the Grantee,the procedures of the Grantor will be
used, provided that the procurement procedures confirm to the provisions in Part 3(K) below.
The Grantee may only procure products or services from one source with any Federal funds if:
(1) the products or services are available only from a single source; or (2) the Grantor
authorizes such a procedure; or (3) the Grantor determines competition is inadequate after
solicitation from a number of sources.
2. Procurement of Goods or Services—State Funds -- For purchases of products or services with
any State of Illinois funds that cost more than $20,000.00, ($10,000.00 for professional and
artistic services) but less than the small purchase amount set by the Illinois Procurement Code
Rules, (currently set at $50,000.00 and $20,000.00 for professional and artistic services) the
Grantee shall obtain price or rate quotations from an adequate number(no less than three (3))
of qualified sources. Procurement of products or services with any State of Illinois funds for
$50,000.00 or more for goods and services and$20,000.00 or more for professional and artistic
services) will require the Grantee to use the Invitation for Bid process or the Request for
Proposal process. In the absence of formal codified procedures of the Grantee, the procedures
of the Grantor will be used. The Grantee may only procure products or services from one
source with any State of Illinois funds if: (1) the products or services are available only from a
single source; or (2) the Grantor authorizes such a procedure; or, (3) the Grantor determines
competition is inadequate after solicitation from a number of sources.
The Grantee shall include a requirement in all contracts with third parties that the contractor or
consultant will comply with the requirements of this Agreement in performing such contract, and
that the contract is subject to the terms and conditions of this Agreement.
3. Employment of Grantor Personnel -- The Grantee will not employ any person or persons
currently employed by the Grantor for any work required by the terms of this Agreement.
DISPUTE RESOLUTION
In the event of a dispute in the interpretation of the provisions of this Agreement, such dispute shall be
settled through negotiations between the Grantor and the Grantee. In the event that the Agreement is not
consummated at this negotiation level, the dispute will then be referred through proper administrative
channels for a decision and ultimately, if necessary, to the Secretary of the Illinois Department of
Transportation. The Grantor shall decide all claims, questions and disputes which are referred to it
regarding the interpretation, prosecution and fulfillment of this Agreement. The Grantor's decision upon all
claims, questions and disputes shall be final and conclusive.
FEDERALLY FUNDED AGREEMENTS
Standard Assurances. The GRANTEE assures that it will comply with all applicable federal statutes,
regulations,executive orders, Federal Transit Administration (FTA)circulars, and other federal requirements
in carrying out any project supported by federal funds. The GRANTEE recognizes that federal laws,
regulations, policies,and administrative practices may be modified from time to time and those modifications
may affect project implementation. The GRANTEE agrees that the most recent federal requirements will
apply to the project as authorized by 49 U.S.C. Chapter 53, Title 23, United States Code (Highways), the
Moving Ahead for Progress in the 21st Century Act (MAP-21), the Safe, Accountable, Flexible, Efficient
Transportation Equity Act:A Legacy for Users (SAFETEA-LU), as amended by the SAFETEA-LU Technical
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Corrections Act of 2008,or other Federal laws.
Debarment. In addition to the requirements in Part One, Article VIII, the GRANTEE shall comply with
Debarment provisions as contained in 2 CFR Part 1200, as amended. The GRANTEE certifies that to the
best of its knowledge and belief, the GRANTEE and the GRANTEE's principals: a) are not presently
debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered
transactions by any federal department or agency; b) within a three-year period preceding this Agreement
have not been convicted of or had a civil judgment rendered against it for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain or performing a public (federal, state or local)
transaction or contract under a public transaction, violation of federal or state anti-trust statutes or
commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements or receiving stolen property; c) are not presently indicted for or otherwise criminally or civilly
charged by a governmental entity (federal, state or local) with commission of any of the offenses
enumerated in subsection(b), above; and d) have not within a three-year period preceding this Agreement
had one or more public transactions(federal, state or local)terminated for cause or default.
The inability of the GRANTEE to certify to the certification in this section will not necessarily result in denial
of participation in this Agreement. The GRANTEE shall submit an explanation of why it cannot provide the
certification in this section. This certification is a material representation of fact upon which reliance was
placed when the Grantor determined whether to enter into this transaction. If it is later determined that the
GRANTEE knowingly rendered an erroneous certification, in addition to other remedies available to the
federal government, the Grantor may terminate this Agreement for cause. The GRANTEE shall provide
immediate written notice to the Grantor if at any time the GRANTEE learns that its certification was
erroneous when submitted or has become erroneous by reason of changed circumstances. The terms
"covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant,"
"person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this
Part shall have the meaning set out in the Definitions and Coverage sections of the rules implementing
Executive Order 12549.
