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Agreement No.4876(18-1141-2344) <br /> GRANT AGREEMENT <br /> F"ABPA� <br /> yw0,g. <br /> BETWEEN <br /> THE STATE OF ILLINOIS,DEPARTMENT OF TRANSPORTATION <br /> AND <br /> CITY OF DECATUR <br /> The Department of Transportation(Grantor),with its principal office at 2300 Dirksen Parkway,Springfield,Illinois <br /> 62764,and City of Decatur(Grantee),with its principal office at 1 Gary Anderson Plaza Decatur IL 62523,hereby <br /> enter into this Grant Agreement(Agreement).Grantor and Grantee are collectively referred to herein as"Parties" <br /> or individually as a"Party." <br /> PART ONE—THE UNIFORM TERMS <br /> RECITALS <br /> WHEREAS,it is the intent of the Parties to perform consistent with all Exhibits and attachments hereto <br /> and pursuant to the duties and responsibilities imposed by Grantor under the laws of the State of Illinois and in <br /> accordance with the terms,conditions and provisions hereof. <br /> NOW,THEREFORE,in consideration of the foregoing and the mutual agreements contained herein,and <br /> for other good and valuable consideration,the value,receipt and sufficiency of which are acknowledged,the <br /> Parties hereto agree as follows: <br /> ARTICLE I <br /> AWARD AND GRANTEE-SPECIFIC INFORMATION AND CERTIFICATION <br /> 1.1. DUNS Number:SAM Registration;Nature of Entity.Under penalties of perjury,Grantee certifies <br /> that 075613000 is Grantee's correct DUNS number,that 376001308 is Grantee's correct FEIN or Social Security <br /> Number,and that Grantee has an active State registration and SAM registration.Grantee is doing business as a <br /> (check one): <br /> ❑Individual []Pharmacy-Non Corporate <br /> ❑Sole Proprietorship ❑Pharmacy/Funeral Home/Cemetery Corp. <br /> ❑Partnership F]Tax Exempt <br /> ❑Corporation(includes Not For Profit) ❑Limited Liability Company(select <br /> ❑Medical Corporation applicable tax classification) <br /> ® Governmental Unit ❑ P=partnership <br /> ❑Estate or Trust ❑ C=corporation <br /> If Grantee has not received a payment from the State of Illinois in the last two years,Grantee must submit a W-9 <br /> tax form with this Agreement. <br /> 1.2. Amount of Agreement.Grant Funds(check one)❑shall not exceed or®are estimated to be <br /> $10,051,800.00,of which$0 are federal funds.Grantee agrees to accept Grantor's payment as specified in the <br /> Exhibits and attachments incorporated herein as part of this Agreement. <br /> State of Illinois <br /> GRANT AGREEMENT FISCAL YEAR 2018/2 27 17 <br /> Page 1 of 46 <br />