HomeMy WebLinkAboutResolution #5535 - Intergovernmental Agreement with Illinois Department of Transportation Regarding Maintenance RESOLUTION NO. 5535
A RESOLUTION APPROVING AN INTERGOVERNMENTAL AGREEMENT WITH
THE ILLINOIS DEPARTMENT OF TRANSPORTATION
REGARDING MAINTENANCE
WHEREAS, the City Council of the City of Canton has determined that it is necessary
and in the best interest to enter into an Intergovernmental Agreement with the Illinois Department
of Transportation("IDOT")regarding certain maintenance to be performed by the City of Canton
on certain roadways within IDOT's jurisdiction and the corporate limits of the City of Canton, as
set forth in"Exhibit A,"which is attached hereto and incorporated herein.
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL
OF THE CITY OF CANTON,ILLINOIS,AS FOLLOWS:
1. That the agreement attached hereto and incorporated herein by reference as Exhibit A is
hereby approved by the Canton City Council.
2. That the Mayor and the City Clerk of the City of Canton,Illinois are hereby authorized and
directed to execute said Agreement on behalf of the City of Canton.
3. That this Resolution shall be in full force and effect immediately upon its passage by the
City Council of the City of Canton, Illinois and approval by the Mayor thereof.
PASSED by the City Council of the City of Canton, Illinois at a regular meeting this 6th
day of January, 2026 upon a roll call vote as follows:
AYES: Alderpersons Chamberlin_ Grimm Nelson Lovell, Pickel, Gossett
NAYS: None
ABSENT: Alderpersons Hale Ketcham
'4,��4t APPROVED: [A ,
K nt cDowell, Mayor
ATTEST:
Brea J. S th-Walters, City Clerk
EXHIBIT A
Illinois Department of Transportafion
Office of Highways Project Implementation I Region 31 District 4
401 Main Street I Peoria,Illinois 61602-1111
October 6, 2025
City of Canton
2 North Main Street
Canton, Illinois 61520
Dear City Clerk:
The State of Illinois, acting through its Department of Transportation, entered
into an agreement for the Maintenance of Municipal Streets with your
municipality.
This letter is to inform you the Department finds the terms of this agreement to
be satisfactory and is hereby exercising its options to extend the agreement to
cover the 12-month period beginning July 1, 2025.
An updated Computation Sheet(s) for this period is attached. The adjustment
factor used to determine the rates of compensation shown on the computation
sheet has been increased to 8.18 to reflect the 1.60% increase in the
Construction Cost Index published by the Engineering News Record. In
addition, the computation sheet has been reviewed to ensure your municipality
is being compensated correctly for the State highways it maintains
Consequently, the Department will pay your municipality $20,659.31 as
compensation for The�atisfactory mainteII e anal operation of the streets for
this 12-month extension of the agreement.
If you have any questions or need additional information, please contact
Susan McGowan, Service and Development Technician at 309 671-4485
Sincerely, f�
Kensil A. Garnett, P.E.
Region Three Engineer
SEM/Imh
s:\genWnwordlserv&dev\fy25 mainienanceagreementslcantonrevised 2026 doc
Attachment
cc: Peggy Ford
File
I�r10is D8�11Et'1t
of'�'df15�011 Intergovernmental Agreement
Governmental Body Name Acireement Number
City of Canton
Address City State Zi Code
2 North Main Street Canton IL 61520
Remittance Address if different from above Ci Stare Zip Code
Phone Uni ue Entity Identifier(UEl) FEINITIN
(309)647-6691 11 1137600876
Brief Description of Service full description specified in Part 5
general roadway maintenance
Compensation Method full details s ecified in Part 6
quarterly
Total Compensation Amount Agreement Term
Advance Pay Start Date Ex -ration Date
206,593.31 Estimate ❑Yes ❑No 07/01/25 06/30/35
REQUIRED SIGNATURES
By signing below,the GOVERNMENTAL BODY and the DEPARTMENT agree to comply with and abide by all provisions set forth in Parts
1-8 herein and any Appendices thereto.
FOR THE GOVERNMENTAL BODY:
Sicinature Dale
4(A t S=�q� P
Name MIN Title
A U-- WV0
FOR THE DEPARTMENT:
Signature Date Gia Biagi.Secretary Date
Delegate Name
Printed Name
Printed Title
Si nature Date vcki L.Wilson Chief Fiscal Officer Date
Michael Prater.Chief Counsel Date
(Approved as to form)
Printed 10106/25 Page 1 of 20 BoBS 2804(Rev.05/07/25)
INTERGOVERNMENTAL AGREEMENT
FOR
This Agreement is by and between
Please type or print legibly the GOVERNMENTAL BODY'S legal name and address
City of Canton
2 North Main Street
Canton, IL 61520
Attention
Andi Walters
Email _
awalters@cantoncityhall.org
referred to as the GOVERNMENTAL BODY,and the State of Illinois,acting by and through its Department of Transportation,
referred to as the DEPARTMENT individually referred to as a PARTY, and collectively referred to as the PARTIES.
Part 1 Scope/CompensationlTerm
Part 2 General Provisions
Part 3 Federally Funded Agreements
Part 4 Specific Provisions
Part 5 Scope of Services/Responsibilities
Part 6 Compensabon for Services
Part 7 Certification Regarding Lobbying
Part B Agreement Award Notification
Part 1
SCOPE /COMPENSATION/ TERM
A Scope of Services and Responsibilities The DEPARTMENT and the GOVERNMENTAL BODY agree as specified in Part 5
B. Compensation Compensation(if any)shall be as specified in Part 6.
C Term of Agreement This Agreement will start 07/01/25 and will expire 06/30/35
D. Amendments All changes to this Agreement must be mutually agreed upon by the DEPARTMENT and the GOVERNMENTAL
BODY and be incorporated by written amendment,signed by the parties.
E. Renewal This Agreement may not be renewed
OR
E. Renewal This Agreement may be renewed upon written agreements by the parties
Printed 10/06/25 Page 2 of 20 BoBS 2804(Rev 05107/25)
Part 2
GENERAL PROVISIONS
A. Changes If any circumstances or condition in this Agreement changes, the GOVERNMENTAL BODY must notify the
DEPARTMENT in writing within seven(7)days.
B. Compliance/Governing Law The terms of this Agreement shall be construed in accordance with the laws of the State of Illinois
Any obligations and services performed under this Agreement shall be performed in compliance with all applicable state and
federal laws The Parties hereby enter into this Intergovernmental Agreement pursuant to the Intergovernmental Cooperation Act.
5 ILCS 220/1 et seq
C. Availability of Appropriation This Agreement is contingent upon and subject to the availability of funds. The DEPARTMENT, at
its sole option,may terminate or suspend this Agreement, in whole or in part,without penalty or further payment being required if
(1)the Illinois General Assembly or the federal funding source fails to make an appropriation sufficient to pay such obligation,or if
funds needed are insufficient for any reason(2)the Governor decreases the DEPARMENT's funding by reserving some or all of
the DEPARTMENT's appropriation(s)pursuant to power delegated to the Governor by the Illinois General Assembly,or(3)the
DEPARMENT determines,in its sole discretion or as directed by the Office of the Governor,that a reduction is necessary or
advisable based upon actual or projected budgetary considerations.GOVERNMENTAL BODY will be notified in writing of the
failure of appropriation or of a reduction or decrease.
D. Records Inspection The DEPARTMENT or a designated representative shalt have access to the GOVERNMENTAL BODY's
work and applicable records whenever it is in preparation or progress, and the GOVERNMENTAL BODY shall provide for such
access and inspection.
E. Records Preservation The GOVERNMENTAL BODY, shall maintain for a minimum of six(6)years after the completion of the
Agreement, adequate books, records and supporting documents to verify the amounts, recipients and uses of all disbursements
of funds passing in conjunction with the Agreement.
F. Cost Category Transfer Request For all transfers between or among appropriated and allocated cost categories,
DEPARTMENT approval is required. To secure approval,the GOVERNMENTAL BODY must submit a written request to the
DEPARTMENT detailing the amount of transfer,the cost categories from and to which the transfer is to be made, and rationale of
the transfer.
G. Subcontracting/Procurement Procedures/Employment of DEPARTMENT Personnel
1. Subcontracting-Subcontracting,assignment or transfer of all or part of the interests of the GOVERNMENTAL BODY
concerning any of the obligations covered by this Agreement is prohibited without prior written consent of the
DEPARTMENT.