The GRANTEE agrees that it shall not knowingly enter into any lower tier covered transaction with a person
who is debarred, suspended, declared ineligible or voluntarily excluded from participation in this covered
transaction, unless authorized, in writing, by the Grantor. The GRANTEE agrees that it will include the
clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower
Tier Covered Transaction," provided by the Grantor, without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions. The GRANTEE may rely upon a
certification of a prospective participant in a lower tier covered transaction that it is not debarred,
suspended, ineligible or voluntarily excluded from the covered transaction, unless the GRANTEE knows the
certification is erroneous. The GRANTEE may decide the method and frequency by which it determines the
eligibility of its principals. The GRANTEE may, but is not required to, check the Non-procurement List. If
the GRANTEE knowingly enters into a lower tier covered transaction with a person who is suspended,
debarred, ineligible or voluntarily excluded from participation, in addition to other remedies available to the
federal government,the Grantor may terminate this Agreement for cause or default.
Nothing contained in this section shall be construed to require establishment of a system of records in order
to render in good faith the certification required by this section. The knowledge and information of the
GRANTEE is not required to exceed that which is normally possessed by a prudent person in the ordinary
course of business dealings.
Disadvantaged Business Enterprise Assurance. In addition to the requirements in Part One, Article X,
"Unlawful Discrimination," in accordance with 49 CFR 26.13(a), as amended, the GRANTEE assures that it
shall not discriminate on the basis of race, color, national origin, or sex in the implementation of the project
and in the award and performance of any third party contract, or subagreement supported with Federal
assistance derived from the U.S. DOT or in the administration of its Disadvantaged Business Enterprise
(DBE) program or the requirements of 49 CFR Part 26, as amended. The GRANTEE assures that it shall
take all necessary and reasonable steps set forth in 49 CFR Part 26, as amended, to ensure
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
Page 34 of 38
Agreement No. DD-18-0471 11-01
nondiscrimination in the award and administration of all third party contracts and subagreements supported
with Federal assistance derived from the U.S. DOT. The GRANTEE DBE program, as required by 49 CFR
Part 26, as amended, will be incorporated by reference and made a part of this Agreement for any Federal
assistance awarded U.S. DOT. Implementation of this DBE program is a legal obligation of the GRANTEE,
and failure to carry out its terms shall be treated as a violation of the Agreement. Upon notification by the
Federal Government or the Grantee to the GRANTEE of its failure to implement its approved DBE program,
the U.S. DOT may impose sanctions as provided for under 49 CFR Part 26, as amended, and may in
appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001, as amended, and/or the Program
Fraud Remedies Act, 31 U.S.C.3801 et seq., as amended.
Procurement Compliance Certification. The GRANTEE certifies that its procurements and procurement
system will comply with all applicable third party procurement requirements of Federal laws, executive
orders, regulations, , and requirements, as amended and revised. . The GRANTEE certifies that it will
include in its contracts financed in whole or in part with U.S. DOT or NHTSA assistance all clauses required
by Federal laws, executive orders, or regulations, and will ensure that each subrecipient and each
contractor will also include in its subagreements and its contracts financed in whole or in part with U.S. DOT
or NHTSA assistance all applicable clauses required by Federal laws,executive orders,or regulations.
Certifications and Assurances Required by the U.S.Office of Management and Budget(OMB)
(SF-424B and SF-424D).
As required by OMB, the GRANTEE certifies that it:
1. Has the legal authority and the institutional, managerial, and financial capability(including funds
sufficient to pay the non-federal share of project cost)to ensure proper planning, management,
and completion of the project.
2. Will give the U.S. Secretary of Transportation, the Comptroller General of the United States,
and, if appropriate, the state, through any authorized representative, access to and the right to
examine all records, books, papers, or documents related to the award; and will establish a
proper accounting system in accordance with generally accepted accounting standards or
agency directives;
3. Will establish safeguards to prohibit employees from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict of interest or
personal gain;
4. Will initiate and complete the work within the applicable project time periods;
5. Will comply with all applicable Federal statutes relating to nondiscrimination including, but not
limited to:
• Title VI of the Civil Rights Act, 42 U.S.C. 2000d, which prohibits discrimination on the basis
of race,color, or national origin;
• Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 through 1683,
and 1685 through 1687, and U.S. DOT regulations, "Nondiscrimination on the Basis of Sex
in Education Programs or Activities Receiving Federal Financial Assistance," 49 CFR Part
25,which prohibit discrimination on the basis of sex;
• Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits
discrimination on the basis of handicap;
• The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 through 6107, which
prohibits discrimination on the basis of age;
• The Drug Abuse, Prevention, Treatment and Rehabilitation Act, Public Law 92-255, and
amendments thereto, 21 U.S.C. 1101 et seq. relating to nondiscrimination on the basis of
drug abuse;
• The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970, Public Law 91-616, and amendments thereto, 42 U.S.C. 4541 et
seq. relating to nondiscrimination on the basis of alcohol abuse or alcoholism;
• The Public Health Service Act of 1912, as amended, 42 U.S.C. 290dd-2 related to
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
Page 35 of 38
Agreement No. DD-18-0471 11-01
confidentiality of alcohol and drug abuse patient records;
• Title VIII of the Civil Rights Act, 42 U.S.C. 3601 et seq., relating to nondiscrimination in the
sale, rental,or financing of housing;
• Any other nondiscrimination provisions in the specific statutes under which Federal
assistance for the project may be provided including, but not limited, to 49 U.S.C. 5332,
which prohibits discrimination on the basis of race, color, creed, national origin, sex, or age,
and prohibits discrimination in employment or business opportunity, and Section 1101(b)of
the Transportation Equity Act for the 21st Century, 23 U.S.C. 101 note, which provides for
participation of disadvantaged business enterprises in FTA programs;and
• Any other nondiscrimination statute(s)that may apply to the project.
