HomeMy WebLinkAbout5.6 A Resolution authorizing acceptance of Subaward Agreement between Cook County and VOMP to fund Police Department respirator mask program 11/8/2019 BoardDocs®Pro
IL
Agenda Item Details
Meeting v 05,, 2019 - REGULAR MEETINGLL - .
*REVISED 11-02-2019
Category 5. CONSENT AGENDA
Subject LAUTHORIZING THE ACCEPTANCE OF THE SUBAWARD AGREEMENT
BETWEEN THE COUNTY OF COOK AND THE VILLAGE OF MOUNT PROSPECT IN AN AMOUNT
NOT TO EXCEED $58,995 TO FUND A POLICE DEPARTMENT RESPIRATOR
Access Public
Type cin (Consent)
Preferred to Nov 05,, 2019
Absolute Date Nov 05,, 2019
Fiscal Impact Yes
Dollar Amount 58f995.00
Budgeted
Budget rc Urban Area Security Initiative ( ) Grant
Recommended cin Accept the grant subaward agreementn the County of Cook and the Village of Mount
Prospect in an amount not to exceedfund a Policer respirator mask
program.
Public Content
Information:
The Police Departmenthas been awardedran Area Security Initiative ( I) Grant from ook County
Department f Homeland Security and Emergency Management ( ) in the amountfund a new
Respirator Mask Program. These grant funds arefiltered own from the U.S. Departmentf Homeland Security,
through the State of Illinois, and to the County of Cook to fund programs that assistlocal communities in the
prevention, mitigation, and response cs of terrorism. The Police Department"s current inventory of gas masks are
at the end of their useful life, and this grant will assist the Police Departmentin obtaining new respirator msks and
associated i m . The use of these masks would be critical to the Police Department"sability to respond to an act
of terrorism in our community.
The grant covers % of the cost of replacing, testing and fittingII masks for the Department — a total of one
hundred (100) masks.
coy of the subaward reement naming the Village of Mount Prospecta subrecipient of this grant is attached.
Also attached is a resolution seeking the Village Board"s approvalBoard" to accept the subaward agreement between the
County of Cook and the Village of Mount Prospectin an amount not to exceed $58,995 to fund a respirator mask
program.
Alternatives
1. Adopt a resolution to authorizethe acceptance of the Subaward Agreementthe County of Cook and the
Village f Mount Prospect in an amount not to exceedfund a Policer it for Mask Program.
2. Action discretion ill r .
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11/8/2019 BoardDocs®Pro
RecommendationStaff
Accept the grant subawardagreement between the County of Cook and the Village of Mount Prospectin an amount
not to exceedto fund a respirator mask program.
Prospect-Mount 839 2 77-17 UASICOO K - 2019 Subrecipient ,
Subaward i .
Administrative Content
Executive Content
All items under Consent Agenda areconsidered routine by the Village Board andwill be enacted by one motion. There
will be no separate discussion of those items unless a Boardr or member from the audience so requests, in
which the item will be removed from the Consent Agenda andconsidered in its sequence theagenda.
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RESOLUTION NO.
A RESOLUTION AUTHORIZING THE ACCEPTANCE OF THE SUBAWARD
AGREEMENT BETWEEN THE COUNTY OF COOK AND THE VILLAGE OF
MOUNT PROSPECT, ILLINOIS
WHEREAS; the Subaward Agreement is entered into between the County of Cook , a public
body, acting through its Department of Homeland Security and Emergency Management
('DHSEM") and the Village of Mount Prospect, a municipal corporation in the State of Illinois,
by and through its Chief of Police; and
WHEREAS; the U.S. Department of Homeland Security through its Grant Programs Directorate,
administers the Homeland Security Grant Program which includes the Urban Area Security
Initiative grant program; and
WHEREAS, the Department of Homeland Security awarded the State of Illinois, through its
Illinois Emergency Management Agency,("IEMA") a 2017 Urban Area Security Initiative
grant(`UASI"); and
WHEREAS,; pursuant to Agreement No. 2017UASICOOK ("2017 Grant Agreement"), a copy
of which agreement is attached hereto as Exhibit A, IEMA has awarded Cook County 2017 UASI
grant funds to utilize for costs related to the planning, organization, equipment. training, and
exercise needs that prevent,protect against,mitigate,respond to,and recover from acts of terrorism
and other catastrophic events; and
WHEREAS, the County wishes to subaward a portion of the 2017 UASI Grant to the Village of
Mount Prospect(subrecipient)in an amount not to exceed$58,995 to fund the Police Department's
Respirator Mask Program as further detailed in this Agreement.
NOW THEREFORE BE IT RESOLVED;by the President and Board of Trustees of the Village
of Mount Prospect, Cook County, Illinois
SECTION ONE: The Village authorizes the acceptance of the Subaward Agreement between the
County of Cook and the Village of Mount Prospect.
SECTION TWO: The Village certifies that all funds awarded pursuant to the Agreement shall be
used only for the purpose(s) described herein.
SECTION THREE: That this Resolution shall be in full force and effect from and after its
passage and approval in the manner provided by law.
AYES:
NAYS:
ABSENT:
PASSED and APPROVED this day of November, 2019
RESOLUTION NO.
Arlene A. Juracek, Mayor
ATTEST:
Karen M. Agoranos, Village Clerk
TONI PRECKWINKLE WILLIAM M.BARNES,Jr
PRESIDENT
EXECUTIVE DIRECTOR
Cook County Board o
� Department of Homeland Security
of Commissioners and Emergency Management
SUBAWARD AGREEMENT
BETWEEN
THE COUNTY OF COOK
AND
THE VILLAGE OF MOUNT PROSPECT, ILLINOIS
THIS SUBAWARD AGREEMENT ("Agreement") is entered into between the County of Cook
("County"), a body politic and corporate of the State of Illinois, acting through its Department of
Homeland Security and Emergency Management ("DHSEM"), and the Village of Mount
Prospect, a municipal corporation in the State of Illinois, ("Subreciplent"), by and through its Chief of
Police.
RECITALS
WHEREAS, the U.S. Department of Homeland Security ("DHS" or "Federal Awarding Agency"),
through its Grant Programs Directorate ("GPD") administers the Homeland Security Grant Program
("HSGP"), which includes the Urban Area Security Initiative ("UASI") grant program.
WHEREAS, DHS awarded the State of Illinois ("State"), through its Illinois Emergency Management
Agency("IEMA"), a 2017 UASI grant, Federal grant# EMS-2017-5 5-00051-SO 1; and
WHEREAS, pursuant to Agreement No. 2017UASICOOK ("2017 Grant Agreement"), a copy of which
agreement is attached hereto as Exhibit A, IEMA has awarded the County 2017 UASI grant funds in an
amount not exceeding $20,361,280.17 ("2017 Grant") to utilize for costs related to the
planning, organization, equipment. training, and exercise needs that prevent, protect against, mitigate,
respond to, and recover from acts of terrorism and other catastrophic events; and
WHEREAS, the County wishes to subaward a portion of the 2017 UASI Grant ("Subaward") to
Subrecipient as further detailed in this Agreement;
NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, and
for other good and valuable consideration,the receipts and sufficiency of which are hereby acknowledged,
the parties agree as follows:
ARTICLE I
INCORPORATION OF RECITALS
The above recitals are incorporated into this Agreement by reference and made a part hereof.
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AWARDED 10/01/2017
ARTICLE II
SUBRECIPIENT INFORMATION AND CERTIFICATION
2.1. Nature of Entity; FEIN Number; and DUNS Number. Subrecipient certifies the following
information is true and accurate:
Subrecipient is ® a unit of government, ❑ an institution of higher education, ❑ a nonprofit
organization;
Subrecipient's correct FEIN is 36-6006011; and
Subrecipient's correct DUNS number is 069507697
2.2. Standing and Authority. Subrecipient warrants that:
(a) Subrecipient has the requisite power and authority to execute and deliver this Agreement and
all documents to be executed by it regarding this Agreement, to perform its obligations
hereunder and to consummate the transactions contemplated hereby.
(b) The execution and delivery of this Agreement, and the other documents to be executed by
Subrecipient regarding this Agreement, and the performance by Subrecipient of its obligations
hereunder have been duly authorized by all necessary entity action.
(c) It recognizes this Agreement and all other documents related to this Agreement, including the
2017 Grant Agreement, all applicable Federal laws,regulations,rules, and guidance, constitute
the legal, valid and binding obligations of Subrecipient enforceable against Subrecipient in
accordance with their respective terms.
2.3 Certification. By executing this Agreement, Subrecipient certifies:
1. All representations made in this Agreement are true and correct and
11. All funds awarded pursuant to this Agreement shall be used only for the purpose(s)
described herein.
Subrecipient acknowledges its subaward 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 funds awarded to Subrecipient.
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ARTICLE III
SUBAWARD TERMS AND CONDITIONS
3.1 Term and Extension. The term of this Agreement shall commence on September 1, 2019
("Effective Date") and shall expire on July 31, 2020 ("Expiration Date"), unless terminated pursuant to
this Agreement. This Agreement may only be extended upon the written agreement of the parties and as
permitted by DHS at its sole discretion. In no event shall payments be made for obligations incurred,
equipment purchased, or work performed before the Effective Date or after the Expiration Date of this
Agreement.
3.2 Purpose of Subaward. The purpose of this Agreement is to provide Subrecipient 2017 UASI Grant
funds for the allowable costs of the Subrecipient's project ("Project") described in its Scope of Project
and Budget Detail Worksheet("Scope/Budget Detail Worksheet"), attached hereto as Exhibit B.
3.3 Amount of Subaward and Use of Funds; Subrecipient Matching Funds. The Subaward is for an
amount not to exceed $58,995.00 and shall be used only to implement the Project, Village of Mount
Prospect Police Department—Respirator Mask Program in conformance with this Agreement and for
no other purpose.
3.4 Grant Assurances; Other Requirements.
(a) Subrecipient shall comply with all the conditions and limitations set forth in the 2017 UASI Grant
Agreement.
(b) In addition to complying with terms and conditions of the 2017 UASI Grant Agreement,
Subrecipient shall comply with all applicable statutes, regulations, executive orders, requirements,
policies, guides, guidelines, information bulletins, County policies and requirements and any conditions
imposed by DHS and IEMA (collectively"Requirements") including but not limited to the following:
1. Department of Homeland Security Notice of Funding Opportunity Fiscal Year 2017
Homeland Security Grant Program
(ht s:// a. / a,,,,,, rar / ss ts/ cu eats/11 )
11. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards ("Uniform Guidance")
m
(b.tt s s s . 1 ,,,,,,t t . . 201.4.°°°fit .1.
t .p
111. The Department of Homeland Security's Standard Terms and Conditions for Fiscal Year
2017
(.h tl s:// . hs® v/sit s/ lu t/ s/ ub� c t s/ sc 1.% ars/ 1 % H %
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OStrd%2OTerm.s% %2OCon-di.tis%2OVersi %207 ,1.%20.Dated%2003
.:..................I.:
0
iv. Illinois Emergency Management Agency Federal Grants Policy Manual
(b. ® Federal.�............. ,............
1c
All Requirements applicable to the Subaward are hereby incorporated into this Agreement by reference
as if fully set forth herein.
(c) By executing this Agreement, Subrecipient acknowledges and agrees it is assumed to have read,
understood, and accepted all Requirements as binding.
3.5 Administrative Requirements. Subrecipient acknowledges and agrees that the County is acting as
a "pass-through entity" (as such term is defined in 2 C.F.R. § 200.74) for this Subaward and that the
County shall have the rights and obligations relating to this Subaward and its administration as set forth
in this Agreement and in the Uniform Guidance.
3.6 NIMS Implementation and Reporting. Subrecipients receiving HSGP funding are required to
implement the National Incident Management System ("NIMS"). FY 2017 HSGP recipients must use
standardized resource management concepts for resource typing, credentialing, and an inventory to
facilitate the effective identification, dispatch, deployment, tracking and recovery of resources. Sample
Resource Typing Form can be found in Exhibit C. (The NIMS Training Program and the NIMS
Implementation Obj ectives can be found at . s-// .fe . /tr �. ..�. . ,,,,,, and
t s® rte res ective Refer tot e DHSEM Grant
. v
p y.
Guidance Manual for further information.)
