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Exhibit G <br /> SECTION III. DRUG FREE WORKPLACE AND DELINQUENT ILLINOIS TAXES STATEMENT <br /> The undersigned states under oath that the Consulting Engineer is in full compliance with the Illinois <br /> Drug Free Workplace Act, 30 ILCS 580/1, et. seq. The undersigned also states under oath and certifies <br /> that the Consulting Engineer is not delinquent in payment of any tax administered by the Illinois <br /> Department of Revenue except that the taxes for which liability for the taxes or the amount of the taxes <br /> are being contested in accordance with the procedures established by the appropriate Revenue Act; or that <br /> the Consulting Engineer has entered into an agreement(s)with the Illinois Department of Revenue for the <br /> payment of all taxes due and is in compliance with the agreement. (65 ILCS 5/11-42.1-1) <br /> SECTION IV. FAMILIARITY WITH LAWS STATEMENT <br /> The undersigned,being duly sworn,hereby states that the Consulting Engineer and its employees are <br /> familiar with and will comply with all Federal, State and local laws applicable to the project, which may <br /> include, but is not limited to, the Prevailing Wage Act and the Davis-Bacon Act. <br /> CO��NSULTII(N�)G E 1 R <br /> `1`- �/ - <br /> Signature <br /> H. David Ham <br /> Printed Name <br /> Secretary-Treasurer <br /> Title <br /> SUBSCRIBED and SWORN to before me this -'-)'Oday of `_ o tech ,2015. <br /> Notary Public <br /> OFFICIAL SEAL <br /> AMY L U09EI8E W <br /> NOTARY pL".STATE OF LUNM <br /> W O►�EVMa.IU01M6 <br /> G-3 <br />