6. Will comply with all federal environmental standards applicable to the project, including but not
limited to:
• Institution of environmental quality control measures under the National Environmental
Policy Act of 1969 and Executive Order 11514;
• Notification of violating facilities pursuant to Executive Order 11738;
• Protection of wetlands pursuant to Executive Order 11990;
• Evaluation of flood hazards in floodplains in accordance with Executive Order 11988;
• Assurance of project consistency with the approved State management program developed
under the Coastal Zone Management Act of 1972, 16 U.S.C. 1451 et seq.;
• Conformity of federal Actions to State (Clean Air) Implementation Plans under Section
176(c)of the Clean Air Act of 1955, as amended,42 U.S.C. 7401 et seq.;
• Protection of underground sources of drinking water under the Safe Drinking Water Act of
1974,as amended;
• Protection of endangered species under the Endangered Species Act of 1973, as amended;
• The Wild and Scenic Rivers Act of 1968, 16 U.S.C. 1271 et seq., which relates to protecting
components or potential components of the national wild scenic rivers system; and
• Environmental impact and related procedures pursuant to 23 C.F.R. Part 771.
7. Will comply with all other federal statutes applicable to the project, including but not limited to:
• Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies
Act of 1970, which provides for fair and equitable treatment of persons displaced whose
property is acquired as a result of federal or federally-assisted programs;
• The Hatch Act, 5 U.S.C. 1501-1508 and 7324-7328, which limits the political activities of
employees whose principal employment activities are funded in whole or in part with federal
funds;
• The Flood Disaster Protection Act of 1973, which requires the purchase of flood insurance
in certain instances;
• Section 106 of the National Historic Preservation Act of 1966, as amended, 16 U.S.C.470;
• Executive Order 11593,which relates to identification and protection of historic properties;
• The Archaeological and Historic Preservation Act of 1974, 16 U.S.C.469a-1 et seq.;
• The Laboratory Animal Welfare Act of 1966, as amended, 7 U.S.C. 2131 et seq., which
relates to the care, handling, and treatment of warm-blooded animals held for research,
teaching,or other activities supported by a federal award of assistance;
• The Lead-Based Paint Poisoning Prevention Act, 42 U.S.C. 4801 et seq., which relates to
prohibiting the use of lead-based paint in construction or rehabilitation of residence
structures;
• The Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States,
Local Governments,and Non-Profit Organizations";and
• Use of parks, recreation areas, wildlife and waterfowl refuges,and historic sites pursuant to
23 C.F.R. Part 774(Section 4(f)requirements).
Energy Conservation. To the extent applicable, the GRANTEE and its third party contractors at all tiers
shall comply with mandatory standards and policies relating to energy efficiency that are contained in
applicable state energy conservation plans issued in compliance with the Energy Policy and Conservation
Act,42 U.S.C. Section 6321 et seq.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
Page 36 of 38
Agreement No. DD-18-0471 11-01
Eligibility For Employment In The United States. The GRANTEE shall complete and keep on file, as
appropriate, Immigration and Naturalization Service Employment Eligibility Forms(1-9).These forms shall be
used by the GRANTEE to verify that persons employed by the GRANTEE are eligible to work in the United
States.
Buy America. As set forth in 49 U.S.0 5323(j) and 49 C.F.R. Part 661, only steel, iron and manufactured
products produced in the United States may be purchased with Federal funds unless the Secretary of
Transportation determines that such domestic purchases would be inconsistent with the public interest; that
such materials are not reasonably available and of satisfactory quality; or that inclusion of domestic
materials will increase the cost of overall project contract by more than 25 percent. Clear justification for the
purchase of non-domestic items must be in the form of a waiver request submitted to and approved by the
Secretary of Transportation.
Changed Conditions Affecting Performance. The GRANTEE shall immediately notify the Grantor of any
change in conditions or local law, or of any other event which may significantly affect its ability to perform
the Project in accordance with the provisions of this Agreement.
Third Party Disputes Or Breaches. The GRANTEE agrees to pursue all legal rights available to it in the
enforcement or defense of any third party contract, and U.S. DOT, NHTSA and the Grantor reserve the
right to concur in any compromise or settlement of any third party contract claim involving the GRANTEE.