3.7 Procurement Requirements. Subrecipient shall follow its own procurement requirements if those
requirements comply with all applicable federal and State of Illinois, County and local laws, statutes,
regulations, requirements, policies, guides, guidelines and instructions, including the most recent
restrictions on the purchase of general purpose equipment and on purchases of specified controlled
equipment. See, 2 C.F.R. § 200.318
3.8 Equipment List Requirements. Subrecipient may only purchase equipment listed on the DHS
Authorized Equipment List (AEL), a list of equipment types allowed under the HSGP consisting of 21
equipment categories. The AEL can be found at htt : .-- uta ri o int-list.
......................................................................................................................................................................�...................................................................................................................................................................................... .....................................................................................
3.9 Accounting Requirements. Subrecipient shall maintain effective control and accountability over
all funds, equipment,property, and other assets under this Agreement. The Subrecipient shall keep records
sufficient to permit the tracking of funds to ensure that expenditures are made in accordance with this
Agreement and federal requirements.
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3.10 Financial Management and System of Internal Controls. As prescribed at 2 C.F.R. § 200.303,
Subrecipient must:
1. Establish and maintain effective internal control over the Federal award that provides
reasonable assurance that it is managing the Federal award in compliance with Federal statutes,
regulations, and the terms and conditions of the Federal award.
11. Comply with Federal statutes, regulations, and the terms and conditions of the Federal awards.
M. Evaluate and monitor its compliance with statutes, regulations, and the terms and conditions
of Federal awards.
iv. Take prompt action when instances of noncompliance are identified including noncompliance
identified in audit findings.
V. Take reasonable measures to safeguard protected personally identifiable information and other
information DHS, FEMA, IEMA or the County designate as sensitive or Subrecipient
considers sensitive consistent with applicable Federal, state and local laws regarding privacy
and obligations of confidentiality.
3.11 Audit Requirements.
(a) If Subrecipient expends $750,000 or more in Federal awards (from all sources including pass-
through subawards) during a fiscal year, Subrecipient shall arrange for a single organization-wide audit
conducted in accordance with the provisions of 2 C.F.R. Subpart F. Such audit must be submitted to
DHSEM no later than nine (9) months after the end of the Subrecipient's fiscal year.
(b) If Subrecipient expends less than $750,000 in Federal awards during its fiscal year and is not
subject to the audit requirements in subsection (a), Subrecipient must have a financial statement audit
conducted in accordance with Generally Accepted Auditing Standards (GRAS); if Subrecipient expends
between$500,000 and$749,999 in Federal and State awards combined, Subrecipient must have a financial
statement audit conducted in accordance with Generally Accepted Government Auditing Standards
(GAGAS). Subrecipient shall submit these financial statement audit reports to DHSEM either within,
1. 30 calendar days after receipt of the auditor's report(s) or
11. 180 calendar days after the end of the audit period, whichever is earlier.
3.12 Project or Budget Revisions. The Subrecipient shall only use the funds provided under this
Agreement for the itemized expenditures identified in the Project's Scope/Budget Detail Worksheet
(Exhibit B) and shall not spend more than the specified amount for each such itemized expenditure. The
Subrecipient may request, in writing, approval from DHSEM to modify the expenditures itemized or the
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amounts specified in any Scope/Budget Detail Worksheet. Any request for project or budget revisions
must be submitted for review and approval to the County using the Program Project Modification Request
Form(Exhibit E). This request shall be submitted in the form and manner specified by the DHSEM. The
Subrecipient must obtain DHSEM's written approval prior to making an expenditure that is not in
compliance with a Scope/Budget Detail Worksheet.
3.13 Project Completion. Subrecipient shall complete the Project ("Project Completion"), which
includes, but is not limited to ordering, accepting delivery, installing equipment and full completion of
performance of any service agreements or contracts, by the Expiration Date of this Agreement ("Project
Completion Deadline"). The Subrecipient shall pay out the funds, submit to DHSEM a final report and
documentation of expenditures made, and submit to DHSEM all requests for payment no later than forty-
five (45) days after the Project Completion Deadline. DHSEM has the discretion, and reserves the right,
to not reimburse the Subrecipient for an expenditure that does not comply with all the requirements
established in this paragraph.
3.14 Close Out Financial Report. Subrecipient must submit to DHSEM a final close-out financial report
and narrative using the format provided in Exhibit K by July 17, 2020.
3.15 Record Keep. Subrecipient shall(1)maintain records for equipment,non-expendable personal
property, and real property and (2) as often as deemed necessary by DHS, FEMA, IEMA, County or any
of their duly authorized representatives, permit DHS, FEMA, IEMA, Auditor General, Attorney General
or any of their duly authorized representatives to have full access to and the right to examine any pertinent
books, documents, papers and records of the Subrecipient involving transactions related to this
Agreement. This provision requires, at a minimum, that Subrecipient shall:
1. Cooperate with any compliance review or complaint investigation conducted by the DHS,
FEMA, IEMA or the County,
11. Maintain appropriate backup documentation, and
111. Comply with all other special reporting, data collection and evaluation requirements as may
be required by DHS, FEMA, IEMA or the County.
Subrecipient acknowledges the funds provided by this Agreement are federal pass-through funds that must
be accounted for in the jurisdiction's single audit, if required, pursuant to the Uniform Guidance.
3.16 Remedies for Noncompliance.
(a) Subrecipient acknowledges and agrees that, in the event Subrecipient fails to comply with the
terms and conditions of this Agreement or with any Requirements referenced in Section 3.4, above, the
Federal Awarding Agency, IEMA or the County shall have the right to take one or more of the actions set
forth in 2 C.F.R. § 200.338. Such actions may include, without limitation, the withholding of cash
payments, suspension and/or termination of the Subaward, and the disallowing of certain costs incurred
under the Subaward. Any costs incurred by Subrecipient during a suspension or after termination of the
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Subaward shall not be considered allowable under the Subaward unless allowed under 2 C.F.R. § 200.342.
Subrecipient shall be liable to the Federal Awarding Agency,IEMA or the County for any Subaward funds
used by Subrecipient in violation of any Requirements, and Subrecipient shall indemnify and hold
harmless the County for any sums the Federal Awarding Agency or IEMA determines Subrecipient used
in violation of such Requirements.
(b) Subrecipient shall be granted the opportunity to object to and challenge the taking of any remedial
action by the Federal Awarding Agency, IEMA or the County in accordance with the provisions set forth
in 2 C.F.R. § 200.341.
3.17 Termination. Subrecipient acknowledges and agrees that the Subaward, and any obligation to
disburse to or reimburse Subrecipient in connection thereto, may be terminated in whole or in part by
DHS,IEMA or the County as set forth in 2 C.F.R. § 200.339. Subrecipient shall have the right to terminate
the Subaward only as set forth in 2 C.F.R. § 200.339. In the event the Subaward is terminated, all
obligations and requirements of this Agreement and the Subaward shall survive and continue in full force
and effect with respect to any portion of the Subaward remaining prior to such termination, including,
without limitation, the closeout and post closeout requirements set forth in this Agreement.
ARTICLE IV
PAYMENT
4.1 Basis of Pam. The Subrecipient will be reimbursed on a cost reimbursement basis for
allowable Project costs incurred and paid directly by the Subrecipient pursuant to the Scope/Budget Detail
Worksheet (Exhibit B). The Subrecipient must submit reimbursement request forms to DHSEM for each
reimbursement request as detailed below in 4.2.
4.2 Method of Payment.
(a) Subrecipient will submit requests for reimbursement identifying the payment due for the Project
costs incurred and paid directly by the Subrecipient in such detail and supported by such documents as
the County may require using the Reimbursement Request Form (Exhibit G), including Original Invoices
and Proof of Payment (See, Exhibit H for examples) and the Equipment Inventory Form (Exhibit I) if
necessary. If the subrecipient paid for their Projects costs using checks, then a copy of the cancelled
check(s) — front and back (showing bank stamp) — should be submitted. If a credit card was used, then
card receipt along with the credit card statement should be submitted. If a bank transfer is used, then the
journal entry from the agencies accounting system should be submitted. The requests for reimbursement
and supporting documents should e sent via email to...................:.....:........:...............::. : :. : ....:::
....... ......... ,c c . w.
(b) The County will reject any reimbursement requests that include costs that were incurred or paid
by any party other than the Subrecipient. The County will use reasonable efforts to respond to the
Subrecipient's request for reimbursement within 30 calendar days after submission by either(i)processing
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the payment or (ii) notifying the Subrecipient of the way in which the request is deficient and the
adjustments the Subrecipient must make to receive payment. Within 15 days after receiving such
notification from the County, and after completing such adjustment(s), the Subrecipient may resubmit a
revised request for reimbursement form and the County thereafter will use reasonable efforts to respond
to the Subrecipient's request within 15 days.
4.3 Waiver of Pam. The Subrecipient waives all rights to payment if the request for
reimbursement is submitted after the termination or completion of this Agreement. Costs incurred by the
Subrecipient after the Expiration Date or after earlier termination of this Agreement will not be paid by
the County.
4.4. Allowable Costs. All costs allowed by the Federal Awarding Agency, IEMA and/or DHSEM are
not considered final and may be disallowed upon the completion of audits ordered or performed by the
County or the appropriate federal agency. In the event of a disallowance, the Subrecipient will refund the
amount disallowed to the County.
4.5 Availability of Appropriation; Sufficiency of Funds. This Agreement is contingent upon and
subject to the availability of sufficient funds. The County 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 County by the Federal funding
source or(ii) the County determines that funds will not or may not be available for payment. The County
shall provide notice, in writing, to Subrecipient 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.
4.6 Certification. Pursuant to 2 C.F.R. § 200.415, each invoice and report submitted by Subrecipient
must contain the following certification by an official authorized to legally bind the Subrecipient:
By signing this report/payment request, I certify to the best of my knowledge and belief
that the report/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 l 001 and Title 31, Sections 3729-3730 and 3801-3812).
4.7 Overpayment. If DHSEM or a subrecipient determines there has been an overpayment of federal
preparedness funds, duplicate payment, or any other instance in which the subrecipient has received funds
that are not associated with an authorized expenditure, this amount must be returned to DHSEM. Any
interest earned on the overpayment in excess of the maximum that may be retained shall be remitted to
the DHSEM according to federal rules and regulations.
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ARTICLE V
REPRESENTATIONS AND WARRANTIES
Subrecipient represents and warrants each of the following as of the date of this Agreement and at all
times throughout the term of this Agreement:
Legal Authority. Subrecipient's execution of this Agreement is authorized by a resolution,
ordinance or other evidence of legal authority from the Subrecipient's governing body. The
signature of the individual signing on the Subrecipient's behalf has been made with complete
and full authority to commit the Subrecipient to all the terms and conditions of this Agreement.
Subrecipient must provide evidence of signature authority and the Subrecipient Signature
Authorization Form (Exhibit F) to the County with the executed Agreement.
No Misstatements. No document furnished or to be furnished by Subrecipient to the County in
connection with this Agreement, any reimbursement request or any other document relating to
any of the foregoing, contains or will contain any untrue statement of material fact or omits or
will omit a material fact necessary to make the statements contained therein not misleading,
under the circumstances under which any such statement shall have been made.
Eligibility to Receive Federal Funds. By executing this Agreement, Subrecipient represents
and warrants it is eligible to receive federal funds, and specifically certifies as follows:
(a) Subrecipient is not suspended, debarred or otherwise excluded from participation in
federal assistance programs, as required by Executive Order 12549 and 12689,
"Debarment and Suspension" and implemented by the DOJ at 2 CFR Part 2867.
(b) Subrecipient complies with 31 U.S.C. § 1352, Limitation on Use of Appropriated
Funds to Influence Federal Contracting and Financial Transactions, as implemented
by the DOJ at 28 CFR Part 69.
(c) Subrecipient complies with the Drug-Free Workplace Act of 1988, as amended, 41
U.S.C. § 701 et seq., and will continue to provide a drug-free workplace as required
under that Act and implementing regulations. See, 2 CFR Part 182, Subpart B.
(d) Subrecipient is not delinquent in the repayment of any federal debt, including without
limitation, delinquent audit disallowances, loans, taxes, and any outstanding debts
with the Treasury.
Subrecipient acknowledges that the foregoing representations, warranties and certifications of
eligibility to receive federal funds are material terms of the Agreement.