2 Procurement of Goods or Services-Federal Funds For purchases of products or services with any Federal funds that
cost more than$3,000.00 but less than the simplified acquisition threshold fixed at 41 U.S.C. 134,(currently set at
$250,000.00)the GOVERNMENTAL BODY shall obtain price or rate quotations from an adequate number(at least
three)of qualified sources Procurement of products or services with any Federal funds for$250 000 or more will require
the GOVERNMENTAL BODY to use the Invitation for Bid process or the Request for Proposal process. In the absence
of formal codified procedures of the GOVERNMENTAL BODY,the procedures of the DEPARTMENT will be used,
provided that the procurement procedures conform to the provisions in Part 3(K)below.The GOVERNMENTAL BODY
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 DEPARTMENT authorizes such a procedure,or,(3)the DEPARTMENT
determines competition is inadequate after solicitation from a number of sources.
3. Procurement of Goods or Services-Slate 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 to not exceed$100,000 for professional and artistic
services, (See 30 ILCS 500/20-20(a)and 44 Ill Admin Code 6.100)the GOVERNMENTAL BODY shall obtain price or
rate quotations from an adequate number(at least three)of qualified sources Procurement of products or services with
any State of Illinois funds not exceeding$100,000 for goods and services or more for professional and artistic services
will require the GOVERNMENTAL BODY to use the Invitation for Bid process or the Request for Proposal process. In
the absence of formal codified procedures of the GOVERNMENTAL BODY, the procedures of the DEPARTMENT will
be used.The GOVERNMENTAL BODY 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 DEPARTMENT authorizes such a
procedure,or,(3)the DEPARTMENT determines competition is inadequate after solicitation from a number of sources.
The GOVERNMENTAL BODY 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.
4 EMPLOYMENT OF DEPARTMENT PERSONNEL The GOVERNMENTAL BODY will not employ any person or persons
currently employed by the DEPARTMENT for any work required by the terms of this Agreement.
Printed 10106125 Page 3 of 20 BoBS 2804(Rev 05/07/25)
Part 3
❑ FEDERALLY FUNDED AGREEMENTS
[Not applicable to this Agreement]
OR
Part 3
❑ FEDERALLY FUNDED AGREEMENTS
A. Standard Assurances The GOVERNMENTAL BODY assures that it will comply with all applicable federal statutes. regulations,
executive orders, circulars, and other federal requirements in carrying out any project supported by federal funds. The
GOVERNMENTAL BODY recognizes that federal laws, regulations, policies,and administrative practices may be modified from
time to time and those modifications may affect project implementation. The GOVERNMENTAL BODY agrees that the most
recent federal requirements will apply to the project as authorized by 49 U.S.0 Chapter 53, U S.Code Title 23-Highways; the
Moving Ahead for Progress in the 21 st Century Act(MAP-21, Public Law 112-141).the Safe,Accountable, Flexible, Efficient
Transportation Equity Act:A Legacy for Users(SAFETEA-LU, Public Law 109-59),as amended by the SAFETEA-LU Technical
Corrections Act of 2008,or other Federal laws.
B. Certification Regarding Lobbying
1 As required by 31 U.S C. 1352 and U S. DOT regulations,"New Restrictions on Lobbying,"specifically 49 CFR 20110
a. The lobbying restrictions of this Certification apply to GOVERNMENTAL BODY requests
(i) For$100,000 or more in Federal funding for a Grant or Cooperative Agreement, and
fill) For$150,000 or more in Federal funding for a Loan, Line of Credit, Loan Guarantee,or Loan
Insurance, and
b. This Certification applies to the lobbying activities of (1)GOVERNMENTAL BODY,
(i) Its Principals and
(ii) Its Subrecipients at the first tier,
2.GOVERNMENTAL BODY's authorized representative certifies to the best of his or her knowledge and belief that for each
agreement for federal assistance exceeding$100,000:
a. No Federal appropriated funds have been or will be paid by your Applicant or on its behalf to any person to influence
or attempt to influence:
(i)An officer or employee of any Federal agency regarding the award of a:
(1)Federal Grant or Cooperative Agreement,or
(2)Federal Loan, Line of Credit, Loan Guarantee, or Loan Insurance,
(6)A Member of Congress, an employee of a member of Congress,or an officer or employee of Congress
regarding the award of a
(1)Federal Grant or Cooperative Agreement,or
(2)Federal Loan, Line of Credit,Loan Guarantee,or Loan Insurance,
b. GOVERNMENTAL BODY will submit a complete OMB Standard Form LLL(Rev. 7-97), "Disclosure of Lobbying
Activities,"consistent with its instructions, if any funds other than Federal appropriated funds have been or will be paid
to any person to influence or attempt to influence:
(i)An officer or employee of an Federal agency regarding the award of a'.
(1)Federal Grant or Cooperative Agreement,or
(2)Federal Loan, Line of Credit, Loan Guarantee, or Loan Insurance,or
(ii)A Member of Congress,an employee of a member of Congress, or an officer or employee of Congress
regarding the award of a:
(1)Federal Grant or Cooperative Agreement,or
(2)Federal Loan, Line of Credit, Loan Guarantee,or Loan Insurance,and c. It will include the
language of this Certification in the award documents for all subawards at all tiers, including, but
not limited to:
(1)Third party contracts,
(2)Subcontracts,
(3)Subagreements,and
(4)Other third party agreements under a:
(i)Federal Grant or Cooperative Agreement, or
(ii)Federal Loan Line of Credit, Loan Guarantee, or Loan Insurance,
Prinled 10/06125 Page 4 of 20 BoBS 2804(Rev 05/07/25)
3. GOVERNMENTAL BODY understands that:
a. This Certification is a material representation of fact that the Federal Government relies on, and
b It must submit this Certification before the Federal Government may award funding for a transaction covered by 31
U.S.C. 1352, including a:
(i)Federal Grant or Cooperative Agreement, or
(ii)Federal Loan, Line of Credit, Loan Guarantee,or Loan Insurance, and
4. GOVERNMENTAL BODY also understands that any person who does not file a required Certification will incur a civil penalty
of not less than$10,000 and not more than$100,000 for each such failure.
C. Nondiscrimination Assurance As required by 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),Title VI of the Civil Rights Act of
1964, as amended,42 U.S C. 2000d,and U.S. DOT regulations,"Nondiscrimination in Federafly-Assisted Programs of the
DEPARTMENT of Transportation—Effectuation of Title VI of the Civil Rights Act,"49 CFR Part 21 at 21 7,the GOVERNMENTAL
BODY assures that it will comply with all requirements of 49 CFR Part 21; FTA Circular 4702.1B,'Title VI and Title VI-
Dependent Guidelines for Federal Transit Administration Recipients,"and other applicable directives,so that no person in the
United States,on the basis of race,color, national origin,creed,sex, or age will be excluded from participation in,be denied the
benefits of,or otherwise be subjected to discrimination in any program or activity(particularly in the level and quality of
transportation services and transportation-related benefits)for which the GOVERNMENTAL BODY receives federal assistance.
Specifically,during the period in which federal assistance is extended to the project,or project property is used for a purpose for
which the federal assistance is extended or for another purpose involving the provision of similar services or benefits, or as long
as the GOVERNMENTAL BODY retains ownership or possession of the project property,whichever is longer, the
GOVERNMENTAL BODY assures that:
1 Each project will be conducted, property acquisitions will be undertaken, and project facilities will be operated in
accordance with all applicable requirements of 49 U.S.C. 5332 and 49 CFR Part 21, and understands that this
assurance extends to its entire facility and to facilities operated in connection with the project.
2. It will promptly take the necessary actions to effectuate this assurance, including notifying the public with
complaints of discrimination in the provision of transportation-related services,or benefits may be filed with
U.S. DOT or FTA. Upon request by U.S. DOT or FTA. the GOVERNMENTAL BODY assures that it will submit
the required information pertaining to its compliance with these requirements.
3. It will include in each subagreement, property transfer agreement,third party contract, third party subcontract,
or participation agreement adequate provisions to extend the requirements of 49 U.S C. 5332 and 49 CFR Part
21 to other parties involved therein including any subrecipient,transferee, third party contractor,third party
subcontractor at any level, successor in interest,or any other participant in the project.
