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H. Other Information <br /> Certifications and Assurances: <br /> I. Certifications <br /> Bribery: Applicant certifies that it has not been convicted of bribery or attempting to bribe an officer or employee of the <br /> State of Illinois, nor made an admission of guilt of such conduct which is a matter of record (30 ILCS 500/50-5). <br /> 1. Bid Rigging: Applicant certifies that it has not been barred from contracting with a unit of State or local government <br /> as a result of a violation of Paragraph 33E-3 or 33E-4 of the Criminal Code of 1961 (720 ILCS 5/33E-3 or 720 ILCS <br /> 5/33E-4, respectively). <br /> 2. Debt to State: Applicant certifies that neither it, nor its affiliate(s), is/are barred from receiving an Award because <br /> Applicant, or its affiliate(s), is/are delinquent in the payment of any debt to the State, unless Applicant, or its affiliate(s), <br /> has/have entered into a deferred payment plan to pay off the debt, and Applicant acknowledges Grantor may declare <br /> the Agreement void if the certification is false (30 ILCS 500/50-11). <br /> 3. Internal Revenue Code Compliance: Applicant certifies that it does and will comply with all provisions of the Federal <br /> Internal Revenue Code (26 USC 1), the Illinois Revenue Act(35 ILCS 5), and all rules promulgated thereunder, <br /> including withholding provisions and timely deposits of employee taxes and unemployment insurance taxes. <br /> 4. Lobbying: Applicant certifies that it has not paid prior grant funds, or upon receiving an Award and Grant Agreement, <br /> will not be paying Grant Funds by or on behalf of Applicant to any person for influencing or attempting to influence an <br /> officer or employee of any government agency, a member of Congress or Illinois General Assembly, an officer or <br /> employee of Congress or Illinois General Assembly, or an employee of a member of Congress or Illinois General <br /> Assembly in connection with the awarding of any agreement, the making of any grant, the making of any loan, the <br /> entering into of any cooperative or intergovernmental agreement, or the extension, continuation, renewal, amendment <br /> or modification of any agreement, grant, loan or cooperative or intergovernmental agreement. 31 USC 1352. <br /> Additionally, Applicant certifies that it has filed the required certification under the Byrd Anti-Lobbying Amendment(31 <br /> USC 1352), if applicable. <br /> i. Federal Form LLL: If any funds, other than Federally-appropriated funds, were paid or will be paid to any <br /> person for influencing or attempting to influence any of the above persons in connection with a Uniform <br /> Application for State Grant Assistance and subsequent Award and Agreement, the undersigned must also <br /> complete and submit Federal Form LLL, Disclosure of Lobbying Activities Form, in accordance with its <br /> instructions. <br /> ii. Lobbying Costs: Applicant certifies that it is in compliance with the restrictions on lobbying set forth in 2 CFR <br /> Part 200.450. For any Indirect Costs associated with a Grant Agreement pursuant to an Award, total lobbying <br /> costs shall be separately identified in the Program Budget, and thereafter treated as other Unallowable Costs. <br /> iii. Procurement Lobbying: Applicant warrants and certifies that it and, to the best of its knowledge, its sub- <br /> grantees, if Applicant intends to use sub-grantees upon issuance of an Award and subsequent Grant <br /> Agreement, have complied and will comply with Executive Order No. 1 (2007) (EO 1-2007). EO 1-2007 <br /> generally prohibits Grantees and subcontractors from hiring the then-serving Governor's family members to <br /> lobby procurement activities of the State, or any other unit of government in Illinois including local governments, <br /> if that procurement may result in a contract valued at over$25,000. This prohibition also applies to hiring for that <br /> same purpose any former State employee who had procurement authority at any time during the one-year <br /> period preceding the procurement lobbying activity. <br /> iv. Sub-awards: If Applicant is issued an Award and subsequent, Grant Agreement, and intends to utilize sub- <br /> Grantees, Applicant certifies it will include the language of this certification in the award documents for any <br /> sub-awards made pursuant to this Award at all tiers. All sub-awardees are also subject to certification and <br /> disclosure. Pursuant to Appendix II(I)to 2 CFR Part 200, Applicant shall forward all disclosures by contractors <br /> regarding this certification to Grantor. <br /> 5. Educational Loan: Applicant certifies that it is not barred from receiving State awards or agreements as a result of <br /> default on an educational loan (5 ILCS 385/1 et seq.). <br /> 6. International Boycott: Applicant certifies that neither it nor any substantially owned affiliated company is <br /> participating or shall participate in an international boycott in violation of the provision of the U.S. Export <br /> Printed 04/06/23 Page 8 of 12 <br />