The GRANTEE will notify U.S. DOT, NHTSA and the Grantor of any current or prospective major dispute
pertaining to a third party contract. If the GRANTEE seeks to name the Grantor as a party to the litigation,
the GRANTEE agrees to inform both U.S. DOT, NHTSA and the Grantor before doing so. The Grantor
retains a right to a proportionate share of any proceeds derived from any third party recovery. Unless
permitted otherwise by the Grantor, the GRANTEE will credit the Project Account with any liquidated
damages recovered. Nothing herein is intended to nor shall it waive U.S. DOT's,NHTSA's or the Grantor's
immunity to suit.
REMAINDER OF THIS PAGE IS LEFT INTENTIONALLY BLANK.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
Page 37 of 38
Agreement No. DD-18-0471 11-01
PART THREE—THE PROJECT-SPECIFIC TERMS
In addition to the uniform requirements in PART ONE and the Grantor-Specific Terms in PART TWO, the
Grantor has the following additional requirements for this Project:
NO ADDITIONAL AGREEMENT SPECIFIC TERMS
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2018/3 15 17
Page 38 of 38
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
State Agency: Illinois Department of Transportation
Organization Name:City of Elgin Notice of Funding 18-0343-03
Data Universal Number System(DUNS) Number(enter numbers only) : 010224772 Opportunity(NOFO) Number:
Catalog of State Financial Assistance(CSFA)Number: 494-10-0343 CSFA Short Description:State&Comm. Hwy. Safety/Ntl. Priority Safety Programs
Section A: State of Illinois Funds Fiscal Year:FFY18
REVENUES Total Revenue
State of Illinois Grant Requested $ 7,104.00
Budget Expenditure Categories OMB Uniform Guidance Total Expenditures
Federal Awards Reference 2 CFR 200
1. Personnel(Salary and Wages) 200.430 $ 7,104.00
2. Fringe Benefits 200.431 $
3. Travel 200.474 $
4. Equipment 200.439 $
5. Supplies 200.94 $
6. Contractual Services and Subawards 200.318&200.92 $
7. Consultant(Professional Service) 200.459 $
8. Construction $
9. Occupancy(Rent and Utilities) 200.465 $
10. Research and Development(R&D) 200.87 $
11.Telecommunications $
12. Training and Education 200.472 $
13. Direct Administrative Costs 200.413(c) $
14. Miscellaneous Costs $
15.A.Grant Exclusive Line Item(s) $
15. B. Grant Exclusive Line Item(s)
16. Total Direct Costs(add lines 1-15) 200.413 $ 7,104.00
17. Total Indirect Costs 200.414 $
Rate%:
Base:
Instructions
18. Total Costs State Grant Funds found at end of
(Lines 16 and 17) $ 7,104.00 document.
MUST EQUAL REVENUE TOTALS ABOVE
GOMBGATU-3002-(R-02-17) Page 1 of 23
'Y ;, State of Illinois
,nl UNIFORM GRANT BUDGET TEMPLATE
Organization Name:City of Elgin NOFO Number: 18-0343-03
SECTION A-Continued-Indirect Cost Rate Information
If your organization is requesting reimbursement for indirect costs on line 17 of the Budget Summary, please select one of the following options
1. Our Organization receives direct Federal funding and currently has a Negotiated Indirect Cost Rate Agreement (NICRA)with our Federal Cognizant
Agency. A copy of this agreement will be provided to the State of Illinois' Indirect Cost Unit for review and documentation before reimbursement is
allowed. This NICRA will be accepted by all State of Illinois agencies up to any statutory, rule-based or programmatic restrictions or limitations. NOTE:
(If this option is selected, please, provide basic Negotiated Indirect Cost Rate Agreement in area designated below.)
Your organization may not have a Federally Negotiated Cost Rate Agreement. Therefore, in order for your organization to be reimbursed for the Indirect
Costs from the State of Illinois your organization must either:
a. Negotiate an Indirect Cost Rate with the State of Illinois'Indirect Cost Unit with guidance from your State Cognizant Agency on an annual basis;
b. Elect to use the de minimis rate of 10% modified for total direct costs(MTDC)which may be used indefinitely on State of Illinois awards; or
c. Use a Restricted Rate designated by programmatic or statutory policy(see Notice of Funding Opportunity for Restricted Rate Programs).
2a. Our Organizations currently has a Negotiated Indirect Cost Rate Agreement (NICRA) with the State of Illinois that will be accepted by all State of
ni Illinois agencies up to any statutory, rule-based or programmatic restrictions or limitations. Our Organization is required to submit a new Indirect Cost
I Rate Proposal to the Indirect Cost Unit within 6 months after the close of each fiscal year[2 CFR 200, Appendix IV(C)(2)(c)]. NOTE: (If this option is
selected, please provide basic Indirect Cost Rate information in area designated below.)