4. Should it transfer real property, structures,or improvements financed with federal assistance to another party,
any deeds and instruments recording the transfer of that property shall contain a covenant running with the
land assuring nondiscrimination for the period during which the property is used for a purpose for which the
federal assistance is extended or for another purpose involving the provision of similar services or benefits.
5. The United States has a right to seek judicial enforcement with regard to any matter arising under the Act,
regulations,and this assurance.
6. It will make any changes in its 49 U S.C. 5332 and Title IV implementing procedures as U.S. DOT or FTA may
request.
D. Control of Property The GOVERNMENTAL BODY certifies that the control, utilization and disposition of property or equipment
acquired using federal funds is maintained according to the provisions of 2 CFR Part 200, Subpart D,Property Standards.
CHOOSE ONE THAT IS APPLICABLE
E. Cost Principles(Apply to state and local governments only]The GOVERNMENTAL BODY certifies that the cost
principles and indirect cost proposals of this Agreement are consistent with 2 CFR Part 200,Subpart E. and Appendix VII to
Part 200, and all costs included in this Agreement are allowable under 2 CFR Part 200, Subpart E, and Appendix VII to Part
200.
E. Cost Principles [Apply to Institutions of higher education only]The GOVERNMENTAL BODY certifies that the cost
principles and indirect/Facilities&Administration(F&A)cost identification and assignment,and rate determination of this
Agreement are consistent with 2 CFR Part 200,Subpart E,and Appendix III to Part 200 and all costs included in this
Agreement are allowable under 2 CFR Part 200, Subpart E, and Appendix III to Part 200.
E. Cost Principles(Apply to nonprofit organizations only]The GOVERNMENTAL BODY certifies that the cost principles
and indirect/Facilities&Administration(F&A)cost identification and assignment,and rate determination of this Agreement
are consistent with 2 CFR Part 200,Subpart E, and Appendix IV to Part 200 and all costs included in this Agreement are
allowable 2 CFR Part 200, Subpart E, and Appendix IV to Part 200.
Printed 10/06/25 Page 5 of 20 BoBS 2804(Rev.05/07/25)
F. Debarment The GOVERNMENTAL BODY shall comply with Debarment provisions as contained in 2 CFR Part 1200, as
amended. The GOVERNMENTAL BODY certifies that to the best of its knowledge and belief,the GOVERNMENTAL BODY and
the GOVERNMENTAL BODY'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),aoove, and d)have not within a three-year period preceding th,s Agreement had one or more
public transactions(federal,slate or local)terminated for cause or default.
The inability of the GOVERNMENTAL BODY to certify to the certification in this section will not necessarily result in denial of
participation in this Agreement. The GOVERNMENTAL BODY shall submit an explanation of why it cannot provide the
certification in(his section. This certification is a material representation of fact upon which reliance was placed when the
DEPARTMENT determined whether to enter into this transaction. If it is later determined that the GOVERNMENTAL BODY
knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, the
DEPARTMENT may terminate this Agreement for cause The GOVERNMENTAL BODY shall provide immediate written notice to
the DEPARTMENT if at any time the GOVERNMENTAL BODY 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 GOVERNMENTAL BODY 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 DEPARTMENT The GOVERNMENTAL BODY agrees that it will include the clause titled"Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction,"provided by the
DEPARTMENT,without modification,in all lower tier covered transactions and in all solicitations for lower tier covered
transactions. The GOVERNMENTAL BODY may rely upon a certification of a prospective participant in a lower tier covered
transaction that is not debarred,suspended, ineligible or voluntarily excluded from the covered transaction, unless the
GOVERNMENTAL BODY knows the certification is erroneous. The GOVERNMENTAL BODY may decide the method and
frequency by which it determines the eligibility of its principals.The GOVERNMENTAL BODY may, but not required to, check the
Non-procurement List. If the GOVERNMENTAL BODY 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 DEPARTMENT 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 GOVERNMENTAL BODY is not required to
exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
G. Audit Requirements The GOVERNMENTAL BODY certifies that it will comply with the requirements of 2 CFR Part 200, Subpart
F, Section 200.501, which sets forth standards for obtaining consistency and uniformity for the audit of non-Federal entities
expending Federal awards, as follows.
1. Audit required A non-Federal entity that expended at least the threshold amount or more as set out in 2 CFR
200.501(1)in federal Awards(direct federal and federal pass-through awards combined)during the non-Federal
enbty's fiscal must have a single or program-specific audit conducted for that year
2. Single cU A non-Federal entity that expends at least the threshold amount or more as set out in 2 CFR 200 501(a)
in federal Awards(direct federal and federal pass-through awards combined)must have a single audit conducted
except when it elects to have a program-specific audit.
3 Program-specific audit elgc(�n When an auditee expends Federal awards under only one Federal program
(excluding R&D)and the Federal program's statutes, regulations or the terms and conditions of the Federal award
do not require a financial statement audit of the auditee, the auditee may elect to have a program-specific audit.A
program-specific audit may not be elected for R&D unless all of the Federal awards expended were received from the
same Federal agency, or the same Federal agency and the same pass-through entity,and that Federal agency, or
pass-through entity in the case of a subrecipient,approves in advance a program-specific audit.
4. Exemption A non-Federal entity that expends less than the threshold amount as set out in 2 CFR 200.501(a)in
Federal awards from all sources, including other agencies, during the non-Federal entity's fiscal year is exempt from
Federal audit requirements for that year,except as noted in §200.503 Relation to other audit requirements,but
records must be available for review or audit by appropriate officials of the Federal agency,pass-through entity, and
Government Accountability Office(GAO)
5. Except for the provisions for biennial audits provided in paragraphs(a)and (b), audits required by this part must be
performed annually.Any biennial audit must cover both years within the biennial period.
Printed 10/D8/25 Page 6 of 20 BoBS 2804(Rev.05/07/25)
a A state,local government,or Indian tribe that is required by constitution or statute,in effect on January 1,
1987, to undergo its audits less frequently than annually, is permitted to undergo its audits pursuant to this
part biennially.This requirement must still be in effect for the biennial period.
b. Any nonprofit organization that had biennial audits for all biennial periods ending between July 1, 1992, and
January 1, 1995, is permitted to undergo its audits pursuant to this part biennially.
6. The audit must be completed;the data collection form described in Appendix X to Part 200 and reporting package
must be submitted within the earlier of 30 calendar days after receipt of the auditors report(s), or nine months after
the end of the audit period.
7. Reportingpacka4e The reporting package must include the following:
a. Financial statements and schedule of expenditures of Federal awards discussed in§200.510 Financial
statements,paragraphs(a)and (b), respectively,
b. Summary schedule of prior audit findings discussed in§200.511 Audit findings follow-up,paragraph(b);
c. Auditor's report(s)discussed in§200.515 Audit reporting; and
d Corrective action plan discussed in§200.511 Audit findings fallow-up; paragraph (c)
H. Drug Free Workplace The GOVERNMENTAL BODY certifies that it will comply with the requirements of the federal Drug Free
Workplace Act,41 U S.C. 702 as amended, and 49 CFR 32.
I. Disadvantaged Business Enterprise Assurance In accordance with 49 CFR 26 13(a),as amended, the GOVERNMENTAL
BODY 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 GOVERNMENTAL BODY assures that it shall take all necessary and reasonable steps set forth in 49
CFR Part 26, as amended,to ensure nondiscrimination in the award and administration of all third party contracts and
subagreements supported with Federal assistance derived from the U.S. DOT The GOVERNMENTAL BODY's 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 by FTA or U.S DOT. Implementation of this DBE program is a legal obligation of the GOVERNMENTAL
BODY, and failure to carry out its terms shall be treated as a violation of the Agreement. Upon notification by the Federal
Government or the DEPARTMENT to the GOVERNMENTAL BODY 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.
