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DocuSign Envelope ID: 3068A826-D9DD-44A9-A383-16200B061238 <br /> Agreement No.23-1439-39187 <br /> EXHIBIT C <br /> PAYMENT <br /> Grantee shall receive $240,000.00 under this agreement. <br /> Enter specific terms of agreement here: <br /> Federal Funds:$240,000.00 <br /> State Match Funds: $0.00 <br /> Grantee Local Match Funds: $60,000.00 <br /> This Agreement and period of performance are for the term of 02/15/2023-08/15/2024.The Grantee shall receive <br /> $240,000.00 in Federal Funds and$0.00 in State Funds, if applicable, under this Agreement. <br /> Total invoices to be submitted under this Agreement and during the Agreement term shall not exceed the the total <br /> Agreement amount as specified above without a fully executed Amendment to this Agreement. <br /> I. Invoices. Part One <br /> Invoices submitted by the Grantee will be for expenses that have been incurred to complete the Scope of Services/ <br /> Responsibilities in Exhibit A, Project Description. If the Grantee's invoices are deemed by the Grantor or auditors to not <br /> be sufficiently documented for work completed, the Grantor may require further records and supporting documents to <br /> verify the amounts, recipients and uses of all funds invoiced pursuant to this Agreement. Furthermore, if any of the <br /> Deliverables or Milestones in Exhibit B are not satisfactorily completed, the Grantee will refund payments made under <br /> this Agreement to the extent that such payments were made for any such incomplete or unsatisfactory deliverable. <br /> The Grantee must submit invoices for allowable expenditures to the Grantor's Finance Unit in order to receive <br /> reimbursement.Any invoices issued by the Grantee to the Grantor pursuant to this Agreement shall be sent to the <br /> Grantor's Finance Unit at: <br /> Illinois Department of Transportation <br /> Office of Planning and Programming <br /> Attention: Finance Unit <br /> 2300 S. Dirksen Parkway, Room 318 <br /> Springfield, IL 62764 <br /> email: dot.opp.finance@illinois.gov <br /> ll. All invoices shall be signed by an authorized representative of the Grantee. <br /> a. The submittal must include: <br /> i. Cover letter to the C-13 <br /> 1. The cover letter shall state the Obligation Number,Agreement Project Name, and Source of Funding being <br /> requested i.e. FHWA PL. <br /> ii. Requests for reimbursement must be requested on Illinois Comptroller form C-13 <br /> 1. The C-13 shall include the following <br /> a. Obligation Number <br /> b. Date range of work completed (i.e. 1/1/2021 - 1/31/2021) <br /> c. Short description of work completed <br /> d. Indication of total amount of federal and matching funds expended <br /> iii.Back up documentation which may include payroll and expenditure reports must be submitted with each <br /> invoice <br /> iv. Signature certification by the Grantee's Finance Officer of accurate expenses <br /> v. Expenditure and Progress Report shall include <br /> 1. Percentage of work completed and amount requested per line item for invoice period. <br /> 2. Identification of expenditures by work task. <br /> III. Progress Reports are required under 23 CFR 420.17. State and Federal regulations require: <br /> a. Reports shall be submitted to the Grantor contact 30 days after the end of the reporting period. <br /> b. Final reports shall be submitted to the Grantor contact 60 days after the end of the reporting period. <br /> IV. Year-End Report.At the end of the State Fiscal Year(SFY)a Year-End report should include a summary of work <br /> State of Illinois <br /> GRANT AGREEMENT FISCAL YEAR 2023/1 18 22 <br /> Page 26 of 41 <br />