Laserfiche WebLink
Exhibit G <br /> C. That the Professional Service Provider is not barred from bidding on any contract as a result of violation of 720 <br /> ILCS 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 Professional Service Provider is in full compliance with the Illinois Drug Free <br /> Workplace Act,30 ILCS 580/1, et.seq. The undersigned also states under oath and certifies that the Professional Service <br /> Provider is not delinquent in payment of any tax administered by the Illinois Department of Revenue except that the taxes <br /> for which liability for the taxes or the amount of the taxes are being contested in accordance with the procedures <br /> established by the appropriate Revenue Act; or that the Professional Service Provider has entered into an agreement(s) <br /> with the Illinois Department of Revenue for the payment of all taxes due and is in compliance with the agreement. (65 <br /> ILCS 5/11-42.1-1) <br /> SECTION IV. FAMILIARITY WITH LAWS STATEMENT <br /> The undersigned, being duly sworn,hereby states that the Professional Service Provider and its employees are familiar <br /> with and will comply with all Federal, State and local laws applicable to the project,which may include, but is not limited <br /> to,the Prevailing Wage Act and the Davis-Bacon Act. <br /> PROF SSI AL S RVICE PROVIDER <br /> i ature <br /> John Latshaw <br /> Printed Name <br /> _President <br /> Title <br /> SUBSCRIBED and SWORN to before me this day of Z u ,20 I.). <br /> G <br /> Notary Public OFFICIAL.SEAL <br /> KMMMY A G06S <br /> NOTARY PUBLIC-STATE OF ILLMr016 <br /> W CO 1 E*r4MM 16 <br /> G-3 <br />