J. Assurance of Nondiscrimination on the Basis of Disability As required by U S DOT regulations, "Nondiscrimination on the
Basis of Handicap in Programs and Activities Receiving or Benefiting from the Federal Financial Assistance,"at 49 CFR 27 9,the
GOVERNMENTAL BODY assures that,as a condition to the approval or extension of any Federal assistance awarded by FTA to
construct any facility,obtain any rolling stock or other equipment, undertake studies,conduct research, or to participate in or
obtain any benefit from any program administered by FTA, no otherwise qualified person with a disability shall be,solely by
reason of that disability,excluded from participation in, denied the benefits of,or otherwise subjected to discrimination in any
program or activity receiving or benefiting from Federal assistance administered by the FTA or any entity within U.S. DOT The
GOVERNMENTAL BODY assures that project implementation and operations so assisted will comply with all applicable
requirements of U.S. DOT regulations implementing the Rehabilitation Act of 1973, as amended, 29 U S C. 794, et seq., and the
Americans with Disabilities Act of 1990, as amended,42 U.S C. 12101 of seq., and implementing U.S. DOT regulations at 49
CFR parts 27, 37, and 38, and any applicable regulations and directives issued by other Federal departments or agencies
K. Procurement Compliance Certification The GOVERNMENTAL BODY certifies that its procurements and procurement system
will comply with all appficable third party procurement requirements of Federal laws, executive orders, regulations, and FTA
directives, and requirements,as amended and revised, as well as other requirements FTA may issue including FTA Circular
4220.1F,"Third Party Contracting Guidance,"and any revisions thereto to the extent those requirements are applicable.The
GOVERNMENTAL BODY certifies that it will include in its contracts financed in whole or in part with FTA 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 FTA assistance all applicable clauses required by
Federal laws, executive orders, or regulations.
L Intelligent Transportation Systems Program As used in this assurance, the term Intelligent Transportation Systems(ITS)
project is defined to include any project that in whole or in part finances the acquisition of technologies or systems of technologies
that provide or significantly contribute to the provision of one or more ITS user services as defined in the'National ITS
Architecture."
1. In accordance with 23 U S.C- 517(d). as amended by the Moving Ahead for Progress in the 21st Century Act
(MAP-21),the GOVERNMENTAL BODY assures it will comply with all applicable requirements of Section V
(Regional ITS Architecture and Section VI(Project Implementation))of FTA Notice, "FTA National ITS Architecture
Policy on Transit Projects,"at 66 Fed. Reg 1455 et. seq., January 8, 2001. and other FTA requirements that may be
issued in connection with any ITS project it undertakes financed with Highway Trust Funds(including funds from the
mass transit account)or funds made available for the Intelligent Transportation Systems Program.
Printed 10/06/25 Page 7 of 20 l 2804(Rev.05107125)
2 With respect to any ITS project financed with Federal assistance derived from a source other than Highway
Trust Funds(including funds from the Mass Transit Account)or 23 U S.0 517(d), the GOVERNMENTAL BODY
assures that it will use its best efforts to ensure that any ITS project it undertakes will not preclude interface with other
intelligent transportation systems in the Region.
M. Davis-Bacon Act To the extent applicable, the GOVERNMENTAL BODY will comply with the Davis-Bacon Act, as amended,40
U.S,C 3141 at seq , the Copeland"Anti-Kickback"Act, as amended, 18 U S C 874, and the Contract Work Hours and Safety
Standards Act,as amended,40 U S.0 3701 at seq.,regarding labor standards for federally assisted subagreements
N. Certifications and Assurances Required by the U.S.Office of Management and Budget(OMB)(SF-42413 and SF-424D)
As required by OMB,the GOVERNMENTAL BODY 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 IV 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.0 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.0 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 at 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 confidentiality of alcohol
and drug abuse patient records;
Title Vlll of the Civil Rights Act,42 U S.C. 3601 at 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 1 101(b)of the Transportation Equity Act for the 21 st Century, 23 U S C
101 note,which provides for participation of disadvantaged business enterprises in ETA programs,
Executive Order No. 13559. 75 Fed. Reg. 71319(Nov. 17, 2010). §2(d),which prohibits organizations(that
receive Federal assistance under social service programs)from discriminating against beneficiaries, or
prospective beneficiaries of social service programs on the basis of religion or religious belief;
Any other nondiscrimination statute(s)that may apply to the project.
The prohibitions against discrimination on the basis of disability as provided in the Americans with
Disabilities Act of 1990, as amended,42 U.S C. 12101 at seq.
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,
Printed 10/06/25 Page 8 of 20 BoBS 2804(Rev 05107125)
- GOVERNMENTAL BODY will comply with the environmental protection for Federa� transportation
programs, including,but not limited to, protections for parks, recreation areas,or wildlife or waterfowl
refuges of national,State,or local significance or any land from a historic site of national, State,or local
significance to be used in a transportation Project, as required by 49 U S.C. 303(also known as"Section
4f");
The Wild and Scenic Rivers Acts of 1968, 16 U.S.C. 1271 et seq.,which relates to protecting components
or potential components of the national wild scenic rivers systems;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:
As provided by the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,as
amended(Uniform Relocation Act),42 U.S.C. 4601 at seq., and 49 U.S.C. 5323(b), regardless of whether
Federal funding has been provided for any of the real property acquired for Project purposes,
GOVERNMENTALBODY:
(1) will provide for fair and equitable treatment for any displaced persons, or any persons whose
property is acquired as a result of federally-funded programs;
(2) has the necessary legal authority under State and local laws and regulations to comply with:
(a) The Uniform Relocation Act 42 U S.0 4601 at seq.,as specified by 42 U.S.C. 4630 and
4655; and
(b) U.S. DOT regulations,"Uniform Relocation Assistance and Real Property Acquisition for
Federal and Federally Assisted Programs,"49 CFR part 24. specifically 49 CFR 24.4.
and
(3) has complied with or will comply with the Uniform Relocation Act and implementing U.S. DOT
regulations because
(a) As required by 49 CFR Part 24, the GOVERNMENTAL BODY will adequately inform
each affected person of the benefits, policies, and procedures,
(b) As required by 42 U.S.C. 4622, 4623,and 4624,and 49 CFR part 24,if an FTA-funded
Project results in displacement, it will provide fair and reasonable relocation payments
and assistance to
1. Displaced families or individuals,and
2. Displaced corporations, associations,or partnerships,
(c) As provided by 42 U.S.0 4625 and 49 CFR part 24, it will provide relocation assistance
programs offering the services described in the U.S. DOT regulations to such
1. Displaced families and individuals; and
2 Displaced corporations, associations, or partnerships,
(d) As required by 42 U.S C. 4625(c)(3),within a reasonable time before displacement, it will
make available comparable replacement dwellings to families and individuals,
(e) GOVERNMENTAL BODY/Granlee/Vendor will:
1. Carry out the relocation process to provide displaced persons with uniform and
consistent services; and
2 Make available replacement housing in the same range of choices with respect to
such housing to all displaced persons regardless of race, color,religion, or
national origin;
(f) As required by 42 U.S.C. 4651 and 4652, it will be guided by the real property acquisition
policies,
(g) As required by 42 U S.0 4653 and 4654, it will pay or reimburse property owners for
their necessary expenses, understanding that FTA will provide Federal funding for its
eligible costs for providing payments for those expenses, as required by 42 U.S C.4631.
(h) As required,it will execute the necessary implementing amendments to FTA-funded third
party contracts and subagreements,
(i) As required, it will execute, furnish, and be bound by such additional documents as FTA
may determine necessary to effectuate or implement these assurances;
Q) As required, it will incorporate these assurances by reference into and make them a part
of any third party contract or subagreement, or any amendments thereto,relating to any
FTA-funded Project involving relocation or land acquisition; and
(k) As required, it will provide in any affected document that these relocation and land
acquisition provisions must supercede any conflicting provisions;
The Hatch Act, 5 U S.0 1501-1508, 7324-7326,which limits the political activities of State and local
agencies and their officers and employees whose primary employment activities are financed in whole or
pail with Federal funds,including a Federal Loan, Grant Agreement, or Cooperative Agreement,and(2)49
U.S.C. 5323(I)(2)and 23 U.S.0 142(g),which provide an exception from Hatch Act restrictions for a
nonsupervisory employee of a public transportation system(or of any other agency or entity performing
related functions)receiving FTA funding appropriated or made available for 49 U.S.C.chapter 53 and 23
U.S.C. 142(a)(2)to whom the Hatch Act does not otherwise apply,
Printed 10/06/25 Page 9 of 20 BoBS 2804(Rev 05107125)
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,which requires
Federal agencies to review the effect of their undertakings on historic properties,
Executive Order 11593,which relates to identification and protection of historic properties;
The Archaeological and Historic Preservation Ad of 1974, 16 U.S C. 469a-1 et seq.;
The Laboratory Animal Welfare Act of 1966,as amended, 7 U.S.0 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); and
GOVERNMENTAL BODY will,to the extent applicable,comply with the protections for human subjects
involved in research,development, and related activities supported by Federal funding of:
(1)The National Research Act,as amended,42 U S C. 289 el seq, and
(2) U S. DOT regulations, "Protection of Human Subjects,"49 CFR part 11
O. Energy Conservation To the extent applicable,the GOVERNMENTAL BODY and its third party contractors at all tiers shall
comply with mandatory slandards 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.