2b. Our Organization currently does not have a Negotiated Indirect Cost Rate Agreement (NICRA) with the State of Illinois. Our organization will
submit our initial Indirect Cost Rate Proposal (ICRP) immediately after our Organization is advised that the State award will be made no later than three
n (3) months after the effective date of the State award [2 CFR 200 Appendix (C)(2)(b)]. The initial ICRP will be sent to the State of Illinois Indirect Cost
unit. Note: (Check with you State of Illinois Agency for information regarding reimbursement of indirect costs while your proposal is being
negotiated.)
3. Our Organization has never received a Negotiated Indirect Cost Rate Agreement from either the Federal government or the State or Illinois and
elects to charge the de minimis rate of 10% modified total direct cost(MTDC)which may be used indefinitely on State of Illinois awards [2 CFR 200.414
(C)(4)(f)and 200.68.] [Note: Your Organization must be eligible,see 2 CFR 200.414(f),and submit documentation on the calculation of MTDC
within your Budget Narrative under Indirect Costs.]
4. For Restricted Rate Programs, our Organization is using a restricted indirect cost rate that:
pis included as a"Special Indirect Cost Rate" in the NICRA, pursuant to 2 CFR 200 Appendix IV(5); or
❑complies with other statutory policies.
The Restricted Indirect Cost Rate is:
® 5. No reimbursement of Indirect Cost is being requested. (Please consult your program office regarding possible match requirements.)
Basic Negotiated Indirect Cost Rate Information (Use only if option 1 or 2(a),above is selected.)
Period Covered by NICRA: From: To: Approving Federal or State Agency:
Indirect Cost Rate: % The Distribution Base Is:
GOMBGATU-3002-(R-02-17) Page 2 of 23
State of Illinois
ViP, UNIFORM GRANT BUDGET TEMPLATE
Organization Name:City of Elgin NOFO Number:18-0343-03
Section B: Non-State of Illinois Funds Fiscal Year:FFY18
REVENUES Total Revenue
Grantee Match Requirement%: (Agency to Populate)
b)Cash $
c)Non-Cash $
d)other Funding and Contributions $
Total Non-State Funds(lined b through d) $
Budget Expenditure Categories OMB Uniform Guidance Total Expenditures
Federal Awards Reference 2 CFR 200
1. Personnel (Salaries and Wages) 200.430 $
2. Fringe Benefits 200.431 $
3. Travel 200.474 $
4. Equipment 200.439 $
5. Supplies 200.94 $
6. Contractual Services and Subawards 200.318&200.92 $
7. Consultant(Professional Services) 200.459 $
8. Construction $
9. Occupancy(Rent and Utilities) 200.465 $
10. Research and Development(R&D( 200.87 $
11. Telecommunications $
12.Training and Education 200.472 $
13. Direct Administrative Costs 200.413 (c) $
14. Miscellaneous Costs $
15.A. Grant Exclusive Line Item(s) $
15. B. Grant Exclusive Line Item(s) • $
16. Total Direct Costs (add lines 1-15) 200.413 $
17.Total indirect Costs 200.414 $
Rate%:
Base:
18. Total Costs State Grant Funds
(Lines 16 and 17) $
MUST EQUAL REVENUE TOTALS ABOVE
GOMBGATU-3002-(R-02-17) Page 3 of 23
/42.4%,
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
Organization Name:City of Elgin NOFO Number:18-0343-03
Data Universal Number System (DUNS) Number(enter numbers only) : 010224772 Fiscal Year:FFY18
Catalog of State Financial Assistance(CSFA) Number: 494-10-0343 CSFA Short Description:State& Comm. Hwy. Safety/Ntl. Priority Safety Programs
By signing this report, I certify to the best of my knowledge and belief that the report is true, complete and accurate and
that any false, fictitious or fraudulent information or the omission of any material fact could result in the immediate
termination of my grant award(s).
City of Elgin City of Elgin
Institution/Organization Name: Institution/Organization Name:
Chief Financial Officer City Manager
Title(Chief Financial Officer or equivalent): Title(Executive Director or equivalent):
Debra Nawrocki Rick Kozal
Printed Name(Chief Financial Officer or equivalent): Printed Name(Executive Director or equivalent):
c&61fe__L a60A-oc--kL ►/%�
Signature(Chief Financ al Officer or equivalent): ig ature(Executive Director or equivalent):
Date of Execution(Chief Financial Officer): Date of Execution (Executive Director):
Note: The State Awarding Agency may change required signers based on the grantee's organizational structure. The required signers must have the authority to enter
onto contractual agreements on the behalf of the organization.
GOMBGATU-3002-(R-02-17) Page 4 of 23
,„v
; State of Illinois
S=4:
;_ �' UNIFORM GRANT BUDGET TEMPLATE
FFATA Data Collection Form(if needed by agency)
Under FFATA, all sub-recipients who receive$30,000 or more must provide the following information for federal reporting. Please fill out the following form accurately and completely.
