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Agreement No,A1CYZ030b6 FY,2020 <br /> specified in the Exhibits and attachments incorporated herein as part of this Agreement. <br /> 1.3. Idenkification Numbers. if applicable,the Federal Award ldentification Number(FAIN�is <br /> N/a. ,the Federal awarding agency is N/A ,and the Federal Awa rd date is <br /> N/A . If applicable,the Catalog of Federai Domestic Assistance(CFDA)Name is N/A <br /> and IVumber is N/A . 7he Catalog of State Financia)Assistance(CSFAj Number is 444-00-2174 <br /> 1.4. Term.This Agreement shall be effective on pct 15,2019 and shall expire on 1un 30,20zo <br /> unless terminated pursuant to this Agreement, <br /> 1.5. Certification.Grantee cert�fies under oath that(1}ail representations made in this Agreement <br /> are true and correct and{2)all Grant Funds awarded pursuant to this Agreement shall be used only for the <br /> purpose{s)described herein.Grantee acknowledges that the Award is made sofely upon this certification and that <br /> any false statements,misrepresentations,or mater�al omissions shaA be the basis for immediate termination of <br /> this Agreement and repayment of all Grant Funds. <br /> 1.6. Signatures. In witness whereo#,the Parties hereto have caused this Agreement to be executed <br /> by their duly authorized representatives. <br /> ILLINOIS qEPAftTMENT OF HUMA�f SfRV10E5 Ill'N015 PRiMARY HEALTH CARE ASSQCIATION <br /> ���j � r-�.Yr�7- =� <br /> Sy: W V'� i�i� gy; '"� � <br /> Signature of �� Hou,Secretary. Signa re f Authorited presentative <br /> SY� Date: I <br /> Signature af Designee Printed Name: ����� -��� <br /> � � r �+ � <br /> Date: �C �7 �� Printed T-tIe:�Y-����.�..��� <br /> Printed Name: M. Martin � lp��-�1 1� i � � ��,, .c(' <br /> Printed-�ntract Obligat�on Anatyst E-mail: `�' <br /> Desigr�ee <br /> r <br /> By: <br /> 5ignature of First Other Approver,if Applicable F��N� �6-33692A1 <br /> Date: <br /> Printed Name: <br /> Printed Titie: <br /> Other Approver <br /> By: <br /> Signature of Second Other Approver, if Applicab�e <br /> Date: <br /> Printed Name: <br /> Printed Title: <br /> Second OtherAppraver <br /> State O#Illinois. <br /> GRANT AGREEMENT FISCAI YEAR 2024/1 14 94 <br /> Published Revislon: 2019.12.16.14.30.54 613 <br /> Pdge: 2 af 44 <br />