P. Clean Water For all contracts and subcontracts exceeding$100,000,the GOVERNMENTAL BODY agrees to comply with all
applicable standards, orders,or regulations issued pursuant to the Water Pollution Control Act, 33 U.S.0 Section 1251 et seq.
Q. Clean Air For all contracts and subcontracts exceeding$100,000, the GOVERNMENTAL BODY agrees to comply with all
applicable standards, orders, or regulations issued pursuant to the Clean Air Act, 42 U.S.C. 7401 et seq.
R. Eligibility for Employment in The United States The GOVERNMENTAL BODY shall complete and keep on file, as appropriate,
Immigration and Naturalization Service Employment Eligibility Forms(1-9). These forms shall be used by the GOVERNMENTAL
BODY to verify that persons employed by the GOVERNMENTAL BODY are eligible to work in the United States.
S. Buy America As set forth in 49 U.S.0 53230) 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.
T. False Or Fraudulent Statements Or Claims The GOVERNMENTAL BODY acknowledges that if it makes a false, fictitious,or
fraudulent claim, statement submission,or certification to the DEPARTMENT in connection with this Agreement,the
DEPARTMENT reserves the right to impose on the GOVERNMENTAL BODY the penalties of 18 U.S.C. Section 1001, 31 U.S.C.
Section 3801 el seq., and 49 CFR Part 31 as the DEPARTMENT may deem appropriate. GOVERNMENTAL BODY agrees to
include this clause in all state and federal assisted contracts and subcontracts.
U. Changed Conditions Affecting Performance The GOVERNMENTAL BODY shall immediately notify the DEPARTMENT 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.
V. Third Party Disputes or Breaches The GOVERNMENTAL BODY agrees to pursue all legal rights available to it in the
enforcement or defense of any third party contract,and FTA or U S DOT and the DEPARTMENT reserve the right to concur in
any compromise or settlement of any third party contract claim involving the GOVERNMENTAL BODY. The GOVERNMENTAL
BODY will notify FTA or U S. DOT and the DEPARTMENT of any current or prospective major dispute pertaining to a third party
contract. if the GOVERNMENTAL BODY seeks to name the DEPARTMENT as a party to the litigation, the GOVERNMENTAL
BODY agrees to inform both FTA or U.S. DOT and the DEPARTMENT before doing so The DEPARTMENT retains a right to a
proportionate share of any proceeds derived from any third party recovery. Unless permitted otherwise by the DEPARTMENT,
the GOVERNMENTAL BODY will credit the Project Account with any liquidated damages recovered. Nothing herein is intended
to nor shall it waive U.S. DOT's, FTA's or the DEPARTMENT's immunity to suit.
W. Fly America GOVERNMENTAL BODY will comply with 49 U S.0 §40118,4 CFR§52 and U S. GAO Guidelines B- 138942,
1981 U S. Comp. Gen LEXIS 2166, March 31, 1981 regarding costs of international air transportation by U.S. Flag air carriers.
X. Non-Waiver The GOVERNMENTAL BODY agrees that in no event shall any action or inaction on behalf of or by the
DEPARTMENT, including the making by the DEPARTMENT of any payment under this Agreement,constitute or be construed as
a waiver by the DEPARTMENT of any breach by the GOVERNMENTAL BODY of any terms of this Agreement or any default on
the part of the GOVERNMENTAL BODY which may then exist; and any action,including the making of a payment by the
DEPARTMENT,while any such breech or default shall exist, shall in no way impair or prejudice any right or remedy available to
the DEPARTMENT in respect to such breach or default. The remedies available to the DEPARTMENT under this Agreement are
cumulative and not exclusive.The waiver or exercise of any remedy shall not be construed as a waiver of any other remedy
available hereunder or under general principles of law or equity.
Printed 10106i25 Page 10 of 20 BOBS 2804(Rev.05107/25)
Y. Preference for Recycled Products To the extent applicable, the GOVERNMENTAL BODY agrees to give preference to the
purchase of recycled products for use in this Agreement pursuant to the various U S Environmental Protection Agency(EPA)
guidelines, "Comprehensive Procurement Guidelines for Products Containing Recovered Materials,"40 CFR Part 247,which
implements section 6002 of the Resource Conservation and Recovery Act,as amended,42 U.S.C. §6962.
Z. Cargo Preference Use of United States Flag Vessels.The GOVERNMENTAL BODY agrees to comply with 46 U S.0 §55305
and 46 CFR Part 381 and to insert the substance of those regulations in all applicable subcontracts issued pursuant to this
Agreement,to the extent those regulations apply to this Agreement
AA. Performance Measurement The GOVERNMENTAL BODY must relate financial data of this AGREEMENT to its performance
accomplishments. Further,the GOVERNMENTAL BODY must also provide cost information or a budget in Part 6 to demonstrate
cost effective practices pursuant to 2 CFR Part 200.301
BB. Project Closeout Pursuant to CFR Part 200 343, the GOVERNMENTAL BODY must submit the required project deliverables,
performance and financial reports,and all eligible incurred costs as specified in Parts 5 and 6,respectively, of this AGREEMENT
no later than 90 days after the AGREEMENT's end date. Further,the GOVERNMENTAL BODY agrees that the project should
then be closed no later than 360 days after receipt and acceptance by the DEPARTMENT of all required final reports.
cc. System Management Award GOVERNMENTAL BODY is required to register with the System for Award Management(SAM),
which is a web-enabled government-wide application that collects,validates, stores and disseminates business information about
the federal government's trading partners in support of the contract award,grants and the electronic payment processes. If the
GOVERNMENTAL BODY does not have a DUNS number,the GOVERNMENTAL BODY must register at hhnps://sam.gov.
As a sub-recipient of federal funds equal to or greater than$25,000(or which equals or exceeds that amount by addition of subsequent
funds),this agreement is subject to the following award terms h tp:!/edg4gLaccess.noogov/201Q_1Pdf/ 1Q-2270b.➢pf and htto
edocket access goo gov72010/odf/2010 22706 odf
DO, Certification Regarding Annual Fiscal Reports or Payment Vouchers The GOVERNMENTAL BODY agrees to comply with 2
CFR Part 200.415(a)as follows:To assure that expenditures are proper and in accordance with the terms and conditions of the
Federal award and approved project budgets, the annual and final fiscal reports or vouchers requesting payment under the
agreements must include a certification, signed by an official who is authorized to legally bind the GOVERNMENTAL BODY,
which reads as follows."By signing this report, I certify to the best of my knowledge and belief that the report 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 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)."
All of the requirements listed in Part 3,paragraphs A through DID apply to the federal funded project. The GOVERNMENTAL
BODY agrees to include these requirements in each contract and subcontract financed in whole or in part with federal assistance
Printed 10/0&25 Page 11 of 20 BoBS 2804(Rev.05107/25)
PART 4
SPECIFIC PROVISIONS
A. Invoices Invoices submitted by the GOVERNMENTAL BODY will be for costs that have been incurred to complete the Part 5,
Scope of Services. If the GOVERNMENTAL BODY's invoices are deemed by the DEPARTMENT or auditors to not be sufficiently
documented for work completed,the DEPARTMENT may require further records and supporting documents to verify the
amounts, recipients and users of all funds invoiced pursuant to this Agreement. Furthermore, if any of the deliverables in Part 5
are not satisfactorily completed,GOVERNMENTAL BODY will refund payments made under this agreement to the extent that
such payments were made for any such incomplete or unsatisfactory deliverable
Any invoices/bills issued by the GOVERNMENTAL BODY to the DEPARTMENT pursuant to this Agreement shall be sent to the
following address
Illinois Department of Transportation
Attention
Susan McGowan I
Address
401 Main Street,Suite 900
E-mail
susan.mcgowan@illinois.gov
Cif State Zip Code
[Peoria lIL 61602
All invoices shall be signed by an authorized representative of the GOVERNMENTAL BODY
B. Billing and Payment All invoices for services performed and costs incurred by the GOVERNMENTAL BODY prior to July 1 si of
each year must be presented to the DEPARTMENT no later than 4cily 31st of that same year for payment under this Agreement
Notwithstanding any other provision of this Agreement, the DEPARTMENT shall not be obligated to make payment to the
GOVERNMENTAL BODY on invoices presented after said date. Failure by the GOVERNMENTAL BODY to present such
invoices prior to said date may require the GOVERNMENTAL BODY to seek payment of such invoices through the Illinois Court
of Claims and the Illinois General Assembly. No payments will be made for services performed prior to the effective date of this
Agreement The DEPARMENT will direct all payments to the GOVERNMENTAL BODY's remittance address listed in this
Agreement
C. Termination This Agreement may be terminated by either party by giving thirty(30)calendar days written notice. If the
DEPARTMENT is dissatisfied with the GOVERNMENTAL BODY's performance or believes that there has been a substantial
decrease in the GOVERNMENTAL BODY's performance,the DEPARTMENT may give written notice that remedial action shall
be taken by the GOVERNMENTAL BODY within seven (7)calendar days. If such action is not taken within the time afforded,the
DEPARTMENT may terminate the Agreement by giving seven(7)calendar days written notice to the GOVERNMENTAL BODY.