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ARTICLE VI
REQUIRED CERTIFICATIONS AND ASSURANCES
Subrecipient shall be responsible for compliance with the certifications and assurances enumerated in any
of the Requirements to the extent that same apply to Subrecipient including without limitation the
following:
a. No Pending Application(s) Disclosure. Subrecipient has no pending request(s) for funding to
support the same project being funded under this Agreement and that seeks to cover the identical
cost items outlined in the Project's Scope/Budget Detail Worksheet. If Subrecipient cannot so
certify, it shall complete, execute and submit a Disclosure of Pending Applications form (Exhibit
J) upon execution of this Agreement.
b. Debarment. Subrecipient 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.
c. Criminal Convictions. Subrecipient certifies that neither it nor any managerial agent of
Subrecipient has been convicted of a felony under the Sarbanes-Oxley Act of 2002, or that at least
five (5) years have passed since the date of the conviction.
d. Federal Funding Accountability and Transparency Act of 2006. Subrecipient certifies that it is in
compliance with the terms and requirements of 31 U.S.C. § 6101.
e. Lobbying and Political Activities. Subrecipient certifies that:
i. No federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person 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 awarding any Federal Contract, the making of
any federal grant,the making federal loan,the entering into any cooperative agreement, and
the extension, continuation, renewal, amendment, or modification of any federal contract,
grant, loan, or cooperative agreement.
11. If any funds other than federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress relating to 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. See,
hit
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Ill. The undersigned shall require that the language of the foregoing two subsections 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.
f. Hatch Act. Subrecipient certifies it will comply with provisions of the Hatch Act (5 U.S.C. §§
1501-1508 and §§ 7324-7328) which limit the political activities of employees whose principal
employment activities are funded in whole or in part with federal funds.
g. Privacy and Personally Identifiable Information. Subrecipient agrees to comply with all
confidentiality requirements of 42 U.S.C. § 3789g and 28 C.F.R. Part 22 that are applicable to
collection, use, and revelation of data or information. Subrecipient further agrees, as a condition
of Subaward approval, to submit a Privacy Certificate that is in accord with requirements of 28
C.F.R. § 22.23. Seeb.lSee,:. Certificate.
ARTICLE VII
CIVIL RIGHTS COMPLIANCE
Subrecipient will comply, as applicable, with all federal and state laws and regulations relating to civil
rights protections and nondiscrimination. These include, but are not limited to:
a) Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. § 2000d et seq., which
provides that no person in the United States will, on the grounds of race, color, or national origin,
be excluded from participation in,be denied the benefits of,or be subjected to discrimination under
any program or activity receiving Federal financial assistance. The DHS regulations for this statute
are codified at 6 C.F.R. Part 21 and 44 C.F.R. Part 7.
b) Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. § 1681 et seq.,
which prohibits discrimination on the basis of gender in educational programs and activities. The
DHS regulations for this statute are codified at 6 C.F.R. Part 17 and 44 C.F.R. Part 19.
C) The Americans with Disabilities Act, as amended, 42 U.S.C. § 12101 et seq., which
prohibits recipients from discriminating on the basis of disability in the operation of public entities,
public and private transportation systems, places of public accommodation, and certain testing
entities. The implementing regulation for this statute is codified at 28 C.F.R. Part 35.
d) The Age Discrimination Act of 1975, as amended, 42 U.S.C. §§ 6101 et seq., which
prohibits discrimination on the basis of age in any program or activity receiving federal financial
assistance. The FEMA regulation for this statute is codified at 44 C.F.R. Part 7, Subpart E.
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e) Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. § 794, which
provides that no otherwise qualified individual with a disability in the United States will, solely
by reason of the disability, be excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity receiving Federal financial assistance.
The DHS regulation for this statute is codified at 6 C.F.R. Part 15.
f) The requirements of any other nondiscrimination provisions in the specific statute(s)under
which the application for Federal assistance is being made and any other applicable statutes.
ARTICLE VIII
MAINTENANCE AND ACCESSIBILITY OF RECORDS; MONITORING
8.1 Records Retention. Subrecipient 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 the Subaward, adequate to comply with 2 C.F.R. § 200.333,
unless a different retention period is specified in 2 C.F.R. § 200.333. If any litigation,claim or audit related
to the purchases contemplated herein 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.
8.2 Accessibility of Records. Subrecipient, in compliance with 2 C.F.R. § 200.336, shall make books,
records, related papers, supporting documentation and personnel relevant to this Agreement available to
authorized County representatives, the County's Inspector General, Federal authorities, any person
identified in 2 C.F.R. § 200.336, and any other person as may be authorized by the County (including
auditors) or by the City of Chicago. Subrecipient shall cooperate fully in any such audit or inquiry.
8.3 Failure to Maintain Books and Records. Failure to maintain books, records and supporting
documentation, as described in this Article VIII, 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.
8.4 Monitoring and Access to Information. Subrecipient must monitor its activities to assure
compliance with applicable Requirements and to assure its performance expectations are being achieved.
County shall monitor the activities of Subrecipient to assure compliance with all requirements and
performance expectations of the award. An annual monitoring visit is expected and will be scheduled with
a 30-day notification. Subrecipient shall timely submit all financial and performance reports, and shall
supply, upon the County's request, documents and information relevant to the Subaward. The County
may make site visits as warranted by program needs. See, 2 C.F.R. § 200.328 and § 200.331.
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ARTICLE IX
EQUIPMENT OR PROPERTY REQUIREMENTS
9.1 Equipment and Procurement. Equipment acquired pursuant to this Agreement will be subject to
the requirements of Title 2 C.F.R. § 200.313. For the purposes of this Article t, "Equipment" is defined as
tangible nonexpendable property, having a useful life of more than one year which costs $5,000 or more
per unit. Items costing less than $5,000 but acquired under the "Equipment" category of the Grant must
also be listed on the Equipment Listing
9.2 Use. Equipment must be used by Subrecipient in the program or project for which it was acquired
as long as needed, whether or not the project or program continues to be supported by Federal funds.
When no longer needed for the original program or project, the Equipment may be used in other activities
currently or previously supported by a Federal agency.
9.3 Availability for Like Prorg ams. Subrecipient must make Equipment available for use on other like
projects or programs currently or previously supported by the Federal Government, providing such use
will not interfere with the work on the projects or program for which it was originally acquired. First
preference for other use must be given to other programs or projects supported by the awarding agency.
In addition, in accordance with applicable DHS, FEMA, IEMA and Cook County policies and
requirements, Subrecipient shall make the Equipment and supplies available to other authorized entities,
including call out for mutual aid and interagency regional emergency responses.
9.4 Prohibition against Disposition/Encumbrance. Subrecipient 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 Term without prior approval of the County. Any real property acquired using Grant
Funds must comply with the requirements of 2 C.F.R. § 200.311.
9.5. Equipment Listing. Subrecipient must maintain a list of each piece of Equipment acquired with
its Subaward. The Equipment Listing must be kept up to date at all times. Any changes must be recorded
in the Equipment Listing within ten(10)business days and the updated list shall immediately be forwarded
to DHSEM. Equipment records must be maintained that include: (a) a description of the property, (b) a
serial number or other identification number, (c) the source of property, (d) who holds title, (e) the
acquisition date, (f) cost of the property, (g)percentage of Federal participation in the cost of the property,
(h) the location, (i) use and condition of the property, 0) DHSEM asset tag number, and (k) any ultimate
disposition data including the date of disposal and sale price of the property. Records must be retained by
the Subrecipient in accordance with 2 C.F.R. § 200.313 (d) (1).
9.6 Identification Decal. All Equipment obtained under this Agreement must have an appropriate
identification decal and asset tag (provided by DHSEM) affixed to it and, when practical, must be affixed
where it is readily visible.
9.7 Inventory. A physical inventory of the Equipment must be taken by the Subrecipient and the
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results reconciled with the Equipment Listing at least once every two years or prior to any site visit by
Federal or County auditors/monitors. The Subrecipient is required to submit a letter certifying as to the
accuracy of the Equipment Listing to DHSEM, in the frequency as above.
9.8. Transfer of Equipment. County shall have the right to require that Subrecipient transfer to County
any equipment, including title thereto, purchased in whole with Subaward funds, if County determines
that Subrecipient has not met the conditions of 2 C.F.R. § 200.439(a). County shall notify Subrecipient in
writing should County require the transfer of such equipment. Upon such notification by County, and
upon receipt or delivery of such equipment to County, Subrecipient will be deemed to have transferred
the equipment to County as if Subrecipient had executed a bill of sale therefor.
ARTICLE X
INSURANCE
10.1 Insurance coverage. As required by 2 C.F.R. § 310, Subrecipient must, at a minimum, provide
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.
10.2. Claims. If a claim is submitted for losses related to real or personal property, or both, purchased
in whole with funds from this Agreement, any recovered monies shall be surrendered to County.
ARTICLE XI
INDEMNIFICATION; LIABILITY
11.1 Indemnification. Subrecipient agrees to indemnify and hold harmless the County and its
Commissioners, officials, employees, agents and representatives, and their respective heirs, successors
and assigns, from and against any and all costs, expenses, attorney's fees, losses, damages and liabilities
incurred or suffered directly or indirectly from or attributable to any claims arising out of or incident to
the Subrecipient's performance or nonperformance of this Agreement, or the acts or omissions of the
Subrecipient's officers,agents,employees,contractors, subcontractors,licensees or invitees. Subrecipient
expressly understands and agrees that any performance bond or insurance protection required of the
Subrecipient, or otherwise provided by the Subrecipient, shall in no way limit the responsibility to
indemnify the County as hereinabove provided.
11.2 Liability. The County assumes no liability for actions of the Subrecipient under this Agreement,
including,but not limited to,the negligent acts and omissions of the Subrecipient's agents, employees, and
subcontractors in their performance of the Subrecipient's duties as described under this Agreement. In
addition, the County makes no representations, or warranties, express or implied, as to fitness for use,
condition of, or suitability of any equipment purchased pursuant to this Agreement, except as those
representations are made by the manufacturer of said equipment. As to the nature and condition of said
equipment, in the use of said equipment, the Subrecipient agrees to hold County harmless for any defects
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or misapplications. To the extent allowed by law,the Subrecipient agrees to hold harmless County against
any and all liability,loss,damage,costs,or expenses, including attorney's fees, arising from the intentional
torts,negligence, or breach of the Agreement by the Subrecipient,with the exception of acts performed in
conformance with an explicit, written directive of the County or DHSEM.
ARTICLE XII
NOTICE
12.1 The individuals identified in this section shall be authorized to act as the liaisons of the County
and the Subrecipient, respectively, with respect to this Agreement:
Notices to the County/DHSEM shall be addressed to:
Ellen O'Connor, Grant Coordinator
Cook County Department of Homeland Security and Emergency Management
69 West Washington Street, Suite 2600
Chicago, Illinois 60602
c . . c u t .i. .
Notices to Subrecipient shall be addressed to:
John Koziol, Chief of Police
Village of Mount Prospect, Police Department
112 E Northwest Highway
Mount Prospect, IL 60056
9
..( mount. o eor
.:....:...:...... . .:
12.2 The Subrecipient must notify the County of any significant change in the Subrecipient's
organizational structure. Significant changes include, but are not limited to, changes in:
1. The official(s) to whom notice regarding the Agreement is provided and their mailing
address; and
11. The Subrecipient's leadership, key staff and/or the Subrecipient's program sites, including
the Chief or executive director, site director, fiscal director; name, ownership, Federal
employer identification number(FEIN),DUNS number or taxpayer certification; legal status
(including not-for-profit status); site address or agency official address or telephone
numbers; and the location or storage site of any Equipment purchased through this
Agreement.
Such communication must be directed within ten(10) calendar days of such occurrence (or, in the case of
changes in legal status (including not-for-profit status), address, name, ownership, FEIN or taxpayer
certification, forty-five (45) days in advance) to the County. No promise or undertaking made in this
Agreement is an assurance that the County agrees to continue this Agreement should the Subrecipient
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reorganize,change owners, or otherwise substantially change the character of the Subrecipient's structure,
function, or purpose.
ARTICLE XIII
MISCELLANEOUS
13.1 Assignment Prohibited. Subrecipient acknowledges that this Agreement(including Subrecipient's
right to receive payments hereunder) may not be sold, assigned, or transferred in any manner by
Subrecipient. Any actual or attempted sale, assignment, or transfer by Subrecipient without the prior
written approval of the County shall render this Agreement null, void and of no further effect.
