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Exhibit G <br /> B. No department director or any employee or any officer of the City of Decatur has any financial <br /> interest, directly or indirectly, in the award of this contract except as listed on a separate attached <br /> sheet to this affidavit. <br /> C. That the Consulting Enaineer is not barred from bidding on any contract as a result of violation of <br /> 720 ILLS 5/33E-3 and 5/33E-4 (Bid Rigging or Bid Rotating). <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 /> CON TING NGINEER <br /> Signature <br /> _Kevin E. Myers, PE <br /> Printed Name <br /> _Member <br /> Title <br /> SUBSCRIBED and SWORN to before me thi T day of Vchc 201�1. <br /> Notary Public „®FFJCIAL SEAL" <br /> MARYANN ALBERS <br /> NOTARY PUBLIC,STATE OF it-L.INOS <br /> MY COAMMISSION EXPIRES 0846 16 <br /> G-3 <br />