In either instance,the GOVERNMENTAL BODY shall be paid for the value of all authorized and acceptable work performed prior
to the dale of termination, including non-cancelable obligations made prior to receipt of notice of termination and for which work
will be completed within thirty(30)days of receipt of notice of termination,based upon the payment terms set forth in the
Agreement
D. Location of Service Service to be performed by the GOVERNMENTAL BODY shall be performed as described in Part 5.
E. Ownership of Documents/Title to Work All documents,data and records produced by the GOVERNMENTAL BODY in carrying
out the GOVERNMENTAL BODY's obligations and services hereunder,without limitation and whether preliminary or final, shall
become and remain the property of the DEPARTMENT.The DEPARTMENT shall have the right to use all such documents,data
and records without restriction or limitation and without additional compensation to the GOVERNMENTAL BODY All documents,
data and records utilized in performing research shall be available for examination by the DEPARTMENT upon request. Upon
completion of the services hereunder or at the termination of this Agreement, all such documents, data and records shall, at the
option of the DEPARTMENT,be appropriately arranged, indexed and delivered to the DEPARTMENT by the GOVERNMENTAL
BODY
F. Software All software and related computer programs produced and developed by the GOVERNMENTAL BODY(or authorized
contractor or subcontractor thereof) in carrying out the GOVERNMENTAL BODY's obligation hereunder,without limitation and
whether preliminary or final, shall become and remain the property of both the DEPARTMENT and the GOVERNMENTAL BODY
The DEPARTMENT shall be free to sell,give,offer or otherwise provide said software and related computer programs to any
other agency,department,commission,or board of the State of Illinois.. as well as any other agency,department,commission,
board, or other governmental entity of any country,state.county,municipality,or any other unit of local government, or to any
entity consisting of representatives of any unit of government, for official use by said entity.Additionally, the DEPARTMENT shall
be free to offer or otherwise provide said software and related computer programs to any current or future contractor.
The DEPARTMENT agrees that any entity to whom the software and related computer programs will be given,sold or otherwise
offered shall be granted only a use license, limited to use for official or authorized purposes, and said entity shall otherwise be
Printed 10/06/25 Page 12 of 20 BoBS 2804(Rev.05/07/25)
prohibited from selling,giving or otherwise offering said software and related computer programs without the written consent of
both the DEPARTMENT and the GOVERNMENTAL BODY.
G. Confidentiality Clause Any documents,data, records,or other information given to or prepared by the GOVERNMENTAL
BODY pursuant to this Agreement shall not be made available to any individual or organization without prior written approval by
the DEPARTMENT All information secured by the GOVERNMENTAL BODY from the DEPARTMENT in connection with the
performance of services pursuant to this Agreement shall be kept confidential unless disclosure of such information is approved
in writing by the DEPARTMENT.
H. Compliance with Freedom of Information Act.Upon request,GOVERNMENTAL BODY shall make available to
DEPARTMENT all documents in its possession that DEPARTMENT deems necessary to comply with requests made under the
Freedom of Information Act. (5 ILCS 140f7(2)).
I. Reporting/Consultation The GOVERNMENTAL BODY shall consult with and keep the DEPARTMENT fully informed as to the
progress of all matters covered by this Agreement.
J Travel Expenses Expenses for travel,lodging,or per diem incurred by the GOVERNMENTAL BODY pursuant to this
Agreement are limited to those described in Part 5, The GOVERNMENTAL BODY shall follow the Travel Guide for State
Employees issued by the Illinois Department of Central Management Services on any travel covered under this Agreement
OR
J. Travel Expenses Expenses for travel,lodging, or per diem is NOT allowed pursuant to this Agreement.
K. Indemnification Unless prohibited by State law. the GOVERNMENTAL BODY agrees to hold harmless and indemnify the
DEPARTMENT, and its officials,employees,and agents, from any and all losses, expenses,damages (including loss of use),
suits,demands and claims, and shall defend any suit or action,whether at law or in equity, based on a alleged injury or damage
of any type arising from the actions or inactions of the GOVERNMENTAL BODY and/or the GOVERNMENTAL BODY's
employees,officials, agents, contractors and subcontractors,and shall pay all damages,judgments, costs,expenses, and fees,
including attorney's fees, incurred by the DEPARTMENT and its officials,employees and agents in connection therewith.
GOVERNMENTAL BODY shall defend, indemnify and hold the DEPARTMENT harmless against a third-party action,suit or
proceeding ("Claim")against the DEPARTMENT to the extent such Claim is based upon an allegation that a Product,as of its
delivery date under this Agreement, infringes a valid United States patent or copyright or misappropriates a third party's trade
secret
L. Equal Employment Practice The GOVERNMENTAL BODY must comply with the 'Equal Employment Opportunity Clause"
required by the Illinois Department of Human Rights. The GOVERNMENTAL BODY must include a requirement in all contracts
with third parties(contractor or consultant)to comply with the requirements of this clause.The Equal Employment Opportunity
Clause reads as follows
In the event that the GOVERNMENTAL BODY,its contractor or consultant fails to comply with any provisions of this Equal
Employment Opportunity Clause,the Illinois Human Rights Act Rules and Regulations of the Illinois Department of Human Rights
("IDHR").the GOVERNMENTAL BODY,its contractor or consultant may be declared ineligible for future contracts or
subcontracts with the state of Illinois or any of its political subdivisions or municipal corporations, and the contract may be
canceled or voided in whole or in part, and such other sanctions or penalties may be imposed or remedies invoked as provided
by statute or regulation During the performance of this contract,the GOVERNMENTAL BODY agrees as follows
1. That it will not discriminate against any employee or applicant for employment because of race. color, religion, sex,
national origin, ancestry. age, physical or mental handicap unrelated to ability, or an unfavorable discharge from
military service; and further that it will examine all job classifications to determine if minority persons or women are
underutilized and will take appropriate affirmative action to rectify any such underutilization,
2. That, if it hires additional employees in order to perform this contract or any portion thereof, it will determine the
availability(in accordance with IDHR's Rules and Regulations)of minorities and women in the area(s)from which it
may reasonably recruit and it will hire for each job classification for which employees are hired in such a way that
minorities and women are not underutilized.
3. That, in all solicitations or advertisements for employees placed by it or on its behalf, it will state that all applicants will
be afforded equal opportunity without discrimination because of race. color, religion,sex, national origin or ancestry,
physical or mental handicap unrelated to ability, or an unfavorable discharge from military service.
