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Agrim"ent;Ala 20.203225 <br /> INTER-GOVERNMENTAL GRANT AGREEMENT <br /> BETWEEN <br /> THE STATE OF ILLINOIS,DEPARTMENT OF COMMERCE AND ECONOMIC OPPORTUNITY <br /> AND <br /> City,of Decatur <br /> The Illinois Department of Commerce and Economic Opportunity(Grantor)with its principal office at S00 E <br /> Monroe St,Springfield,IL 62701,and City of Decatur(Grantee),with Its principal office at 1 Gary K Anderson <br /> Plata,Decatur,IL;62523-1196,and payment address of different than principal office)at N/A.hereby enter Into <br /> this inter-governmental Grant Agreement(Agreement),pursuant to the Intergovernmental Cooperation Act,5 ILCS <br /> 220/1 et seq.Grantor and Grantee are collectively referred to herein as"Parties"or individually as ra"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,IHEREFORE,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 GRA14TEE-SrPEORE INFORMATION AND CERTIFICATION <br /> 1.1. DU Nilmber:SAM gaiistraJjon;.Nature of Entity. Under penalties of perjury,Grantee certifies <br /> that 075613000 is Grantee's correct DUNS Number,that N/A is Grantee's correct UU,If applicable,that <br /> 376001308 Is Grantee's correct FEIN or Social Security Number,and that Grantee has an active State registration <br /> and SAM registration.Grantee is doing business as a(check one}. <br /> Individual _ Pharmacy-Non Corporate <br /> Sole Proprietorship Pharmacy/Funeral Home/Cemetery Corp. <br /> Partnership Tax Exempt <br /> Corporation(includes Not For Profit) Limited liability Company(select applicable tax <br /> Medical Corporation classification) <br /> XGovernmental 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 shall not exceed$800,000.00 of which$0.00 are federal <br /> funds.Grantee agrees to accept Grantor's payment as specified in the Exhibits and attachments incorporated <br /> herein as part of this Agreement. <br /> 1.3. identification Num ers. If applicable,the Federal Award Identification Number(FAIN)is N/A,the <br /> federal awarding agency is N/A,and the Federal Award date is N/A. if applicable,the Catalog of Federal Domestic <br /> State of Illinois <br /> INTER-GOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2021/2 2 20 <br /> Page 1 of 48 <br />