4-digit extension if applicable:
Sub-recipient DUNS: 010224772 Sub-recipient Parent Company DUNS:
Sub-recipient Name: City of Elgin
Sub-recipient DBA Name: Elgin Police Department
Sub-recipient Street Address: 150 Dexter Ct
City: Elgin State: IL Zip-Code:60120-5503 Congressional District: 6th Congressional
Sub-recipient Principal Place of Performance: City of Elgin
City: Elgin State: IL Zip-Code:60120-5503 Congressional District: 6th Congressional
Contract Number(if known): Award Amount: Project Period: From: Project Period:To:
$7,104.00 04/16/2018 04/30/2018
State of Illinois Awarding Agency and Project Detail Description:
Distracted Driving Mini Grant
Under certain circumstances,sub-recipient must provide names and total compensation of its top 5 highly compensated officials. Please answer the following questions and
follow the instructions.
Q1. In your business or organization's previous fiscal year, did your business or organization (including parent organization, all branches and affiliates worldwide)receive
(1)80%or more of your annual gross revenues in U.S.federal contracts, subcontracts, loans, grants, subgrants and/or cooperative agreements and(2)$25,000,000 or
more in annual gross revenue from U.S.federal contracts, subcontracts, loans, grants, subgrants and/or cooperative agreements?
Yes ® If Yes, must answer Q2 below. No n If No,you are not required to provide data.
Q2. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all
branches and all affiliates worldwide)through periodic reports filed under section 13(a)or 15(d)of the Security Exchange Act of 1934(5 U.S.C.78m(a), 78o(d))or section
6104 of the Internal Revenue code of 1986(i.e., on IRS Form 990)?
Yes ® No I I If No,you must provide the data. Please fill out the rest of this form.
Please provide names and total compensation of the top five officials:
Name: Amount:
Name: Amount:
Name: Amount:
Name: Amount:
Name: Amount:
GOMBGATU-3002-(R-02-17) Page 5 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
1). Personnel(Salaries and Wages)(2 CFR 200.430)
List each position by title and name of employee, if available. Show the annual salary rate and the percentage of time to be devoted to the project and length of time
working on the project . Compensation paid for employees engaged in grant activities must be consistent with that paid for similar work within the applicant organization.
Include a description of the responsibilities and duties of each position in relationship to fulfilling the project goals and objectives in the narrative space provided below.
Also, provide a justification and description of each position (including vacant positions). Relate each position specifically to program objectives. Personnel cannot exceed
100% of their time on all active projects.
Name Position Salary or Wage Basis %of Time Length of Time Personnel Cost Add/Delete
(Yr./Mo./Hr.) Row
Hire Back Officers Daytime patrol $74.00 Hourly 100 % 72 $5,328.00 Add
Delete
Nighttime patrol $74.00 Hourly 100 % 24 $1,776.00 Add
Delete
State Total $7,104.00
Add
°�° Delete
NON-State Total
Total Personnel $7,104.00
Personnel Narrative(State):
Hire Back Officers to work hire back patrols
Personnel Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 6 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
2). Fringe Benefits(2 CFR 200.431)
Fringe benefits should be based on actual known costs or an established formula. Fringe benefits are for the personnel listed in category (1) direct salaries and wages,
and only for the percentage of time devoted to the project. Provide the fringe benefit rate used and a clear description of how the computation of fringe benefits was done.
Provide both the annual (for multiyear awards) and total. If a fringe benefit rate is not used, show how the fringe benefits were computed for each position. The budget
justification should be reflected in the budget description. Elements that comprise fringe benefits should be indicated.
Name Position(s) Base Rate(%) Fringe Benefit Add/Delete
Cost Rows
Add
Delete
State Total
Add
Delete
Non-State Total
Total Fringe Benefits
Fringe Benefits Narrative(State):
Fringe Benefits Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 7 of 23
State of Illinois
`` UNIFORM GRANT BUDGET TEMPLATE
3).Travel(2 CFR 200.474)
Travel should include: origin and destination, estimated costs and type of transportation, number of travelers, related lodging and per diem costs, brief description of the
travel involved, its purpose, and explanation of how the proposed travel is necessary for successful completion of the project. In training projects, travel and meals for
trainees should be listed separately. Show the number of trainees and unit cost involved. Identify the location of travel, if known; or if unknown, indicate"location to be
determined." Indicate source of Travel Policies applied, Applicant or State of Illinois Travel Regulations. NOTE: Dollars requested in the travel category should be for
staff travel only. Travel for consultants should be shown in the consultant category along with the consultant's fee. Travel for training participants, advisory committees,
review panels and etc., should be itemized the same way as indicated above and placed in the"Miscellaneous"category.
Purpose of Travel/Items Location Cost Rate Basis Quantity Number of Trips Travel Cost Add/Delete
Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Travel
Travel Narrative(State):
Travel Narrative(Non-State): (i.e..e"Match"of"Other Funding)
GOMBGATU-3002-(R-02-17) Page 8 of 23
�lci5«
yam „ State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
4).Equipment(2 CFR 200.439)
Provide justification for the use of each item and relate them to specific program objectives. Provide both the annual (for multiyear awards) and total for equipment.