4 That it will send to each labor organization or representafive of workers with which it has or is bound by a collective
bargaining or other agreemen!or understanding,a notice advising such labor organizations or representative of the
contractors obligations under the Illinois Human Rights Act and IDHR's Rules and Regulations If any such labor
organization or representative fails or refuses to cooperate with the contractor in its efforts to comply with such Act
and Rules and Regulations,the contractor will promptly notify IDHR and the contracting agency and will recruit
employees from other sources when necessary to fulfill its obligations thereunder;
5. That it will submit reports as required by IDHR's Rules and Regulations, furnish all relevant information as may from
time to time be requested by IDHR or the contracting agency,and in all respects comply with the Illinois Human
Rights Act and IDHR's Rules and Regulations,
Printed 10/06/25 Page 13 of 20 BoBS 2804(Rev.05/07/25)
6. That it will permit access to all relevant books, records, accounts,and work sites by personnel of the contracting
agency and IDHR for purposes of investigation to ascertain compliance with the Illinois Human Rights Act and
IDHR's Rules and Regulations;
7 That it will include verbatim or by reference the provisions of this Clause in every contract and subcontract it awards
under which any portion of the contract obligations are undertaken or assumed, so that such provisions will be
binding upon such subcontractor. In the same manner as with other provisions of this Agreement. the
GOVERNMENTAL BODY, its contractor or consultant will be liable for compliance with applicable provisions of this
clause, and further it will promptly notify the contracting agency and the Department in the event any of its contractor
or subcontractor fails or refuses to comply therewith. In addition, the GOVERNMENTAL BODY will not utilize any
contractor or subcontractor declared by the Illinois Human Rights Commission to be ineligible for contracts or
subcontracts with the state of Illinois or any of its political subdivisions or municipal corporations;
8. The GOVERNMENTAL BODY must have written sexual harassment policies that include,at a minimum, the
following information (i)the illegality of sexual harassment; (ii)the definition of sexual harassment,under State law,
(iii) a description of sexual harassment, utilizing examples; (iv)the Grantee's internal complaint process including
penalties; (v)the legal recourse, investigative,and complaint process available through the Department of Human
Rights and the Human Rights Commission, (vi)directions on how to contact the Department and Commission; and
(vii)protection against retaliation as provided by Section 6-101 of the Illinois Human Rights Act. A copy of the policies
must be provided to the DEPARTMENT upon request, and
In addition,the GOVERNMENTAL BODY is subject to the Illinois Human Rights Act, 775 ILCS 511-101 et seq.,which prohibits
discrimination in connection with the availability of public accommodations
M. Tax Identification Number GOVERNMENTAL BODY certifies that
1. The number shown on this form is a correct taxpayer identification number(or J is waiting for a number to be issued),
and
2 It is not subject to backup withholding because: (a)it is exempt from backup withholding,or(b) has not been notified
by the Intemal Revenue Service(IRS)that it is subject to backup withholding as a result of a failure to report all
interest or dividends, or(c)the IRS has notified the GOVERNMENTAL BODY that it is no longer subject to backup
withholding, and
3 It is a U.S. entity(including a U.S resident alien).
NAME OF GOVERNMENTAL BODY
Taxpayer Identification Number:
Legal Status(check one):
❑ Tax-exempt ❑ Government ❑ Other
N. International Boycott The GOVERNMENTAL BODY certifies that neither GOVERNMENTAL BODY nor any substantially owned
affiliate is participating or shall participate in an international boycott in violation of the U.S. Export Administration Act of 1979 or
the applicable regulations of the U.S. Department of Commerce. This applies to contracts that exceed $10,000(30 ILCS 582)
O. Forced Labor The GOVERNMENTAL BODY certifies 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 DEPARTMENT under this Agreement have been
or will be produced in whole or in part by forced labor,or indentured labor under penal sanction(30 ILCS 583).
P. Equipment The DEPARTMENT and the GOVERNMENTAL BODY agree to the following.
1. The GOVERNMENTAL BODY must obtain the DEPARTMENT's written approval prior to purchasing any equipment
with funds acquired under this Agreement;
2. The GOVERNMENTAL BODY acknowledges that the DEPARTMENT is under no obligation to approve, and the
DEPARTMENT may, if it approves, subject that approval to additional terms and conditions as the DEPARTMENT
may require,
3. The GOVERNMENTAL BODY acknowledges that any equipment purchased under this Agreement must remain the
property of the DEPARTMENT,
4 The GOVERNMENTAL BODY must use the equipment for the authorized purpose under Part 5(Scope of Service/
Responsibilities)and Part 6(Compensation)during the period of performance or the equipment's entire useful life,
5. The GOVERNMENTAL BODY must not sell,transfer,encumber,or otherwise dispose of any equipment that is
acquired under this Agreement without prior DEPARTMENT's written approval;
6 In cases where the GOVERNMENTAL BODY fails to dispose of any equipment properly, as determined by the
DEPARTMENT, the GOVERNMENTAL BODY may be required to reimburse the DEPARTMENT for the cost of the
equipment; and
7 For purposes of this provision,"equipment"includes any tangible or intangible product, having a useful life of two
years or more,an acquisition cost of at least$100, and used solely in GOVERNMENTAL BODY's performance under
this Agreement.
Printed 10/06i25 Page 14 of 20 BoBS 2804(Rev.05/07125)
PART 5
SCOPE OF SERVICE/RESPONSIBILITIES
SCOPE OF SERVICE/RESPONSIBILITIES
A The GOVERNMENTAL BODY agrees to operate and maintain specific portions of the State Highway system
that are currently under the DEPARTMENTS jurisdiction, specifically the portions of that system located within
the GOVERNMENTAL BODY's boundary as shown in Attachment A.
This maintenance location listing may be modified as appropriate and mutually agreed to by both parties. Such
modification shall be in writing and must be approved by the Regional Engineer or his or her designee on behalf
of IDOT and by the PUBLIC WORKS DIRECTOR on behalf of the Governmental Body. It is understood these
modifications may result in a modification to the total payments under this agreement. The parties hereby agree
that a formal amendment to the agreement is not necessary to modify the locations nor is a formal amendment
necessary to modify a change in cost associated with the change in locations, provided the change in amount of
total payments is less than 10%.
B. Maintenance Requirements. The GOVERNMENTAL BODY hereby agrees to maintain the roadway in a
serviceable condition at all times The GOVERNMENTAL BODY's maintenance responsibilities include, but are
not limited to the following:
• street sweeping
• snow removal
C. Responsibilities. The GOVERNMENTAL BODY agrees to the following:-
• must obtain written approval from the DEPARTMENT before cutting or opening the curb or the pavement of
any highway, which is covered in this AGREEMENT;
• must undertake all measures, including notifying the DEPARTMENT of the need for legal action, to require
utility owners or permit holders to adjust, maintain, repair, and restore all pavement cuts, curb openings, utility
frames, municipal frames, grates, and covers that are disturbed by settlement, construction, or repair;
• must notify the DEPARTMENT of the need to inform utility owners or permit holders to pay all costs of
adjustment, maintenance, repair and restoration,
• must ensure that the work adheres to all applicable laws, rules and regulations, as well as the DEPARTMENT's
standards (the most recent edition of Standard Specifications for Road and Bridge Construction, and subsequent
updates); and
• must request and obtain written approval from the DEPARTMENT's Regional Engineer or his designee before
doing any extra work not specifically identified in this AGREEMENT
Printed 10/06/25 Page 15 of 20 BoBS 2804(Rev.05/07125)
PART 6
COMPENSATION FOR SERVICES
Funding
See attached spreadsheet
_ $206,593.31
--- Subtotal $206,593.31
Local Match Provided Through the GOVERNMENTAL BODY
GRAND TOTAL $206,593.31
Fundina Breakdown
See attached spreadsheet
Budget
Printed 10/06/25 Page 16 of 20 BoBS 2804(Rev.05107125)
PART 7
CERTIFICATION REGARDING LOBBYING
(49 CFR PART 20)
[] [NOT APPLICABLE TO THIS AGREEMENT]
OR
PART 7
❑ CERTIFICATION REGARDING LOBBYING
(49 CFR PART 20)
Certification for Contracts.. Grants, Loans, and Cooperative Agreements
(To be submitted with each bid or offer exceeding$100,000)
The undersigned [Contractor]certifies, to the best of his or her knowledge and belief, that
(1)No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or
attempting to influence an officer or employee of an agency, a Member of Congress,an officer or employee of Congress, or an employee
of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract,grant, loan,or cooperative agreement.
(2)If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an
officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with this Federal contract, grant,loan,or cooperative agreement, the undersigned shall complete and submit Standard
Form--LLL,"Disclosure Form to Report Lobbying,"in accordance with its instructions[as amended by"Government wide Guidance for
New Restrictions on Lobbying."61 Fed, Reg. 1413(1119/96) Note: Language in paragraph (2)herein has been modified in accordance
with Section 10 of the Lobbying Disclosure Act of 1995(P.L. 104-65,to be codified at 2 U.S C. 1601, et seq)}
(3)The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers
(including subcontracts,subgrants,and contracts under grants, loans, and cooperative agreements)and that all subrecipients shall certify
and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into
Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U S C § 1352(as amended by
the Lobbying Disclosure Act of 1995).Any person who fails to file the required certification shall be subject to a civil penalty of not less
than$10,000 and not more than$100,000 for each such failure
(Note. Pursuant to 31 U.S.0 § 1352(cx1)-(2)(A) any person who makes a prohibited expenditure or fails to file or amend a required
certification or disclosure form shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such
expenditure or failure.)