13.2 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.
13.3 Severability. If any provision of this Agreement is declared invalid, its other provisions shall not
be affected thereby.
13.4 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.
13.5 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. The County does not waive
sovereign immunity by entering into this Agreement.
13.6 Compliance with Law. This Agreement and Subrecipient'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 and Cook
13.7 Compliance with Freedom of Information Act. Upon request, Subrecipient shall make available to
the County all documents in its possession that the County deems necessary to comply with requests made
under the Freedom of Information Act. (5 ILCS 140/7(2)).
13.8 Office of the Independent Inspector General. Subrecipient agrees it will abide by all provisions of
the Cook County Code of Ordinances pertaining to the authority of the Office of the Independent Inspector
General and acknowledges it is unlawful for any person subject to the jurisdiction of said office to refuse
to cooperate with the Independent Inspector General.
13.9 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.
13.10 Attachments. This Agreement has the following attachments which are incorporated into this
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Agreement as if set out:
Exhibit A: 2017 UASI Grant Agreement
Exhibit B: Scope of Services and Budget Detail Worksheet
Exhibit C: NIMS — Sample Resource Typing Form and Guidance
Exhibit D: Sample of Authorized Equipment List with Hyperlink
Exhibit E: Program/Project Modification Request Form
Exhibit F: Subrecipient Signature Authorization Form
Exhibit G: Reimbursement Request Form
Exhibit H: Sample of Proof of Payment & Copy of Original Invoice
Exhibit I: Equipment Inventory Form
Exhibit J: Disclosure of Pending Applications Form
Exhibit K: Final Close-Out Financial Report
In the event of any inconsistencies or conflict between the language of this Agreement and the
attachments, the language of the attachments shall control, but only to the extent of the conflict or
inconsistency.
13.11 Entire Agreement. Subrecipient and County 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
Subrecipient or County.
13.12 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.
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IN WITNESS WHEREOF, this Agreement is hereby executed on behalf of the parties through their
authorized representatives as set forth below.
ON BEHALF OF COOK COUNTY:
William M. Barnes Jr., Executive Director
Department of Homeland Security and Emergency Management
Date:
ON BEHALF OF THE VILLAGE OF MOUNT PROSPECT, ILLINOIS:
John Koziol, Chief of Police
Date:
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EXHIBIT A
2017 UASI GRANT AGREEMENT
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 19 Of 29
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Subrecipient Agreement
f.
Agreement No.17UASICOOK
y
I
I NTERGOVERNM ENTAL GRANT AGREEMENT
BETWEEN
THE STATS OF ILLINOIS
.0 1 LLIIS SEM ENCY MANAGEMENT ACY
AND
Cook County,DHSEI
Th e Illinois Emergency Ma Agency Grantor),with its principal office at 2200 South Dirksen Parkway, F
Springfield, Illinois 62703,and Cook County,DHSS (Grantee),with its principal office. 69 west Wash ington f
Street,Suite 0%Chicago,Illinois 60602-3178 hereby eater into this.Int rgov mmental Grant Agreement
(Agreement).Grantor and Grantee are collectively referred to herein as"Pa rti s"or individoalIV as a"Party."
PARS"0 N E—THE UN1FORM TERMS
RECITALS
}
WHEREAS,it is the intent of the Parties to perform consistent with all Exhibits and attachments hereto
and pursuant to the dut;as 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 arra sufficiency of which are acknowledged,the
Parties hereto agree as follows: n
h
ARTICLE I
AWARD ANIS GRANTEE-SPECIFIC INFORMATION AND CERTIFICATION
5
1.1. DUNS umber;SAM Registration;--Nature of EnjLt .Under penalties of perjury,Grantee certifies
that 963219725 is Grantee's correct DUNS number,that -6006541 is Grantee's correct FII,and that Grantee
has an active State registration and SAM registration. Grantee is doing business as a Government Unit. }
. . Amount of Agreement.Grant Funds shall not exceed$20g361,280.17.Granteer
g yes to at r
Grantors payment as specified in the Exhibits and attachments incorporated herein as part of this Agreement.
1.3. Identification Numbers. The Federal Award Identification number is EMW-2017-S -00051-Sol
The Catalogue of Federal Domestic Assistance Number(CFDA)is 97,067. The Catalog of State Financial Assistance
( SFA)Number is 588-00-0455.
1.4. Term.This Agreement shall be effective on October 1,2017,and shall expire on August 31,2020,
/
uniess terminated Pursuant to this Agree r ent.
I.5. Certification.Grantee certifies under oath that(1)all i representations made in th
P .s Agreement
are true and correct and 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 staternents,misrepre entations,or material omissions shall be the basis for immed1ate termination of
this Agreement and repayment of all Grant Funds.
State of Illinois
INTERGOVERNMENTAL GRAIN AGREEMENT FISCAL YEAR 2017 4 291
Page I of 33
.x
Agreement ,17UA51COOK
1.6, Si
ggatures. In witness whereof,the Parties hereto have caused this Agreement to be executed
by their duty authorized representatives.,
1111n,64" Mergency MAnage Agency Cook Cou tyl,'DHS:l
By,&
Byi:,
000pr
R c
r I teri-i m Dl Wl 11,la)�:IM4 hies,Executive Director
1 f'er in rector
L leiDa
tDate. it?l::La 11 11
e: 4
By: By
NOW,
lifer 4'nson,Chiu legal Counsel Signature of'designee
Printed Name:
Diate:
By: Printed Ti tie-,
Brett Cox,,Chief Fiscal Officer
Date:
Staite of 1111nolis
INS'ERG:OVE RN M ENTAL GRANT AG RE ENIE NT FISCAL YEAR 2017/4 219 16
Page 2 of 33
Agreement o.17UASICOOK
ARTICLE It
REQUIRED REPRESENTATIONS
.1. Standing and Au,tharity.Grantee warrants that;
(a) Grantee is a governmental entity.
t
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) 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.
(d) This Agreement and all other documents related to this Agreement,including the
Uniform Grant Application,the Exhibits and attachments to which Grantee is a'par-ty constitute the legal,
{
Val'id and binding obligations of Grantee enforceable against Grantee In accordance with their respective j
terms.
2.2. compliance with internal Revenue Code.Grantee certifies that it does and will comply with all
l�
provisions of the Federal internal Revenue Code USC 1),the Illinois Revenue Act ILC ,and all rules
promulgated thereunder, including withholding provisions-and timely deposits of employee takes and }
unemployment insurance taxes.
{
. . COM1311ancewith--Fed rail„Funding o na liityr a nd Transparencv 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
rade. {
h
Corn liance with Uniform Grant Pules CFR Part-200). Grantee certifies that it shall adhere to
the applicable Uniform Administrative Req Cast Principles,end Audit Req uirements,w hich are
published in Title 2,Part 200 of the Code of Federal Regulations,and are incorporated herein by reference. .See 44
M.Admin.Code 000. (b)(1)(A). }
2.s. Compliance with Registration Reauirements.Grantee and its sub-grantees shall-, (1) registered
be
with the Federal AM;(ii)be in good standing with the Illinois Secretary of Mate,if applicable;and(iii)have a valid M1
DUNS nurnber.It is Grantee's responsibility to remain current with these registrations and re uirer eats.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 charges,Grantee must notify the Grantor in accordance with ARTICLE
}V111.
ARTICLE Ill
DEFINITIONS
S
r
.1. Definitions.Capitalized words and phrases used in this Agreement have the following meanings:
State of Illinois
.
INTERGOVERNMENTAL GRANT AGREEMENT FIS AL YEAR 2017 4 29 1
Page 3 of 33
d Agreement No.17UASICOOK
t' CFP Part 00r'means the U n Iform Administrative Requir meats,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 Ill.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
relationsh1p.Costs allocable to a spedflc Program r ay 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 sane meaning as in 44 Ill.Admin.Code 700}.20.
"Award"has the same meaning as in 44 Ill.Admin.Code 7000.20.
"Budget"has the same meaning as i n 44 ill.Adr in.Code 7000.20.
+ "C DA"or""Catalog of Federal Domestic Assistance's has the same meaning as in 44 Ill.Admin.Code
7000.20.
"Close-out Report"means a report from the Grantee allowing the Grantor to determine whether all
applicaVe administrative actions and required worm have been completed,and therefore closeout actions can
commence.
'Conflict of Interest'has the same meaning as in 44 Ill.Admin.Code 7000.20.
"Consolidated Financial Reports,means a financial information presentation in which the assets,,equity,
.11abilitles,and.-operating accounts of an entity and its subsidiaries are combined(after eliminating all Inteti_entity
transactions)and shown as belonging to a single reporting entity.
"Cost Allocation Plan''has the sante meaning as in 44 Ill,Adrenin.Code 7000.20.
O A"or" atal g. f State Financial Assistance"has the same mea ni ng as in 44 lll.Admin.Code 7000.20.
"Direct Costs"has the same meaning as in 44 ill.Admin.Code 7000.20.
"DisallowedCosts"has the same meaning as in 44 Ili.Admin,Code 7000.20.
"DUNS Numbers means a unique nine digit identification number provided by Dun&Bradstreet for each
physical location of Grantee's organization.Assignment of a BUNS Number is mandatory for all organizations
seeking an Award from the State of Illinois.
`TAIN"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.
"Fixed-Rate"'has the same meaning as in 44 Ills Admin.Code 7000.20."'Fixed-Rate' is in contrast to fee-
for-service,
e -for-service,44 Ill.Admin..Code 7000.20.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2017 4 29 16
Page 4 of 33
Agreement No.17UASICOOK
7000.20."'GAM"or"Generally Accepted Accounting Principles,"has the same meaning as in 44 Ill.Admin.Code
'Grant Fun ds"has the same meaning as In 30 IL S 705.
"Indirect Costs"'has the same meaning as in 44 Ill.Admin.Code 7000.20.
"Indirect Cost Pate"means a device for determinjng in a reasonable manner the proportion of#ndir ct
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 Ill.Admin.Code 7000,20.
""Net Revenue"means an entity's total revenue less its operating expenses,'interestaid,depreciation,
!� P t �
and taxes."'Net f evenue"is synonymous with"Profit."
"Nonprofit Organization"has the same Meaning as in 44 Ill.Admin.Code 7000. 0. j
"Notice of Award"has the same meaning as in 44 ill.Admin.Code 7000.20.
"OM "has the same meaning as in 44 Ill.Admin.Code 000.20.
f
"Prior Approval"'has the same meaning as in 44 Ili,Adrenin,Code 7000.20.
amu:
Y "
"Profit"means an entity's total revenue less its operating expenses,interest aid,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. r
{
'`Prorar Income"has the carne meaning as in 44 111,Admin,Codi 7000.20.
"'Related Parties"has the meaning set forth In Financial Accounting Standards Board(FASB)Accountin
Standards Codification(ASCD 850-10-20.
f
""SAM 'Weans the federal System for Award Management(SAM):which is the Federal repository into t
which an entity must provide information required for the conduct of business as a recipient.2 CFR 25 Appendix A
"`State„means the State of Illinois.
"Term"'has the meaning set forth in Paragraph 1.4.
Zi
"'Unallowable Costs"has the same meaning as in 44 Ill.Admin.Code 700 . 0.
State of Illinois
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ARTICLE I
PAYMENT
4.1. Availability of Approl2riation;.SuffleieM 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 Cantor determines that funds will net or may not be
available for payment.Grantor-shall provide notice,in writing,to Grantee of a ny 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. . Illinois Grant FundsRecovery-Act.Any Grant Funds remaining at the end of the Agreement
period which are not expended or legally obligated by Grantee shall be returned to Grantor within forty-five(4 5)
days after the.exp 1ration of this Agreement in accordance with the Grant Funds Recovery Act( o 1L S 705/1 et
eq.). In the evert of a conflict between the Grant Funds Recovery Act and the Grant Accountability and
Transparency Act,the provisions of the Gant Accountability and Transparency Act shall control.30 ILS 708/80.
4.3. Cash Management Improvement Act of 3990.Unless notified otherwise in PART T O or PART
T ,Federal funds received under this Agreement shall be managed in accordance with the Cash Management
Improvement Act of 1990(3 1 USC 6503 et seq.)and any other applicable Federal I aws or regulations.
