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<br /> . •
<br /> � Illinois Department
<br /> of Transportation Contract Summary
<br /> TO BE COMPLETED BY THE CONTRACTOR
<br /> Contractor Name City of Decatur, Public Transit System
<br /> Legal Address
<br /> ��l Gary K. Anderson Plaza
<br /> City,State,Zip Decatur, IL 62523
<br /> Remittance Address same as above
<br /> City,State,Zip
<br /> TelephoneNumber �217)424-2777 FaxNumber �217)424-0674 IDHRNumber(ifrequired)
<br /> TIN Number(FEIN or SSN) �, -;• �- �� "'" "" �" , "� ••" Form of Business(Use
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<br /> 37-6001308 �""°"�" � ` $ ,,, '- �"� Codes found on Instructions)
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<br /> TO BE COMPLETED BY THE DEPARTMENT
<br /> Brief Description of Service(full description specified in Article 7)
<br /> Conduct 3-C Planning Activities
<br /> Compensation Method(full details Travel Expense ❑Yes This contract contains Professional Contract Term
<br /> specified in Article 8) � No and Artistic Services �Yes From:
<br /> Lump Sum ❑ No July 1, 1999
<br /> Total Compensation Amount Travel Amount Advance Pay Yes To:
<br /> $28,983 $0 � No June 30, 2000
<br /> Certification Article Req• Certification Article Req•
<br /> Bribery...................................................... 6-90 � International Anti-Boycott.................................. 6-120 �
<br /> Bid Rigging or Rotating............................. 6-110 � Multiyear Contracts Approp. Contingency.......... 3-30 �
<br /> Conflict of Interest..................................... 6-20 � Negotiations....................................................... 6-30 �
<br /> Discrimination........................................... 2-20 � Non-Solicitation.................................................. 3-40 �
<br /> Drug Free Workplace............................... 6-130 � Records Preservation........................................ 3-70 �
<br /> Dues/Fees to Clubs which Discriminate... 2-30 � Revolving Door.................................................. 6-50 �
<br /> Education Loan Default............................ 6-100 � Subcontracting.................................................... 3-90 �
<br /> Felony Conviction..................................... 6-10 � Tax Exempt......................................................... 2-70 �
<br /> Human Rights Number............................. 2-50 � Architect, Engineer, LS Qual. Based Selection.. 5-200 ❑
<br /> Inducements............................................. 6-40 � Response Contractors Indemnification Fund..... 5-160 ❑
<br /> Insider Information.................................... 6-80 � Steel Procurement............................................. 5-190 ❑
<br /> SIGNATURES
<br /> By signing below, CoNTwrcTOR and DEPARn�nENT agree to comply with and abide by all provisions of Articles 1-8 and all
<br /> Appendices thereto. CoNTwacTOR certifies, under penalty of perjury, that the name, taxpayer identification number, and legal
<br /> status set forth above, are true and correct. CoNTw�cTOR, by signing below, certifies to all Assurances, Certifications, and
<br /> Disclosures as set les 1-7,and Articles A, B,and C,which are(for Bid Contracts only) made a part hereof.
<br /> FOR THE R '
<br /> � . Howley, Mayor May 18, 1999
<br /> Signature of Authorized Repre e Type or Print Name of Authorized Representative Date
<br /> FOR THE DEP ENT: � � �' ��
<br /> .Wheeler, irector Edward .G er,Chief Counsel(Approved as to form)
<br /> Randy .Ver en, irector,Finance&Administration
<br /> qaa
<br /> Kirk Brown,Secretary of Transportation a e
<br /> 1 City of Decatur FY 00 FTA
<br /> Office of Planning and Programming
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