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Exhibit G <br /> C. T'hat the Professional Service Provider is not barred from bidding on any contract as a result of violation of 720 <br /> ILCS 5/3�F.-3 and 5/33E-4(Bid Rigging or Bid Rotating). <br /> SECTION III. DRUG FREE WORKPLACE AND DELINQUENT 1LLINOIS TAXES STATEMENT <br /> The undersigned states under oath that the Professional Service Provider is in fu11 compliance with the Illinois Drug Free <br /> Workplace Act, 30 ILCS 580/l, et. seq. The undersigned also states under oath and certifies that the Professionat Service <br /> Provider is not delinquent in payment of any tax administered by the Illinois Department of Revenue except#hat the taxes <br /> for w�ich 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 5l11-42.1-1) <br /> SECTIDN IV. FAMILIARITY WITH LAWS STATEMENT <br /> The undersigned,bein�duly sworn,hereby states that the Professional Service Provider and its employees are familiar <br /> with and will comply with ail Federal, State and local laws applicable to the project,which may include, but is not limited <br /> to,the Prevai}ing Wage Act and the.Davis-Bacon Act. <br /> P ES N SERVICE.PROVIDER <br /> ature <br /> tshaw <br /> Printed Name <br /> President <br /> Title <br /> SUBSCRIBED and SWORN to before me this � day of ���,,,,��-x�,20�. <br /> � ' <br /> Notary Public OFFICIAL SEAI- <br /> MELtNDA D M�S�EY <br /> NOTARY PUBLIC-STATE OF ILLINOIS <br /> MY COMMISSION EXPIRES:10l25118 <br /> �:�.,�.ns.n�..nn:�ensv�onnnn^�a,savv.^��`° <br /> G-3 <br />