4,4. Payments to Third Parties.Grantee agrees that Grantor shall have no liability to Grantee when
Gra ntor 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 Tera if i Grantor believes Grantee will not use the
funds during the"Term,(ii)Grantor believes Grantee has used funds in a manner ner 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, lv 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 arnount 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. . 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 PAST Two
or PART THREE. 30 US 70S/10.
(b) Grant Fonds shall be placed in an insured account,wherever possible,that bears
interest,unless exempted under 2 CFR Part 200.305(b)( )or prohibited from doing so by state law.All
State of Illinois
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interest earned shall be considered Grant Funds and are subject to the sane restrictions,unless there is
ars applicable Federal program rule that takes precedence.
(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 st,ch debt as required by Section 10.2.of the
Illinois Mate Collection Act of 1986,30 US 210;See also 30 TLCs 705/10.
1o,
4.7. Ti m ely W1 III ng- a uired.Grantee must submit any payment request to Grantor with in.thir
days of the end of the quarter,unless another bil1.1n'g schedule is specified in PART TWO or PART THREE.Failure to
submit such payment request timely will render the a'mounts billed an unallowable cost which Grantor cannot
reirnburse.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 subunit the payment request.-Grantor's approval of
Grantee's request for an extension shall not be unreasonably withheld.
. Certification.Pursuant to 2 CFR 200.415,each invoice and report submitted by Grantee must
contain the following certification by ars official authorized to legally bird the Grantee:
By signing this report[or.payment request],l certify to the best of m
knowledge and belief that the report or payment request]is trite,complete, 2
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 Mate award.I am aware that any falser fictitious,or fraudulent
information,ration,or the omission of any material fact,may subject me to criminal,
nig civil or administrative penalties for fraud,false statements,false claims or
ry otherwise.(U.S.Code Tale 18,Section 1001 and Title 31j Sections 3729-3730
and 3801-3812).
ARTICLE V
{
- SCOPE OF GRANT A TIVI IE PU POS E OF GRANT
. .
$col2e of Grant Activities/Purpose of Grant.Grantee will conduct the Grant Activities orp ro ide Nt
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 teras and conditions set forth herein and all
applicable administrative rules.In addition,the State's Notice of Award is incorporated herein as an attachment.
Ail G rantor-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. Sc a Revisions. Grantee shall obtain Prior Approval from Grantor whenever a Scop a revision is
necessary for one or more of the reasons enumerated in 2 CFR 200.308.All requests for Scope revisions that
x
require Grantor approval shall be signed by Grantee's authorized representative and submitted to Grantor for
approval. Expenditure of fords under a requested revision is prohibited and will not be reimbursed if expended
approval. CFR . fig
before Grantor eves written a p
, x
,pecific Conditions. If applicable,specific conditions required after a risk assessment ssessmerrt wail be r:
included in Exhibit G. Grantee shall adhere to the specific conditions Iisted therein.
State of Illinois
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ARTICLE Ill
BUDGET
.1. The Budget is a schedule of anticipated grant expenditures that is approved by Grantor
for carryjng 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 reprised 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 irr 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.
. . piscretiona nItem Transfers.Unless prohibited from doing so in 2 CFR200.308,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)tern percent(10%)of the Budget line item or(ii)one
thousand dollen($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 J$1,000),of the
Budget line item require Grantor approval as set forth in Paragraph 6.2.
.5, Notification.Within thirty( 0)calendar days from the date of receipt of the request for Budget
et
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 V11
ALLOWABLE COSTS
7.1. Allowability of Costs-C st Allocation X111 d .The allowability of costs and cost allocation
methods for work performed under this Agreement shall be determined in accordance with 2 CFR 200 Subpart
and Appendices 111,IV,and V.
7.2. indirect Cost Rg2 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
regulationsr_for�+approval no later than three months after the effective date of the Award,In aformat
ibed
prescri
State of Illinois
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Agreement No.17UASICOOK
(t) Appendix lilt to 2 CFR Part 200 governs indirect Cost Rate Proposals for State
and local governments.
(ii) Appendix lit to 2 CFR Pati 200 governs indirect Cost Rate Proposals for
institutions of higher education,
c) A Grantee who has a current,applicable rate negotiated by a cognizant Federal agency
shall provide to Grantor a copy of its I ndirect Cost Rate acceptance Tetter from the Federal govemment,
Grantor will accept that Indirect Cost Rate,up to any statutory,rule-based or programmatic limit.
However.,for Grantees to which Appendix III of 2 CFRPart 200 applies,the rate amount must not exceed
2 [,see 2 CFR Part 200,Appendix ill( )( )).
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.
Ki her Education Cost P rincipies.The Federal cost principles that apply to public and private
institutions of higher~education are set forth in 2 CFR Part 200 Subpart F and Appendix Til.
}
.5. Government Cost Princi les,The Federal cost principles that apply to State,local and Federally-
recognized Indian tribal governments are set forth in 2 CFR Part 200 Subpart F,Appendix V,and Appendix V11.
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
} KK. provides accurate,current,and complete disclosure of all financial transactions related to each State;and
a
Federally funded Program.Accounting records must contain information pertaining to State and Federal
passthrough awards,authorizations,obligations,unobli ated 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 mast be accounted for in the general ledger with other Grant Funds.
Third party in-kind(non-cash)contributions are not required to be recorded its 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,s,bank statements,invoices,paid hills,donor letters,time and
attendance record,activity reports,travel reports,contractual and consultant agreements,and Y
subaward documentation.All supporting documentation should be clearly identified with the Award and
general ledger accounts which are to be charged or credited,
0) The documentation standards for salary charges to grant .are prescribed by 2
CFR 200.430,and in the cost principles applicable to the entity's organization(Paragraphs 7. n
through .5 .
00 if records do not meet the standards in 2 CFR 200.4303,then Grantor may notify
Grantee in PART TWA,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(10 of the employee's actual time,separately indicating the
j
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
w
salary costs to the appropriate accounts no less frequently than quarterly.
State of Illinois
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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.
(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 gust 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.ent. Requests for advance payment shall be limited to Grantee's
immediate cash needs.Grantee must have written proved ur-es 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. Federal Requirements'..X ll Grants,whether funded in whole or in part with either Federal or Mate
funds,are subject to Federal requirements and regulations,including but not limited to 2 CFR Part 200,44 Ill.
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.,
CFR 200.400(g);see also 30 HCS 708/60(a)(7).
.0. Management-of Pr-o ram income. Grantee is encouraged to earn income to defray program
costs there appropriate,subject to 2 CFR 200.307.
ARTICLE Vill
REQUIRED CERTIFICATIONS
.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 recon[(301LCS 500 -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
2012 Q 20 ILC 3 3 E-3 or 7 20 1LC 33 E-4,respectively).
W Debt to Mate.Grantee certifies that neither it,nor its affiliate(s),is/are barred from
receiving an Awa because Grantee,or its affiliate( ,is/are dell n urent 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
Mate of Illinois
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Agreement No.17UASICOOK
debt,and Grantee acknowledges Grantor may declare the Agreement void if the certification is false(30
iLCS 505 -11 ,
d) Educational Loam.Grantee certifies that it is not barred from receiving State agreements
as a result of default on an educational loan S ILCS 385/1 et,s .).
:. (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.Expon Administration Act of 1979(50 DSC 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
3
there for payment of their dues or fees to any club which unIawfuIly discriminates(77S IL S 25/1 et.seq.). }
(g) Piro-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)( 0 DSC 7181-7184).
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 DSC 8102.
f
M Motor Muter Law.Grantee certifies that it is in full compliance with the teras and
provisions of the National Voter Registration Act of 1993 USC 20501 et seq.).
} 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 USC§7401 et seq.) and
the Federal water Pol Iution Control Act,as amended(33 USC§125 .et sect.), {
Debarment.Grantee certifies that it is not debarred,suspeinded,P �rc osed for
debarment,declared ineligible,or voluntarily excluded from participation in this Agreement by any
Federal department or agency(45 CFR part b),or by the State(See 30 ILCS 708/25(6)(G)). ff
.r
I
Non-procurement Debarment and Suspension.Grantee certifies that it is in compliance
p ce
with Subpart C of 2 CFR Part 180 as supplemented by 2 CFR Part 376,.Subpart C. ry:
(m) Grant for the Construction of Fixed Works.Grantee certifies that all Progra for
g the
construction of faked works which are financed inn whole or iin part with funds provided by this Agreen ent n
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 shah comply with the requirements of x
r
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
g }
be paid to all laborers,workers,and mechanics performing work under the Award and requiring all bonds {
of contractors to include a provision a g g will guarantee the faithful performance f such prevailing wage
clause as provided by contract.
State of Illinois
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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 pct of 3.996(FIIPAA),Public Law No.
104-191,45 CFR Parts 160..162 and 164,,and the Social Security Act,42 LSC 1320d- 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( )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
felony under Illinois Securities Law of 1953,or that at least fire S)years have passed since the date of the
conviction. Grantee further certifies that it is not barred from re a wing an Award under 30 ILCS 500/50-
10.5,and acknowledges that Grantor shall declare the Agreement gold if this certification is false(301LC
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 550#1 that It is not
barred from receiving an Award under this Paragraph. Grantee acknowledges rledges that this Agreement ent may
be declared void if this certification is false.
r) E nvi ron me ntaI Protection Act Vi lation s.Grantee certifies In accordance with 30 ILC
50-1 that it is not barred from receiving an-Award under this Paragraph. Grantee acl nowledges 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,
mate ria Is,or supplies furnished to the Stag under this Agreernent have been produced ire whole or In part
by the labor of any child under the age of twelve(1 ) 30 iLCS 534).
M Federal Funding Accountability and Transparency Act of 2006.Grantee certifies that it
is in compliance with the terms and requirements of 31 USC 6101.
ARTMILE 1
CRIMINAL INAL DISCLOSURE
.1� Mandatoly Criminal Disclosur s.Grantee shall continue to disclose to Grantor all violations of
criminal lav involving fraud,bribery or gratuity violation s.potentially affecting this Award. See 301L .S 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 i#of 2 CFR Part 200,,and 3
I L S 708/40.
Stag of Illinois
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ARTICLE
UNLAWFUL DISCRIMINATION
10.1, Comp Hance with N on discrimination Laws.Both Parties,them-employees-and subcontractors
under subcontract rade pursuant to this Agreement,remain compliant with all applicable provisions of State and
Federal lags and regulations pertaining to nondiscrimination, exual harassment and equal employment
opportunity including,but not limited to.,the following laws and regulations and all subsequent amendments
thereto:
a) The Illin is-H uman Rights Act(7751LCS 5/1-101 et seq.),including,without limitation,44
ill.Admin.Code Part 750,which is incorporated herein;
(b) The Public Works Et pl yment Di crimination Act(775 ILCS 10/1 et seq.);
c) The United States Civil Rights Act of 1964(as a.rnended)142 US 2000a-and 20 h- . j i
See also guidelines t Federal Financial Assistance Recipients Regarding Tale VI Prohibition Against
National Origin Discrimination Affecting Limited English Proficient Persons[Federal Register: February 18, �
2002(Volume 67,Number 13,Pages 2671-2685)]);
3
(d) Section 504 of the Rehabilitation Act of 1973(29 LSC 794);
(e) The Americans with Disabilities Act of 1990(42 USC 12101 et sect.);and
The Age Drscrimination.Act( 2 USC 610 .et.se .). ry
ARTICLE X1 }
}
LOBBYING
11.1. Irn ro er influRence.Grantee certifies that no Grant Funds have been paid or will be paid by or on {
k
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
4
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,renew 1,amend rent o modification of any g a reern nt t
grant,loan or cooperative agreement. 31 USC 1352. Additionally,Grantee certifies that it has filed the required
certification under the Byrd Anti-Lobbying Amendment( 1 USC 1352),if applicable.
1.2. Federal Form LLL,if any funds,other than Federally-appropriated funds,were paid r will b
� pay
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
Fora,in accordance with its instructions.
11.3. Lobbying Costs.Grantee certifies that it is in compliance with the restrictions on lobbying yet
forth in 2 CFR Part 200.450.For any Indirect Costs associated with this Agreement,total lobbying costs shall b
separately identified in the Program Budget,and thereafter treated as other Unallowable Costs.