The Contractor, certifies or affirms the truthfulness and accuracy of each statement of its
certification and disclosure, if any In addition, the Contractor understands and agrees that the provisions of 31 U.S C A 3801,et seq ,
apply to this certification and disclosure, if any
Signature of Contractor's Authorized Official _ Dale
Name and Title of Contractors Authorized Official
Printed 10/061`25 Page 17 of 20 BoBS 2804(Rev.05107125)
PART 8
AGREEMENT AWARD NOTIFICATION
REED UIRED FOR ALL PROJECTS
Does this pro)ect receive Federal funds? ❑ Yes ❑ No
Amount of Federal funds Name of Project
Federal Project Number
fAssistance Listing Number' Federal Agency, Program Title
'For Assistance Listing Number,refer to original Federal Award/Grant Agreement
REMAINDER OF THIS PAGE IS INTENTIONALLY BLANK
Printed 10106l25 Page 18 of 20 BoBS 2804(Rev 05107125)
ANNUAL CERTIFICATION FOR SINGLE AUDIT COMPLIANCE
NOTI
• The certification applies ONLY to governmental agencies, local units of government and non-profit agencies expending federal
funds for this project It does not apply to for-profit public or private entities.
• If 2 CFR Part 200, Subpart F,Section 200 501,Audit Requirements applies to your organization, submit the certification or a copy
of your single audit to the DEPARTMENT at the end of your fiscal year for any fiscal year in which you expended any federal
funds related to this contract.
NQTL-ANKLIALCOWLMCIr_M((T}t THIS{3,EQUIREMENT J§MANDATORY FQREVERY YEAR1fl1WMCH FEDERAL Ft IUDS.A EE
EXPF.IIDIL2FORTHIS PROJECT BYANY_.5—TATEs.0cAL GOVERNMENTS OR NONPRQFITORGANIZATIQNS,_F.AIL.URE TQ
COMPLY WITH THE ANNUAL CERTIFICATfON TO THE DEPARTMENT WILL RESULT IN$USPENWN Of PAYMEA73 TO
REIMBURSE PROJECT CQSTS.
In accordance with 2 CFR Part 200, Subpart F.Section 200 501,Audit Requirements, non-federal entities that expended at teast the
threshold amount as set out in 2 CFR 200 501(a)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 DEPARTMENT is required by federal law to obtain and review the single audit of all entities that had
any federally participating funds pass through it, irrespective of the amount provided by the DEPARTMENT It is the responsibility of the
agencies expending Federal funds to comply with the requirements and determine whether they are required to have a single audit
performed
In order to comply with the requirements, your agency must provide the following information to the DEPARTMENT on an annual basis for
every year in which you expended funds for costs associated with this project
1 If your agency expended at least the threshold amount as set out in 2 CFR 200 501(a)or more in Federal awards from all sources,
including other agencies, in a year, you are required to have a single audit performed, and submit a copy of the report to the
DEPARTMENT within the earlier of 30 days after completion of the single audit or no more than nine months after the end of your Fiscal
year end.
2 If your agency expended less than the threshold amount as set out in 2 CFR 200 501(a)in Federal awards from all sources, Including
other agencies, in any fiscal year for which you expended funds for project costs, and were not required to conduct a single audit,YDV
muet,Cornplete and f2JWLfl the certification SWIVinnent.
3- If your agency receives multiple awards from the DEPARTMENT, only one annual submittal of this information is required.
Please submit a copy of your single audit or the Single Audit Not Required Certification to
Illinois Department of Transportation
Financial Review a Investigation Section Rm 126
2300 South Dirtcsen Parkway
Springfield, IL 62764
DDLAVdit8Qview djilbnois.nov
The single audit must be comprised of four parts You have the option of including the four parts in one report or a combination of reports.
The four parts are commonly known as
1 Comprehensive Annual Financial Report(Financial Statements)
2 Schedule of Expenditures of Federal Awards and Independent Auditor's Report thereon.
3. Independent Auditor's Report on Internal Control over Financial Reporting and on Compliance and other matters based on an
Audit of Financial Statements performed in accordance with Government Auditing Standards
4. Independent Auditor's Report on Compliance with Requirements Applicable to each Major Program and on Internal Control
over Compliance in accordance with 2 CFR Part 200.
Additional information which should be submitted
1. Corrective Action Plan(s), if applicable,
2, Management Letter, if applicable, and
3 Status of Prior Year Findings,if applicable
For your convenience,you may also submit the information via email to DOT AuditRewewQdlino!5,g0y or via fax at 217f782-5634. If you
have any questions,please contact the Audit Coordination Section at 217/782-6041
Printed 10106r25 Page 19 of 20 BoBS 2804(Rev 05/07/25)
_----- - — NOTICE --- --
Do not submit this certification to the DEPARTMENT with your signed contract.
• The certification applies ONLY to governmental agencies, local units of government and non-profit agencies expending
Federal funds for this project. It does not apply to for-profit public or private entities
• If 2 CFR Part 200, Subpart F, Section 200,501,Audit Requirements applies to your organization,submit the certification
or a copy of your single audit to the DEPARTMENT at the end of your fiscal year for any fiscal year in which you
expended any Federal funds related to this contract.
Annual Certification of Audit jae
1 Do not submit this Certification to the Department with your signed contract
2 This form must be submitted,by the award recipient, yearly,within 60 days of the award recipient's fiscal year end, for the entire length
of the contract
3 You will submit this form to DO F AuditReview@ill,nois.gov within 60 days of your fiscal year end
The Illinois Department of Transportation (IDOT)is required to obtain and review the Single Audit of all entities that have
federally participating funds pass through It.
Section A
The certification applies ONLY to government agencies.local units of government and non-profit agencies expending federal funds It
does not apply to for-profit public or private entities
The requirements of a Single Audit are as follows.
• In accordance with 2 CFR 200 Uniform Administrative Requirements,non-federal entities are required to have a single audit
conducted if the tQ�i�g�Old�_awslld��xD�ttS1�S�f�C►__s1I�Ow r��na aoen the en i i fisCa gar are gCea r th n.
$760,000.00 for audits of fiscal years beginning on or after December 26,2024,or
$1,000,000.00 for audits of fiscal years beginning on or after October 1,2024.
Section 8
Certification for fiscal year through
Check the box that applies
[]The amount of federal funding our organization expended for our fiscal year. _through meets or
exceeds.the Single Audit threshold Therefore,we are required to have a Single Audit
The amount of federal funding our organization expended for our fiscal year, through is below
the Single Audit threshold Therefore,we are not required to have a Single Audit
Section C
Organization Name Fiscal Year End Date
Address _ _ (City--- State Zip Code
Contact Name Title
Phone E-mail
FEIN (do not enter a dash) UEI
Section D
I certify that the above information is correct and in compliance with 2 CFR 200 Uniform Administrative Requirements
Name Title
Date
Printed 1=6125 Page 20 of 20 BoBS 2804(Rev.05/07125)
Ga8"aa^�x^zxesas�a^gga�x��asfK�as�sxsx
- ------------ ---- - -
y. zemn •:..•...........
%a smssm ee esm's soo;$!!e!(X�b$!o aNtRis IVAv IMP AM.,e � 1
� II
sR Q . _ _. R - � -- ----
..... . ..............
_ eeo�ryvoe_ ol�isoApol�be�eo�la�o
..
e
`.-=jQ - a kr�4. x :::_
4i ...._............--
it
'pill
C -j�W � Z 2HiI1 i
�„nCfiRpfi f.�T NSF 0::'1�i.o.yc
E EEl44ll t.11--t 4l l..- ldiil---,-,.._
F:saaxaa ►e�mr-r,�ex-_ c�=p__.__._�-
:.AAp4:A ... ..
. =t ..... t Cam=
WHOM iriffilfil;
- ja ill lium I
159e3�1153 IBBISSESEli51S ... .. .
EE MMISTIM9
e . . .. . . . . . . . ^.r . _ o. .. . ... .