Equipment is defined as an article of tangible personal property that has a useful life of more than one year and a per-unit acquisition cost which equals or exceeds the
lesser of the capitalization level established by the non-Federal entity for financial statement purposes, or$5,000. An applicant organization may classify equipment at a
lower dollar value but cannot classify it higher than$5,000. (Note: Organization's own capitalization policy for classification of equipment can be used). Applicants should
analyze the cost benefits of purchasing versus leasing equipment, especially high cost items and those subject to rapid technical advances. Rented or leased equipment
costs should be listed in the"Contractual"category. Explain how the equipment is necessary for the success of the project. Attach a narrative describing the procurement
method to be used.
Item Quantity Cost Per Item Equipment Add/Delete
Cost Rows
Add'.
•'Delete::
State Total
Add'":
Non-State Total
Total Equipment
Equipment Narrative(State):
Equipment Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 9 of 23
1ltU t
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
5).Supplies (2 CFR 200.94)
List items by type (office supplies, postage, training materials, copying paper, and other expendable items such as books, hand held tape recorders) and show the basis
for computation. Generally, supplies include any materials that are expendable or consumed during the course of the project.
Item Quantity/Duration Cost Per Item Supplies Add/Delete
Cost Rows
Add
Delete
State Total
Add
Delete
Non-State Total
Total Supplies
Supplies Narrative(State):
Supplies Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 10 of 23
y`,
Ie.' 'y' State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
6).Contractual Services(2 CFR 200.318) &Subawards(200.92)
Provide a description of the product or service to be procured by contract and an estimate of the cost.Applicants are encouraged to promote free and open competition in
awarding contracts. A separate justification must be provided for sole contracts in excess of$150,000 (See 2 CFR 200.88). NOTE : this budget category may include
subawards. Provide separate budgets for each subaward or contract, regardless of the dollar value and indicate the basis for the cost estimates in the narrative. Describe
products or services to be obtained and indicate the applicability or necessity of each to the project.
Please also note the differences between subaward,contract,and contractor(vendor):
1) Subaward (200.92) means an award provided by a pass-through entity to a sub-recipient for the sub-recipient to carry out part of a Federal/State award, including a
portion of the scope of work or objectives. It does not include payments to a contractor or payments to an individual that is a beneficiary of a Federal/State program.
2) Contract (200.22) means a legal instrument by which a non-Federal entity purchases property or services needed to carry out the project or program under a Federal
award. The term as used in this part does not include a legal instrument, even if the non-Federal entity considers it a contract, when the substance of the transaction
meets the definition of a Federal award or subaward.
3) "Vendor" or "Contractor" is generally a dealer, distributor or other seller that provides supplies, expendable materials, or data processing services in support of the
project activities.
Item Contractual Services Add/Delete
Cost Rows
Add
Delete
State Total
Add
Delete
Non-State Total
Total Contractual Services
Contractual Services Narrative(State): -II
Contractual Services Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 11 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
7).Consultant Services and Expenses(2 CFR 200.459)
Consultant Services (Fees): For each consultant enter the name, if known, service to be provided, hourly or daily fee (8-hour day), and estimated time on the project.
Consultant Expenses: List all expenses to be paid from the grant to the individual consultant in addition to their fees (i.e., travel, meals, lodging, etc.) Consultant--
Indicate whether applicant's formal, written Procurement Policy or the Federal Acquisitions Policy is used.
Consultant Services(Fees) Services Provided Fee Basis Quantity Consultant Services Add/Delete
(Fee)Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Consultant Services(Fees)
Consultant Services Narrative(State):
Consultant Services Narrative(Non-State):
Consultant Expenses-Items Location Cost Rate Basis Quantity Number of Consultant Expenses Add/Delete
Trips Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Consultant Expenses
Consultant Expenses Narrative(State):
Consultant Expenses Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 12 of 23
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State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
8).Construction
Provide a description of the construction project and an estimate of the costs. As a rule, construction costs are not allowable unless with prior written approval. In some
cases, minor repairs or renovations may be allowable. Consult with the program office before budgeting funds in this category. Estimated construction costs must be
supported by documentation including drawings and estimates, formal bids, etc. As with all other costs, follow the specific requirements of the program, the terms and
conditions of the award, and applicable regulations.
Purpose Description of Work Construction Add/Delete
Cost Rows
Add
Delete ,
State Total
Add...
Delete
Non-State Total
Total Construction
Construction Narrative(State):
Construction Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 13 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
9).Occupancy-Rent and Utilities(2 CFR 200.465)
List items and descriptions by major type and the basis of the computation. Explain how rental and utility expenses are allocated for distribution as an expense to the
program/service. For example, provide the square footage and the cost per square foot rent and utility, and provide a monthly rental and utility cost and how many
months to rent. NOTE: This budgetary line item is to be used for direct program rent and utilities, all other indirect or administrative occupancy costs should be listed in the
indirect expense section of the Budget worksheet and narrative. Maintenance and repair costs may be included here if directly allocated to program.