11.4. Procurement t Loi b rir rant a warrants and certifies that it and,to the best of its knowledge, ;ry
its sorb-grantees have compiled and will comply with Executive Order Ido. 2007
� } 1-207).EO 1-2007
State of Illinois
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Agreement No.17ASIC
generally prohibits Grantees and subcontractors frbm hiring the thea-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. Subawar .Grantee must include the language of this A TICLE. I in the award dockiments for
any subawards made pursuant to this Award at a II tie's.All sub-awardees are also subject to certification and
disclosure. Pursuant to Appendix II(I)to 2 CFR Part 200,Grantee shall forward all disclosures by contractors
regarding this certification to Grantor.
,. . Certification.This certification is a material representation of fact upon which reliance was
placed to eater into this transaction and is a prerequisite for this transaction,pursuant to 3 1 USC 1352.Any person
who fails to file the required certifications shall be subject to a civil penalty of not less than$13,000,and not more
than$100,000,for each such failure.
ARTICLE 3I1
MAINTENANCEAND ACCESSIBILITY OF REC R SP MONITORING
12.1. Records Retention.Grantee shall maintain for three( )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 12 Maintain Books_and_Records.Failure to maintain books,records-and supporting
doc rnentatim,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 reale site visits as
warranted by program needs. See 2 CFR200.328 and 200.331. Additional monitoring requirements may be in
PART TWO or PAR'THREE.
State of Illinois
INTERGOVERNMENTAL GRAi T AGREEMENT FISCAL YEAR 2017 1
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Agreement No.17UASICOOK
ARTICLE X111
FRACTAL REPORTING REQUIREMENTS
13.1. , e aired„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 3
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 b
the report.Additional inforr ation regarding required financial reports may be
P set forth in Ebbrt .Failure t
submit the required financial reports may cause delay or suspension of funding. 301LC '05/1 et sect.; Cl`
20 (b)( )and 200.327,
13-2. Close-out Reports.
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(a) Grantee shell submit a Close-out Report within o calendar days following the end of
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the period of performance for this Agreement. in the evert that this Agreement is terminated prior to the
end of the Terni,Grantee shall submit a Close-oust 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.
(b) If an audit or review of Grantee occurs and results in adjustments after Grantee submits
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
( ) This Paragraph 13,3 applies to all Grantees,unless exempted by PART Til o or PART
THREE.
(b) Grantees shall submit AnnuNal Financial Reports with 1n 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.
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c) The Annual Financial Report must cover the same period the Audited Financial
Statements cover. If no Audited Financial Statements are required,however,their the Annual Financial
Report must cover the same period as theGrantee's tax return.
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d) Annual Financial Reports must include an in relation to opinion from the report issuer t
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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
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required under this section are prepared by the Illinois Auditor General,if they are not available by the
above-specified duo date,they will be provided to Grantor within thirty( 0)days of becoming available.
13.4. Effect of Failure„to�oly.Failure to comply with reporting requirements shall result in the
withholding of funds,the return of unproper 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 Xlll
ARTICLE XIV,or ARTICLE XV shall be considered prima facie evidence of a breach and may be admitted as such,
State of Illinois ;{
INTERGOVERNMENTAL GRANTA EE M ENT FISCAL YEAR 2017 4 29 1£ s
Page 15 of 33
Agreement No.17UASICOOK
ritho t further proof,into evidence ire ars administrati a proceeding before rant r.,or in any other legal
proceeding.
ARTICLE IV
PERFORMANCE R PO UNG REQUIREMENTS
14.1. Required Periqdic„Performance 1 port .Grantee agrees to submit Performance Reports a
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 report
shall corer the first three months after the Award begins.If Grantee is not required to report performance
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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 THkEE. 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 T Tw or
PART THREE. 2 CFR 200.328. Failure to submit such required Performance Reports may cause a delay or
suspension of funding.30 1 LCS 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 en.d of the period of performance. See
CFR 200.343.
14.3, Content of Performance Reports.Pursuant to 2 CFR 200.328(b)( )al 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 tread 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
ars the Award's statutory,regulatory and administrative requirements,and are included in PART TWO,or PART
THREE of this Agreement.
14A. Performance Standards. Grantee shall perform In accordance with the Performance Standards
set forth in Exhit . See 2 CFR 200.30.and 200.210.
ARTICLE XV
AUDIT REQUIREMENTS
15.1. Audits.Grantee shall be subject to the audit requirements contained in the Single Audit Act
m ndm nt of 1996(31 USC 7501-7507)and Subpart F of 2.CFR Part 200,and the audit rules set forth by the
ovemor's Office of Management and Budget. See 30 ILLS 708/65(c).
15.2. Single and Program- ecifi Ate Wits.If Grantee expends$750,000 or more in Federal Awards
(direct federal and federal pass-through awards combined)during its fiscal year,,it must have a single audit or
program-specific audit conducted for that year as required in 2 CFR 200.501 and other applicable'section of
Subpart F. The audit and reporting package(including data collection form)must be completed as described in 2
CFR 200.512(single audit)or 2 CFR 200.507(Program-specific audit). The audit(arid package)must be submitted
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2b17/4 2916
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Agreement No.17UASICOOK
to Grantor either within i o calendar flays after receipt of the auditor's report(s)or(H)nine months after the end
of the audit period,whichever is earrier.
15.3. Financial Statement Audit.If Grantee expends less than$750,,000 in Federal Awards during its
fiscal year and is not subject to the audit requirements in 15.2,but receives between$300,000 and$499,999 in
Federal and State Awards combined,Grantee must have a financial statement audit conducted in accordance with
Generally Accepted Auditing tandards( AA );if Grantee expends between$500,000 and$749,999 in Federal and
Mate awards combined..Grantee must have a financial statement audit conducted in accordance with Generally
Accepted Government Auditing Standards(GALAS). Grantee shall submit these financial statement audit reports
to Grantor either within i calendar days after receipt of the auditor's report(s)or(ii)180 calendar days after
the end of the audit period,whichever is earlier.
15.4. Performance of Audit .For those organizations required to submit an independent audit report,
the audit is to b e conducted by the Illinois Auditor General,or a Certified public Accountant or Certified Public 2
Accounting Firm licensed in the state of Illinois.For audits required to be performed subject to Generally Accepted
oven ment Auditing Standards,Grantee shall request and maintain on file a copy of the auditor's most recent
peer review report and acceptance letter. �
15.5. ReportTiming. Notwithstanding anding anything herein to the contrary,when such reports or
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statements required under this section are prepared by the Illinois Auditor General,if they are not available by the
above-spe iflled due date,they v i11 be provided to Granter within thirty 0)days of becoming available.
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ARTICLE XVI
TERMINATIOM SUSPENSION
16.1. Termination.
(a) This Agreement may be terminated,in whole or in part,by either Party for any or no
reason upon thirty )day.'prier 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 .9 9(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 .1;
if Grantee falls 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;
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(Iii) For cause,which may render the Grantee ineligible for consideration for future
grants from the Grantor or other Mate agencies;or
(c) If Grantee breaches this Agreement and either(1)Fails to cure such breach within i
calendar days'written notice thereof,or{ }if such cure would require longer than 15 calendar days and
State of Illinois _
INTE i VE RNM ENTAL CRANE"AGREJEME T FISCAL YEAR 2017 4 29 1
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Agreement No.17UASICOOK
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 falls 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. Obl ction. if Grantor suspends or terminates this Agreement, in whole or in part, for cause,
Grantee may avail itself of any opportunities to object and challenge such suspension or termination in accordance
with any applicable written processes and procedures. 2 CFR 200.341.
16.4. 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.
b) Grantee shall not incur any costs or obligations that require the use of these Grant
Fends after the effective date of a suspension or termination, and shall cancel as many outstanding
obligations as passible;
(c) Costs to Grantee resulting from obligations incurred by Grantee during a suspension or
after termination ination of the Agreement are not allowable unless:
L 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,
16.5. Close-out of jerrninated r eon nts. if this Agreement is terminated, in whole or in pant, the
Parties shall comply with all close--out and post-termination requirements of this Agreement. 2 CFR200.339(c).
ARTICLE XVll
SUBCONTRACTS/SUB-GRANTS
17.1. Sub-recigignt /Delegation;Grantee may not subcontract nor sub-grant any portion of this
Agree meat 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 lags and regulations,and the provisions of
this Agreement.
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INTE RGOVERNM E I TAA GRANT AGREEMENT FISCAL YEAR 2017-/4'2916
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Agreement No.17UASICOOK
ARTICLE XV111
NOTICE OF CHANGE
18.1. Notice of Cha n ,Grantee shalt notify the Grantor if there is a change in Grantee's legal status,
Federal employer identification number(FEIN),DUNS number,SAM registration or the state equivalent
registration staters,Related Parties,or address.See 30 ILLS 708/60(a).If the change is anticipated,Grantee shall
give thirty( 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 G rint 's failure to notify Grantor of these change .
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18.3. Notice of Impact.Grantee shall immediately notify Grantor of any event that may have a material F
impact on Grantee's ability to perform this Agreement.
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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,with in fire calendar days of
determining such litigation or transaction may reasonably be considered to have a material impact on the E
Grantee's ability to perform under this Agreement.
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18.5. Effect of Failure to Provide Notice.Failure to provide the notice described in Paragraph 18.4 shall
e grounds for immediate termination of this Agreement and any costs incurred after notice should have been
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given shall be disallowed.
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ARTICLE XIX
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REORGANIZATION
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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 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 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.Failure to comply with
this ARTICLE XIX shall constitute a material breach of this Agreement.
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ARTICLE XX
AGREEMENTS WITH THER STATE AGENCIES
20.x, Copies u on 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 Stag agency.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2017 14 29 1
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ARTICLE XI
C N FLi T OF I NTE REST
1.1. Reguired Disclosures.Grantee must immediately disclose in writing any potential or actual
Conflict of interest to the Grantor. 2 CFR 200.112 and 44 ill.Admin.Code 7000.40(b)(3).
21.2. Prohibited_Payments ents.Grantee agrees that payments made by Grantor under this Agreement rill
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 entality f the State of Illinois,as described in this Paragraph,Grantee agrees that payments made b
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 c rnpensation is in excess of sixty percent(60%)of the
Governor's annual saIary,or$106,447..20 1 LCS 500/50-1 ).
1.3. Reguest for Exemption..Grantee may request written approval from Grantor for ars 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 teras and
conditions as Grantor may require,
ARTICLE XXII
EQUIPMENT T R PROPERTY
22.1. Transfer f-Eqq:ipment.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 o
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, terial,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,
223, Equipmot and Pro urernent.Grantee rust comply with the uniform standards set forth in 2 CFR
200.310-200.3 16 governing the manage ment 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 Manageme t and
Budge,the Governor's Office of.management and Budget,or both,depending on the source of the Grant Funds
used,Additionally,Grantee rnust comply with the standards set forth in 2 CFR 200.317-200.326 for use in
establishing pro edur s 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.
State of Illinois
INTERGOVERNMENTAL GRANTAGREEMENT FISCAL YEAR 2017 31
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Agreement No.17UASICOOK
ANILE XXIII
PROMOTIONAL IATILS;PRIOR NOTIFICATION
23.1. publications Announcements,etc,Useof Grant Funds for promotions is subject to the
prohibitions for advertising or public relations costs in 2 CFR200.421(e).In the event that Grantor funds are used r
1n who le 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]."E cep tions t this requirement �
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must be requested,in writing,from Grantor and will be considered authorized onlyon written notice thereof to �
Grantee.
23.2, Prior Notification/Rel ease of Information.Grantee agrees to notify Grantor ten(1 0)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.
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ARTICLE XXIV
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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 CFR200.310. Additional insurance
req uire m e nts may be detailed in FAIN TWO or PANT THREE.
24.2. Claims.if a claim is submitted for real or personal property,or both,purchased in whole with
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ands from this Agreement and such clailrft results in the recovery of money,such money recovered shall be x
surrendered to Grantor.
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ARTICLE}CSV
LAWSUIT
25.1. 1 nd ep en dent Contractor.N either Grantee nor any employee or agent of Grantee arcqWires any
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employment ent rights with Grantor by virtue of this Agreement.Grantee will provide the agreed services and achieve {
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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
sha 11 be strictly limited to official Grantor or Mate of Illinois business and not for any otherP P ur ose,'1ncluding an
personal benefit or gain.
25.2. Liability. Neither Party shall be liable for actions chargeable to the other Party under this k
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 Pavy against the other or against a third party.
