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Agreement No 21-203195 <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 500 E <br /> Monroe St,Springfield,IL 62701,and City of Decatur(Grantee),with its principal office at 1 Gary K Anderson <br /> Plaza,Decatur,IL 62523-1196,and payment address(if 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 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 n/a is Grantee's correct UEI,if applicable,that 376001308 <br /> is Grantee's correct FEIN or Social Security Number,and that Grantee has an active State registration and SAM <br /> 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 /> X 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 shall not exceed$300,000.00 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 Numbers. 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 Assistance Listing Program <br /> State of Illinois <br /> INTER-GOVERNMENTAL GRANT AGREEMENT FISCAL YEAR 2022/3 4 21 <br /> Page 1 of 47 <br />