R2007-75 AUTHORIZING AMENDMENT TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH / MACON COUNTY HEALTH DEPARTMENT

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; �� Basic Te�ms Form C Grant Agreemsnt 5. Work Yrrxiuet: All intellectual property and all dc3ccumcnts includin r urork p�oducts,produced by the Grantee under this t ' � �rts and all other the exciusive property af the Deparpnent, an� S�I��e��£shall become and remain ot be co ted ate trademark P}'ngh � P nted, or registered by the Grantee exc t as au �P thorized by the D artmeni in ��, �P a separate � S. Rel s ea e of in ormation: The - � Grantee . shail not vblis p h, disse�ninate, or otherwise r any information acquired or praduced pursuant to this gxant without prior review and writ en aPpi'oval hy the Department. �• ealth nsnraace Portabil'- an@ Arcouutabilitv Act Com.p,liatzce; Grantee shail comply v�nth the appiieabl� provisians of the Heaith insuran�e partabiliq;a�d Accauntability Aet (�Il'AA), including,but not limited to statute,42 USC 132d, and appiicable regu}ateons,45 C�R I60, 162,and t64,as may be premalgated or amended over time. g• Confiden#�al�,ty; The Grantee agrees to protect frorrt any and a�� osure all information t��at identifies or could lead to the identity of recipients of services provided pursuant to this grant. If the Grantee receives a request for infprtnation that may iden#ify an individual, the ' �� S�� pO�fi' the �ePartrnent immediately. A request for information includes a �, subpoena, court order, Freedom of Informatian Act request, or a re�qeiest from a cesearcher. Any issue af whether the information is or may be identification information shall be resoIved by the Deparnnent. I� 9. Cerh��$; g•I The Grantee certifies under Section 50-5 of the Illinois Procuremeni Code that the Gr�nte�, or an offrcer or employee of the Gra.ntee, (i} has not been convicted of bnberY or$'tt�mpting to bribe an officer or ernployee of the State af Iliinofs; (ii)has nat made an admis�ion of guiit of ttus improper co�aduct that is a matter of record; ar�d till) has nat had an of�iciai, agent, or emp}oyee of the Grantee who camm;tted bribery or attempted bnbery on i�ehalf of the Grantee or pursuant to the direcrion ar authoriza#ion of a responsible official of the Graniee,30 ILCS 540/50-5. g.2 The Grantee certifies that ihe Grantee,or an officer or employee of the Grantee, has not been barred &om�aat��ng with a unit of state or locaI government as a result af vinlation of the bid-rigging or bid-rotating provisions of Sections 33E-3, 33E-4, and 33E-11 of ihe Criminal Code of 1961, 72b ILCS Si33E-3,5/33E-4, 5/33E-i l. 9.3 The Grantee ceitifies under the Discriminatory Club Act that the Grantee is not f prohibited from selling good�or sen�ices to the State of I�iinois because it pays dues . or fees on behalf of its employees or reimburses them, for gayment af their dues or ' fees to any club thar untawfutiy discriminates, 77�ILCS 2�ir�,et � ; Page 2 of 7 i . �.