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ARTICLE XXVI
MISCELLANEOUS
26.1, Gift Bari.Grantee is prohibited from giving gifts to State employees pursuant to the State
Officials and Employees Ethics Act(S ILLS 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
paint for all e-mail correspondence from Grantor.Grantee may list additional e-mail addresses at any time during
the Terra 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 charges within five(S)
business days from the effective date of the charge.
26.3. Exhibits and Attachments.Exhibits A through g PARS' PART Tif 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 reader this Agreement null,gold and of n further effect,
.S. Amendments.This Agreement may be modified or amended at any time during its Tera 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 Paas right to assert such right or remedy at a later time or constitute a course of business tjpon which
either Party may rely for the purpose of denial of such a right or remedy.
26.8. MolEcable Law,Claims.This Agreement and all subsequent amendments thereto,if any,shall be
governed and construed in accordance with the laws of the Mate of III inols. Any claim against Graptor arising out
of this Agreement must be filed.exclusively with the Illinois Court of Claims. 705 ILS 50 5/1 et,seq. Grantor does
not waive sovereign immunity by entering into this Agreement.
26.9. CompElance with Lair.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
Iimitation,Federal re uIatlons,.State administrative rules including 44 Ili.Admin.Code 700 0..and any and all
license requirements or professional certification provisions.
26.13. Compliance with Confidentialim Lags.if applicable,Grantee shall comply with applicable Mate
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.
$tate of illinols
INTERGOVERNMENTAL GRANTAGREEMENT FISCAL YEAR 2017 9 lE
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Agreement No.17UASICOOK
26.11. Compliance with Freedom of Information Act,Upon request,Grantee shall make available to
Grantor all documents in its possession that Grantor deers necessary to comply with requests made under the
Freedom of Information Act.(5 JLCS 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 PAIN ONE and PART
or PART THREE of this Agreement,PAIN ONE small control.In the agent there is a conflict beth PART
TWO and PTT THREE of this Agreement,PART TWO shall control.In the evert 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. Count r amts.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.I upli.cated signatures,signatures transmitted via facsimile,or
signatures contained in a Portable Document Format(PDF)document shall be deemed original for all purposes.
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26.16. Attorney Fees and„Costs, If Grantor prevails in any proceeding to enforce the teras 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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INTERGOVERNMENTAL GRAN`AGREEMENT FISCAL YEAR 2017 4 29 1
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EXHIBIT
PROJECT DESCRIPTION
IPTIO
The Grantor has been awarded fronds from the Federal Emergency Management Agency(FEMA)under the FFY
2017 Homeland Security Grant Program(HSGP). The purpose of the FFY 2017 HSGP Is to support state and local
efforts to prevent terrorism and other catastrophic everts and to prepare the Nation for the threats'and hazards
that pose the greatest risk to the security of the United States. The HSGP provides funding to implement
investments that build,sustain,and deliver the 32 core capabilities essential to achieving the National
Preparedness Goal of a secure and resilient dation. The Grantee will utilize the HSGP grant funds in accordance
with this purpose as outlined within the Grantee's approved FFY 2017 Attachment A.
State of Illinois
INTERGOVERNMENTAL Al i'AGREEMENT FISCAL YEAR 2017 2916
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Agreement No,17UASICOOK
EXHIBIT
DELIVERABLES.OR MILESTONES
Deliverables are directly related to the successful completion of the expenditures and projects listed in the
approved Budget Detail Worksheet and Project.Implementation Worksheet.
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The Budget Detail Worksheet in Atta ch m ent A outlines the expenditures for which the Grantee will seely
reimbursement. The Grantor will only reimburse-those expenditures that specifically listed in the Budget Detail
Worksheet. If the Grantee has included personnel expenses in its Budget Detail Worksheet,the Grantee is
prohibited from incurring any costs for such personnel expenses until the Grantor provides written approval to the
Grantee that DHS FEMA GPS?has waived grant limitations on personnel costs. �
The Project Implementation Worksheet in Attachment A provides a detailed description of the scope of work to be
performed using fronds received through this Agreement, Including a list of specific outcomes es and sequential
milestones that will he accomplished by the Grantee. These milestones will allow the Grantor to measure progress
of the Grantee In achieving the goals of the project.
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INTERGOVERNM ENTAL GRANT AGREEMENT FISCAL YEAR 2017 4 29 1
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EXHIBIT
PAYS#E NT
The Grantee's total compensation and reimbursement shall not exceed the sure of$$20,361,280.17,
The Grantee must submit reports or vendor invoices with description of costs, including a statement of payment
for personnel oasts and affirmation or evidence of delivery and property identification numbers for property
subject to the Grantor's policies and procedures,In order to receive compensation through this Agreement. Such
reports and invoices must be submitted to the Grantor in accordance with the Grantor's policy and In no event
later than 30 days following the expiration of this Agreement. The method of compensation shall be
reimbursement in accordance with the invoice voucher procedures of the Office of the State of Illinois
Comptroller.The Grantor will not reimburse the Grantee for any exercise expenditures unless and until an After
Action Report/Improvement Plan is submitted in accordance herein. The Grantee shall maintain appropriate
records of actual costs incurred and submit expenditure information to the Grantor.
State of Illinois
INTERGOVERNMENTAL RANT AGREEMENT FISCAL YEAR 2017/4 2316
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Agreement No.17UASICOOK
EXHIBIT D
CONTACT INFORMATION
CONTACT T FO TIFICATl :
Unless.specified elsewhere, all notices required or desired to be sent by either Party shall be sent to the persons
} listed below,
GRANTOR CONTACT GRANTEE CONTACT
Name:Ashley Fleck Marne:Monique Caston
Title:Program Manager Title:Grant Coordinator
Address:2200 South Dirt sen Parkway Springfield, Address;69 west Washington Street,Suite 2600
Springfield,Illinois 62703Chicago,Illinois 60502-3178
Phone: 217/557-4758 Phone:312/503/8186
-mail Address;Ash leA eck allino1s. ver E-mail Address:Monique.Garston@ ook ount il. ov }
Additional Information:
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Page 27 of 33
Agreement No.17UASICOOK
EXHIBIT E
PERFORMANCE MEASURES
The Grantee shall provide a quarterly update of the Project Implementation Worksheet In Attachment A to 1El
within fifteen 1 business days after March 31, Jure 30, September 30, and December 31 throughout the
performance period of the Agreement.
The Grantee must submit a final Budget Detail Worksheet, Discipline Allocation Worksheet, and Project
Implementation Worksheet to the Grantor within 30 days after the expiration of the Agreement.
The Grantee also rust submit a final After Action Report/]mp rove m ent Plan to the Grantor within 45 days after
each exercise. All exercises conducted with funds provided through this Agreement must be National Incident
Management System(DIMS) compliant and be managed and executed in accordance with the Homeland Security
Exercise and Evaluation Program SEEP.
State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FI AL YEAR 2017 1
Page 28 of 33
Agreement W.17UASICOOK
EXHIBIT F
PERFORMANCE STANDARDS
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Performance standards include:
I. Appropriate use of great funds in accordance with the approved scope of work and budget,and the �
terms outlined in this Agreement.
. The timely submittal of required documentation as defined in Exhibit E of this Agreement.
. Adequate results from great monitoring conducted by the Grantor.
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State of Illinois
INTERGOVERNMENTAL GRANT AGF EEM ENT FISCAL YEAR 2017 4 291
Page 29 of 33
u
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Agreement No.17UASICOOK
1EXHIBIT
SPECIFIC CONDITIONS
NONE.
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State of Illinois
INTERGOVERNMENTAL GRANT AGREEMENT FI AL YEAR 2017 1
Page 30 of 33
r:
Agreement No.17UASICOOK
4
PART TWO—THE GRANTOR-SPECIFIC TERMS
In ad ition to the u n iform re uirem ents in PART,the Grantor has the f I# wi ng additional requirem e nts for
-its Grantee:
NONE.
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State of Illinois
INTERGOVERNMENTAL ANT AGREEMENT FISCAL YEAR 2017 4 29 1
Page 31 of 33
k.
Agreement No.17UASICOOK
PART THREE—THE PROJECT-SPECIFIC TERMS
In addition to the€niform requirements in PAINN-E and the Grantor-Specific Teras in PART TWO,,the Grantor
has the following additional requirements for this Project:
.. All allocations and use of funds by the Grantee shall be in accordance with the applicable notice of
funding opportunity and the requirements set forth therein.The Grantee shall comply with all applicable
federal and state statutes, regulations,executive orders, and other policies and requirements in carrying
out any project supported by these funds, The Grantee recognizes that 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 requirements will apply during the
performance period of this Agreement.
. All sub-awards issued by the Grantee to this Agreement in excess of$25,000.00 must be pre-approved by
lEMA.
The Grantee is required to maintain adoption and implementation of the National Incident Management
System.
. The Grantee will provide all necessary financial and managerial resources to meet the terms and
conditions of this Agreement.
S. If the Grantee fails to expend or is over-advanced grant funds,the Grantor reserves the right to recapture
funds in accordance with the applicable Federal or State laws and.requirements. The Grantee shall return
to the Grantor all grant funds that are not expended or that are received from the Grantor in error. All
funds remaining at the expiration of the period of time the funds are available for expenditure or
obligation by the Grantee shall be returned to the Grantor within 45 days,if applicable. The Grantor may
recapture those funds in accordance with state and federal fags and regulations. The Grantee's failure to
comply with any one of the tens of this Agreement shall be cause for the Grantor to seek recovery of all
or part of the grant proceeds.
. The Grantee agrees that funds under this award will be used to supplement,but not supplant,state or
focal funds budgeted for the sane purposes. The Grantee may be required to demonstrate and
document that a reduction in non-federal resources occurred for reasons other than the receipt or
expected receipt of federal funds.
. The Grantee shall not undertake any project having the potential to impact FHP resources or initiate
procurement without the prior approval of FEMA,including but not limited to communications towers,
physical security enhancements,new construction,and modifications to buildings,structures,and objects
that are 50 years old or greater.The Grantee must comply with all conditions placed on the project as the
result of the EHP review. Any change to the approved project scope of work will require re-evaluation for
compliance with these EIRP requirements. if ground-disturbing activities occur during project
implementation,the Grantee mut ensure monitoring of ground disturbance,and if any potential
archeological resources are discovered,the Grantee will immediately cease construction in that area and
notify FEMA and the appropriate State Historic Preservation Office. Any construction activities that have
been initiated without the necessary FHP review and ap proval will result in a non-com pil an ce finding and
will not be eligible for FEMA funding.
State of 1111hoi
INTERGOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2017 4 2916
Page 32 of 33
Agreement No,17UASICOOK
. The Grantee acknowledges DHS FEMA GPD and State of Illinois reserve a ro alt
free,non-exclusive,and
irrevocable license to reproduce,publish,or otherwise use,and authorize others to use,for federal and
state purposes: 1)the copyright in any work developed under an award or sub-award;and( any rights
of copyright to which a Grantor or Grantee purchases ownershipwith federal support
pport.The grantee shall
affix the applicable copyright notice of 17 USC o1 or 402. The Grantee is subject to requirements
governing the development,reporting,and disposition of rights to inventions and patents resulting from
financial assistance awards.The Grantee agrees to consult with DHS FEMA GPD,through 1EMA,regarding
the allocation of any patent and intellectual property- P p p rty rights that arise from,or are purchased with,this
funding. All publications created through this Agreement shall prominently-contain the following
statement.,'OTh s document was prepared under a grantfrom Emergency
the Federal E er
Management
Agency's Grant Program Directorate FEMA GPC with*n the J.S.Department of Homeland Security.
Points of view or opinions expressed in this document are those of the authors and do not necessarily
represent the official position or policies of FE A P ,the . '.DeHomeland
. �artment of Security,or the ;
State of 1lfror .
f
. The Grantee shall acknowledge federal funding when issuing statements,press releases,requests for
proposals,bid invitations,and other documents describing projects or programs funded in whole or in
part with federal funds.
i
Title to equipment acquired by the Grantee with federal funds vests with the Grantee. "'Equipment'
means tangible,nonexpendable property charged directly to the award having a useful life of more than
one year and an acquisition cast of$5,000 or more per unit. The Grantee shall use,menage,and dispose
of equipment acquired under this Agreement in accordance with federal and state laves#p rocedures and
policies. All equipment purchased with funding received through this Agreement shall be used
g for the
entire useful life of the equipment in accordance with the purpose stated in Attachment A. Any variation
to the intended use of the equipment outlined in this agreement by the Grantee must be approved in
writing by the Grantor.
