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Exhibit G <br /> C. That the Professional Service Provider is not barred from bidding on any contract as a result of <br /> violation of 720 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 <br /> Illinois Drug Free Workplace Act,30 ILCS 580/1, et. seq. The undersigned also states under oath and <br /> certifies that the Professional Service Provider is not delinquent in payment of any tax administered by <br /> the Illinois Department of Revenue except that the taxes for which liability for the taxes or the amount of <br /> the taxes are being contested in accordance with the procedures established by the appropriate Revenue <br /> Act; or that the Professional Service Provider has entered into an agreement(s)with the Illinois <br /> 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 <br /> employees are familiar with and will comply with all Federal, State and local laws applicable to the <br /> project,which may include, but is not limited to,the Prevailing Wage Act and the Davis-Bacon Act. <br /> PRO IO L RVICE P IDER <br /> Signature <br /> ic <br /> Printed Name <br /> 5a. V. P <br /> Title <br /> SUBSCRIBED and SWORN to before me this I-I day ,20 . <br /> U,i1[i0y J��? <br /> 1...., ,.,..", ... <br /> NoPublic,U, <br /> ay Notary Public <br /> Mymission Ezprtes <br /> �� , Plovember 16,2014 ��. <br /> G-3 <br />