R2003-96 REGARDING PROJECT SUCCESS APPLICATION

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H. Debarment - The Provider certifies that the Provider is not debarred, suspended, �, proposed for debannent,declared ineligible,or voluntarily excluded from participation I, in this Agreement by any federal deparhnent or agency, (45 CFR Part 76). I. Pro-Children Act - The Provider certifies that it is in compliance with the Pro- � Children Act of 1994 in that it prohibits smoking in any portion of its facility used for I the provision of health,day care,early childhood development services,education or 'I - - library services to children under 18,which services are supported by Federal or State '�I government assistance (except portions of the facilities which are used for inpatient substance abuse treatment), (20 U.S.C. 6081 et seq.). J. Debt To State - The Provider certifies that it is not barred from being awarded a � contract because the Provider is delinquent in the payment of any debt to the State, unless the Provider has entered into a deferred payment plan to pay off the debt,and '� the Provider acknowledges the Department may declare the contract void if the , certification is false (30 ILCS 500/50-11). ' K. Grant For The Construction Of Fixed Works - All projects for the construction I of fixed works which are financed in whole or in part with funds provided by this i, Grant Agreement shall be subject to the Prevailing Wage Act(820 ILCS 130/0.01 et seq.)unless the provisions of that Act exempt its application. In the construction of ' the project, the Grantee shall comply with the requirements of the Prevailing Wage Act, including,but not limited to, inserting into all contracts for such construction a stipulation to the effect that not less than the prevailing rate of wages as applicable to i the project shall be paid to all laborers, workers, and mechanics performing work I under the contract and requiring all bonds of contractors to include a provision as will guarantee the faithful performance of such prevailing wage clause as provided by contract. I L. Health Insurance Portability and Accountability Act-The Provider certifies that it is in compliance with the Health Insurance Portability and Accountability Act of I 1996(HIPAA)Public Law No. 104-191,45 CFR Parts 160, 162 and 164,the Social � Security Act 42 U.S.C. 1320d-2 through 1320s-7, in that it may not use or disclose protected health information other than as permitted or required by law and agrees to � use appropriate safeguards to prevent use or disclosure of the protected health I information. 6. BACKGROUND CHECKS The Provider certifies that neither the Provider,nor any employees assigned to work on the Department's premises, have a felony conviction. Any request for an exception to this rule must be made in writing,listing the name of the individual,home address,type of conviction and date of conviction. The Provider will also supply the Department with a list of individuals assigned to work on the Department's premises at least ten (10) working days prior to the -4-