Description Quantity Basis Cost Length of Time Occupancy Add/Delete
Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Occupancy-Rent and Utilities
Occupancy-Rent and Utilities Narrative(State):
Occupancy-Rent and Utilities Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 14 of 23
tState of Illinois
'" UNIFORM GRANT BUDGET TEMPLATE
10). Research&Development(R&D)(2 CFR 200.87)
Definition: All research activities, both basic and applied, and all development activities that are performed by non-Federal entities directed toward the production of
useful materials, devices, systems, or methods, including design and development of prototypes and processes. Provide a description of the research and development
project and an estimate of the costs. Consult with the program office before budgeting funds in this category.
Purpose Description of Work Research and Development Add/Delete
Cost Rows
Add
Delete
State Total
Add
Delete
Non-State Total
Total Research and Development
Research and Development Narrative(State):
Research and Development Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 15 of 23
. 71,10
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State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
11).Telecommunications
List items and descriptions by major type and the basis of the computation. Explain how telecommunication expenses are allocated for distribution as an expense to the
program/service. NOTE: This budgetary line item is to be used for direct program telecommunications, all other indirect or administrative telecommunication costs should
be listed in the indirect expense section of the Budget worksheet and narrative.
Description Quantity Basis Cost Length of Time Telecommunications Add/Delete
Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Telecommunications
Telecommunications Narrative(State):
Telecommunications Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 16 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
12).Training and Education (2 CFR 200.472)
Describe the training and education cost associated with employee development. Include rental space for training(if required),training materials, speaker fees, substitute
teacher fees, and any other applicable expenses related to the training.When training materials(pamphlets, notebooks, videos, and other various handouts)are ordered
for specific training activities,these items should be itemized below.
Description Quantity Basis Cost Length of Time Training and Add/Delete
Education Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Training and Education
Training and Education Narrative(State):
Training and Education Narrative(Non-State): (i.e. "Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 17 of 23
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
13). Direct Administrative Costs (2 CFR 200.413(c))
The salaries of administrative and clerical staff should normally be treated as indirect (FM) costs. Direct charging of these costs may be appropriate only if all of the
following conditions are met: (1)Administrative or clerical services are integral to a project or activity; (2) Individuals involved can be specifically identified with the project
or activity; (3) Such costs are explicitly included in the budget or have the prior written approval of the State awarding agency; and (4)The costs are not also recovered as
indirect costs.
Name Position Salary or Wage Basis %of Time Length of Time Direct Administrative Add/Delete
(Yr./Mo./Hr.) Cost Row
Add
Delete
State Total
0/a Add
Delete
NON-State Total
Total Direct Administrative Costs
Direct Administrative Costs Narrative(State):
Direct Administrative Costs Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 18 of 23
l!.4
State of Illinois
k74fry UNIFORM GRANT BUDGET TEMPLATE
14).Other or Miscellaneous Costs
This category contains items not included in the previous categories. List items by type of material or nature of expense, break down costs by quantity and cost per unit if
applicable, state the necessity of other costs for successful completion of the project and exclude unallowable costs (e.g.. Printing, Memberships & subscriptions,
recruiting costs, etc.)
Description Quantity Basis Cost Length of Time Other or Add/Delete
Miscellaneous Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Other or Miscellaneous Costs
Other or Miscellaneous Costs Narrative(State): j
Other or Miscellaneous Costs Narrative(Non-State): (i.e."Match"or"Other Funding")
GOMBGATU-3002-(R-02-17) Page 19 of 23
Gw
State of Illinois
UNIFORM GRANT BUDGET TEMPLATE
15).GRANT EXCLUSIVE LINE ITEM
Grant Exclusive Line Item Description:
Costs directly related to the service or activity of the program that is an integral line item for budgetary purposes. To use this budgetary line item, an applicant must have
Program approval. (Please cite reference per statute for unique costs directly related to the service or activity of the program). (Note: Use columns within table as needed
for the item being reported. Leave blank those columns that are not applicable. This table does NOT auto-calculate each line. You must enter the line totals.The table will
auto-calculate the State, Non-State, and Total Grant Exclusive Line Item amounts based on your line entries. The State, Non-State and Total Grant Exclusive Line Item
amounts will NOT carry forward to the Budget Narrative Summary table. You will have to enter the State and Non-State Totals for ALL Grant Exclusive Line Items in the
Budget Narrative Summary table. Use the"Add New Grant Exclusive Line Item"button below to add additional tables as needed.)
Description Quantity Basis Cost Length of Time Grant Exclusive Line Add/Delete
Item Cost Row
Add
Delete
State Total
Add
Delete
NON-State Total
Total Grant Exclusive Line Item
Grant Exclusive Line Item Narrative(State):
Grant Exclusive Line Item Narrative(Non-State): (i.e. "Match"or"Other Funding")
Add New Grant Exclusive Line Item Delete Grant Exclusive Line Item
GOMBGATU-3002-(R-02-17) Page 20 of 23