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Agreement No.25-912014 <br /> The Award amount listed in Paragraph 2.2 is not a guarantee of payment, and Grantee's receipt of Grant Funds is <br /> contingent upon all terms and conditions of this Agreement. <br /> Reimbursement <br /> Payments to the Grantee are subject to the Grantee's submission and certification of eligible costs and <br /> any documentation as required by the Grantor. Payment shall be initiated upon the Grantor's approval of <br /> eligible costs and cash amount requested for reimbursement of those costs. <br /> 2.4. Award Identification Numbers. If applicable,the Federal Award Identification Number(FAIN) is <br /> N/A,the federal awarding agency is N/A, and the Federal Award date is N/A. If applicable,the Assistance Listing <br /> Program Title is N/A and Assistance Listing Number is N/A. The Catalog of State Financial Assistance(CSFA) <br /> Number is 420-35-3429 and the CSFA Name is Illinois Regional Site Readiness Program. If applicable,the <br /> State Award Identification Number(SAIN) is 3429-55542. <br /> ARTICLE III <br /> GRANTEE CERTIFICATIONS AND REPRESENTATIONS <br /> 3.1. Registration Certification. Grantee certifies that: (i) it is registered with SAM and HCL3MP6L8XV5 <br /> is Grantee's correct UEI; (ii)it is in good standing with the Illinois Secretary of State, if applicable;and(iii)Grantee <br /> has successfully completed the annual registration and prequalification through the Grantee Portal. <br /> Grantee must remain current with these registrations and requirements. If Grantee's status with regard to <br /> any of these requirements changes,or the certifications made in and information provided in the uniform grant <br /> application changes,Grantee must notify Grantor in accordance with ARTICLE XV. <br /> 3.2. Tax Identification Certification.Grantee certifies that:376001308 is Grantee's correct federal <br /> employer identification number(FEIN)or Social Security Number.Grantee further certifies, if applicable: (a)that <br /> Grantee is not subject to backup withholding because(i)Grantee is exempt from backup withholding,or(ii) <br /> Grantee has not been notified by the Internal Revenue Service(IRS)that Grantee is subject to backup withholding <br /> as a result of a failure to report all interest or dividends,or(iii)the IRS has notified Grantee that Grantee is no <br /> longer subject to backup withholding; and (b)Grantee is a U.S.citizen or other U.S. person. Grantee is doing <br /> 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 <br /> a W-9 tax form with this Agreement. <br /> 3.3. Compliance with Uniform Grant Rules. Grantee certifies that it must adhere to the applicable <br /> Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards,which are <br /> published in Title 2, Part 200 of the Code of Federal Regulations (2 CFR Part 200)and are incorporated herein by <br /> reference. 44 III.Admin.Code 7000.40(c)(1)(A). The requirements of 2 CFR Part 200 apply to the Grant Funds <br /> awarded through this Agreement, regardless of whether the original source of the funds is State or federal, unless <br /> an exception is noted in federal or State statutes or regulations. 30 ILCS 708/5(b). <br /> 3.4. Representations and Use of Funds.Grantee certifies under oath that(1)all representations made <br /> in this Agreement are true and correct and (2)all Grant Funds awarded pursuant to this Agreement must be used <br /> State of Illinois <br /> GRANT AGREEMENT FISCAL YEAR 2026 <br /> Page 5 of 43 <br />