11, if the Grantee collects Pii,the Grantee is required to have a publicl -availablericrac
p policy that describes
what P11 it collects,how it uses Pll,whether it shares Pil with third parties,and how individuals may have x
their P11 corrected where appropriate. }
3. The Grantee must obtain the approval of DHS prior to usingDHS or United
totes boast guard seal,logo,
crest,or reproduction of flags or likenesses of DHS agency or Coast Guard officials.
13. If funding will be used to purchase emergency communications equipment r to fund related activities,
the Grantee shall comply with the SAFECOM Guidance for Emergency Communication nn
. rant ,including }
provisions on technical standards that ensure and enhance interoperable communications.
State of Illinois
INTERGOVERNMENTAL ANT AGREEMENT FISCAL YEAR 2017 4 29 1
Page 33 of 3.1
EXHIBIT B
SCOPE OF SERVICES AND BUDGET DETAIL WORKSHEET
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 20 Of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
EXHIBIT B
.y
Cook County Department of Homeland Security and Emergency Management
UASI -Sub-Recipient Scope of Services & Budget Detail Worksheet
p p g
Grantee Organization: DHSEM Contract#:
Program Category: UASI Grant Award Year:20
Scope of Services: _
----------------------------------------------------------------------------------
----------------------------------------------------------------------------------
----------------------------------------------------------------------------------
----------------------------------------------------------------------------------
----------------------------------------------------------------------------------
----------------------------------------------------------------------------------
Budget Detail:
Operating Expenses Award Amount
Training $
Consumable Expenses(Training) $
Exercise $
Personal Protection Equipment(PPE) $
Equipment Less Than $5,000 $
Supplies $
Other,please specify:
Sub-Total $
Capital Equipment(Asset More Than$5,000)
Computer Equipment $
Infrastructure Upgrades $
Security Upgrades $
Other Equipment $
Other,please specify:
Sub-Total $
TOTAL AWARDED $
TO BE COMPLETED BY DHSEM
Sub-Recipient DUNS Number:
........................................
DHSEM Staff Name(Print):
DHSEM Staff Signature: _ _ _
EXHIBIT C
NIMS— SAMPLE RESOURCE TYPING FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 21 Of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
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EXHIBIT D
SAMPLE FEMA-AUTHORIZED EQUIPMENT LIST (Use Hyperlink)
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 22 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
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EXHIBIT E
PROGRAM/PROJECT MODIFICATION REQUEST FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 23 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
EXHIBIT E
d
Cook County Department of Homeland Security and Emergency Management
Request Form
Sub-Recipient Program/Project Modification Re
pq
Sub-Recipient Organization: DHSEM Contract#:
Program Category: UASI Grant Award Year:20
Request Date: _ Type of Modification: _
Budget Expense Category: Scope of Services:
FInstructions-Please respond to the questions below. Incomplete forms will not be considered. Note:The term of the agreement
ly be modified by DHSEM and approved by the State of Illinois(IEMA).
1. Is the modification requested within the original approved category? Please explain.
2. Will the modification request allow for the project to be completed within the original performance period of the project?
3. Have the original project objectives for the project been accomplished?
4. Please list all Authorized Equipment List(AEL)numbers,a brief description of the equipment,per unit cost estimate,and
number of units(if applicable).For training costs,list the FEMA approved training course numbers that apply to this
modification(if applicable).
5. Provide a justification for the project modification. What is the modification your organization would like to make and
why is the project modification being requested? Please include details.
Please indicate the proposed associated budget impacts below(if applicable).
Sub-Recipient Authorized Signatory
Name(print): Signature:
Job Title: Date:
Page 2 of 2
EXHIBIT E
d
Cook County Department of Homeland Security and Emergency Management
Request Form
Sub-Recipient Program/Project Modification Re
pq
THIS SECTION TO BE COMPLETED BY DHSEM
Grant Coordinator Director of Finance
Name: Name:
Signature: _ Signature:
❑Approved ❑ Denied ❑Approved ❑ Denied
COMMENTS:
Page 2 of 2
EXHIBIT F
SUBRECIPIENT SIGNATURE AUTHORIZATION FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 24 Of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
r
EXHIBIT F
1
Cook County Department of Homeland Security and Emergency Management
Sub-Recipient Signature Authorization Form
p g
Name of Entity:
THIS SECTION TO BE COMPLETED BY DHSEM
Contract# _ FY:_ Fund: Project:
Urban Areas Security Initiative Program(UASI) _
Grant Program and Year Grant Start Date Grant End Date CFDA#
THIS SECTION TO BE COMPLETED BY SUB-RECIPIENT
Sub-Recipient Contact Name(Point of Contact) Agency FEIN#
Address DUNS#
City,State,Zip Code Sub-Recipient Contact Phone#
Sub-Recipient Contact Email Sub-Recipient Contact Fax#
THIS DOCUMENT IS PART OF THE AGREEMENT BETWEEN DHSEMAND THE SUB-RECIPIENT IDENTIFIED ABOVE.
The person whose signature is furnished below is hereby authorized to sign reimbursement request forms and other
related documents for the UASI Grant program indicated above and funded by DHSEM via a grant award. Upon
acceptance of this grant award, the following information is needed to complete your grant sub-agreement and should
be emailed to DHSEM as soon as possible to DHSEM.Finance@cookcountyil.gov.
Signatory Name(Print):
Signatory Titles(Print):
Signatory Signature: _
Describe any limitations on the above person's authority here:
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DATE OF THIS APPROVAL:
This form isto be completed as part of executing a Sub-Recipient agreement identified by the above fund and contract number. Completingthis form is
one of the conditions necessary to receive funds from Cook County DHSEM. A copy of this form must be on file for all persons with authorization and
approved by an individual of higher authority than the person being granted authority.
EXHIBIT G
REIMBURSEMENT REQUEST FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 25 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
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EXHIBIT H
SAMPLE OF PROOF OF PAYMENT & ORIGINAL INVOICE
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 26 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
Exhibit H — Proof of Payment
,
Organization Name Must be prior to end
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m ° of Grant Date �` �'
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Name of Vendor
Same as Invoice
Fa vto,the,,Or d��
Same as Invoice
u U, r
Invoice#and PO#if applicable Authorized Signature(s)
clue A�,"N,u xn*er Accou, Number Check Nu mnber
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yyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy,y
yy�J�Jyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy„�JJJJJJJJJJJJ�yyyJ"J�� ,.,, ,,, � �,,,� ��,,,„� „.�;
1. If equipment or services are purchased with a check, include the invoice (proof of expense) and
obtain a front and back copy of the canceled check image that corresponds with the check
number used for payment.
2. Check must be written out to Vendor.
3. Amount requested should match amount paid to vendor.
4. Invoice number should be on the check and/or Purchase Order number.
5. If equipment or services are purchased with a credit card,then print a copy of the bank or credit
card statement that shows your proof of payment, include the credit card receipt.
6. Retain proof of all correspondence with the grantor(DHSEM) concerning your payment(s).
Exhibit
l4a��rne of"' Vendor4 'V
1pr C IIIIIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIII
�Re��rni�lt
°°1°°' Address
f Vendor
IIIIIIIIIIIIIIIIII
Vendor Information Below.-
Street Address °� """"
City, ST ZIP Code ,,,)Al 31, 2019
Phone Enter phone I Fax Enter fax
Email I Website
TO: Project or service description
Sub-Recipient Name
Organization Name
Street Address
City, ST ZIP Code
Phone Enter phone I Email
� . . ���� Cost
' � a ��
w. IIIIrIIIII uu °VIII IIII I� b�IIIii IIID' � IIID IIID�
1[teIiiirris
Description
followingEnter description 2 Enter amount
Enter description 3 Enter amount
Enter description 4 Enter amount
This 'i's a sample Invoice from your Vendor.
Please have the information. invoice:,
gi
Name of Address and Remit to Address
. Invoice Number, Invoice Date
. .
Organization's Name and Address where items were delivered
Name of Project (if possible) and PO number used (if applicable)
Description of Item(s) purchased include serial numbers on invoice (if possible)
Number of Items purchased and cost of each individual item with total of all
. . . . . .
. . . . .
(see above example)
Grand Total for the Invoice should match the amount reimbursed
. .
Please Note: There should be NO Sales Taxes Paid
Enter total amount
Make all checks payable to Name of Vendor
Remit To: Address of Vendor
Payment is due within 30 days.
If you have any questions concerning this invoice, contact Name I Phone I Email
1ANK Y01 J C,,,,, O , ,,, L S EIII,
EXHIBIT I
EQUIPMENT INVENTORY FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 27 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
EXHIBIT
.y
Cook County Department of Homeland Security and Emergency Management
UASI Sub-Recipient Equipment Inventor Form
pY
Grantee Organization: DHSEM Contract#:
Program Category: _ _ UASI Grant Award Year:20
Instructions - Please complete and submit this form for any capital equipment purchases approved in the grant
agreement. Capital equipment is defined as those items whose fair market value is$5,000 or greater and whose useful
life is more than one year.This form must be submitted with the Reimbursement Request Form when reimbursement is
being sought.
Purchase Amount:$ Purchase Date:
Manufacturer: Model#:
Serial#: AEL#:
Estimated Useful Life: DHSEM Tag#(if applicable):
Item Description:
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Sub-Recipient Authorized Signatory
Name(print): Signature:
Job Title: Date:
TO BE COMPLETED BY DHSEM
DHSEM Master Asset List
DHSEM Data Entered By: Date Entered:
DHSEM Physical Inspections
DHSEM Inspector Inspection Date
EXHIBIT J
DISCLOSURE OF PENDING APPLICATIONS FORM
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 28 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
L EXHIBIT J
n
Cook County Department of Homeland Security and Emergency Management
UASI Subrecipient Disclosure of Pending Application Form
Grantee Organization: DHSEM Contract#:
Program Category: _ UASI Grant Award Year:20
The Cook County Department of Homeland Security and Emergency Management (DHSEM), as administrator of Federal
grants,is responsible for ensuring compliance with federal,state,and local laws and regulations in the performance of grant
work with regard to DHSEM Grantees.
Grantees are to disclose whether they have pending or awarded applications for federally funded assistance that include
requests for funding to support the same project being proposed under this grant and will cover the identical cost items
outlined in their application to DHSEM. The disclosure should include both direct applications for federal funding (e.g.,
applications to federal agencies)and indirect applications for such funding(e.g., applications to state agencies that will be
sub-awarding federal funds).This information is needed to help avoid any inappropriate duplication of funding. Leveraging
multiple funding sources in a complementary manner to implement comprehensive programs or projects is encouraged
and is not seen as inappropriate duplication.
If does not have any current or pending applications that was submitted
within the last 12 months for federally funded assistance(through federal,state,or local agencies that will be sub-awarding
Federal funds)that include requests for funding to support the same project (as mentioned in your Edward Byrne Justice
Assistance Grant [JAG] Program grant application), and will cover the identical cost items outlined in the application then,
please certify the following statement is true, check the box and fill in your organization's name.
" does not have pending applications submitted within the last 12 months
for federally funded assistance, which includes requests for funding to support the same project being proposed under the
UASI Grant Program, and will cover the identical cost items outlined in the application." ❑TRUE
If _ _ _does have a current or pending application as described above, please
check the most appropriate box below and provide the following information in a separate document using the example
outlined below with all pending or awarded applications submitted within the last 12 months. ❑YES ❑ NO
Grantees that have pending or awarded applications must show:
1. The Federal or State funding agency.
2. The solicitation name/project name.
3. The point of contact information at the applicable funding agency.
EXAMPLE
Federal or State Funding Project Name Point of Contact at Application Date
Agency Funding Agency
Sub-Recipient Authorized Signatory
Name(Print): _ _ Signature:
Job Title: Date:
EXHIBIT K
FINAL CLOSE-OUT FINANCIAL REPORT
Burr Ridge-20236054x- 17UASICOOK GRANT AGREEMENT Page 29 of 29
17UASICOOK-2019 FEDERAL AWARD#EMS-2017-SS-00051-SOI,CFDA#97.067
Subrecipient Agreement
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