HomeMy WebLinkAboutR-25-65VILLAGE OF DEERFIELD
RESOLUTION NO. 2025- R-25-65
A RESOLUTION APPROVING AN INTERGOVERNMENTAL
AGREEMENT WITH THE STATE OF ILLINOIS DEPARTMENT OF
TRANSPORTATION FOR SNOW AND ICE CONTROL ON
SPECIFIED STATE ROUTES
WHEREAS, the Village of Deerfield ("Village') is a home rule municipality in
accordance with Article VII, Section 6 of the Constitution of the State of Illinois of 1970; and
WHEREAS, Article VII, Section 10 of the 1970 Illinois Constitution and the Illinois
Intergovernmental Cooperation Act, 5 ILCS 220/1, et seq., authorize and encourage
intergovernmental cooperation; and
WHEREAS, the Illinois Department of Transportation ("IDOT') has requested that
the Village perform snow and ice control on Illinois Route 43 (Waukegan Road) between
Deerfield High School and Illinois Route 22, which is within the Village's boundaries
("Services'); and
WHEREAS, the Village and IDOT desire to enter into an intergovernmental
agreement regarding the Village's provision of the Services over a period of ten years for the
amount of $6,919 annually, or a total amount of $69,140 ("IGA'); and
WHEREAS, the Village Board has determined that entering into the IGA with IDOT
will serve and be in the best interests of the Village and its residents;
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE BOARD OF
DEERFIELD, LAKE AND COOK COUNTIES, ILLINOIS, as follows:
SECTION 1: RECITALS. The Village Board hereby adopts the foregoing recitals as
its findings, as if fully set forth herein.
SECTION 2: APPROVAL OF INTERGOVERNMENTAL AGREEMENT. The
Village Board hereby approves the IGA in the form attached to this Resolution as Exhibit
A.
SECTION 3: AUTHORIZATION TO EXECUTE INTERGOVERNMENTAL
AGREEMENT. The Mayor and the Village Clerk are hereby authorized and directed to
execute and attest, on behalf of the Village, the final IGA. If the executed copy of the final
agreement is not received by the Village Clerk within 60 days after the effective date of this
Resolution, then this authority to execute and attest will, at the option of the Mayor and
Board of Trustees, be null and void.
SECTION 4: EFFECTIVE DATE. This Resolution shall be in full force and effect
from and after its passage and approval by a majority of the members of the Board of
Trustees.
4919-6782-4764, v. 1
AYES: Benton, Berg, Goldstone, Greenberg, Jacoby, Oppenheim
NAYS: None
ABSTAIN: None
ABSENT: Shapiro
PASSED: December 1, 2025
APPROVED: December 4, 2025
RESOLUTION NO: R-25-65
ATTEST:
4KenS. Street, Village ,lerk
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OF D�- ", EA'
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Da el C. Shapiro, Mayor
4919-6782-4764, v. 1
EXHIBIT A
INTERGOVERNMENTAL AGREEMENT
4919-6782-4764, v. 1
(i)Illinois Departmental Transportation
Office of Highways Project Implementation 1 Region 1 / District 1
201 West Center Court / Schaumburg, Illinois 60196-1096
November 6, 2025
Mr. Robert Phillips
Director of Public Works and Engineering
Village of Deerfield
465 Elm Street
Deerfield, IL 60015
Dear Mr. Phillips:
The Illinois Department of Transportation, on behalf of the State of Illinois,
intends to enter into an Intergovernmental Agreement ("Agreement") for
Maintenance of Municipal Streets with your municipality. The scope of work,
including the roadways covered in this Agreement, is listed in Part 5. This will
replace our previous ten-year Agreement which expired on June 30, 2025.
Part 5 includes a clause to allow modifications to the location listing as
appropriate and as mutually agreed to by both parties. Any modifications shall
be in writing and must be approved by the Regional Engineer or his or her
designee on behalf of IDOT and by the PUBLIC WORKS DIRECTOR on behalf
of the Governmental Body authorized to approve these modifications.
Updated Computation Sheets for the period of November 1, 2025 through
April 30, 2026 are included with the contract. The adjustment factor used to
determine the rates is based on the 1.60% increase published by the
Engineering News Record. The annual payment for your municipality will be
$6,914.00, retroactive to November 1, 2025.
Please review and sign the attached two copies of the Agreement, and return to
Jacek Ejmont, Bureau Chief of Maintenance, Illinois Department of
Transportation, 201 W. Center Court, Schaumburg, IL 60196. In order to
execute the contract by November 21, 2025, please return it no later than
November 14, 2025. One original of the executed agreement will be sent back
to you once all parties have signed it.
If you have any questions or need additional information, please contact
Jacek Ejmont, Bureau Chief of Maintenance, at (847) 705-4170.
Sincerely,
Josi!,Rios, P.E.
Regfbn One Engineer
Attachment
Illinois Department
of Transportation
Governmental Body Name
Village of Deerfield
Intergovernmental Agreement
Agreement Number
Address city State ZipCode
465 Elm Street Ieerfield, IL 60015
Remittance Address if different from above City State Zip Code
Phone Unique Entity Identifier (UEl) FEIN/TIN
30-0002270
Brief Description of Service (full
in
and Ice Control on Specified State Routes
Comuensation Method (full details specified in Part 6
Lump Sum
Total Compensation Amount Agreement Term
Advance Pay Start Date Expiration Date
$69,140.00 (Estimate) ❑ Yes ® No 11/01/25 04/30/35
REQUIRED SIGNATURES
By signing below, the GOVERNMENTAL BODY and the DEPARTMENT agree to comply with and abide by all provisions set forth in Parts
1-8 herein and any Appendices thereto.
FOR THE GOVERNMENTAL BODY:
Signature — Date
`2—ll �Z
Name Title
�� S 5Yeeef 14
FOR THE DEPARTMENT:
Signature Date Gia Biagi, Acting Secretary Date
I — L
rName
Printed Name
Printed Title
Skinature Date Vicki L. Wilson, Chief Fiscal Officer Date
Michael Prater, Chief Counsel Date
(Approved as to form)
Printed 11/07/25 Page 1 of 13 BoBS 2804 (Rev. 05/07/25)
INTERGOVERNMENTAL AGREEMENT
FOR
SNOW AND ICE CONTROL ON SPECIFIED STATE ROUTES
This Agreement is by and between
Please type or print legibly the GOVERNMENTAL BODY'S legal name and address
Village of Deerfield
465 Elm Street
Deerfield, IL 60015
Attention
Mr. Robert Phillips, Director of Public Works and Engineering
Email
rphillips@deerfield.il.us
referred to as the GOVERNMENTAL BODY, and the State of Illinois, acting by and through its Department of Transportation,
referred to as the DEPARTMENT individually referred to as a PARTY, and collectively referred to as the PARTIES.
Part 1
Scope/Compensation/Term
Part 2
General Provisions
Part 3
Federally Funded Agreements
Part 4
Specific Provisions
Part 5
Scope of Services/Responsibilities
Part 6
Compensation for Services
Part 7
Certification Regarding Lobbying
Part 8
Agreement Award Notification
Part 1
SCOPE/COMPENSATION/TERM
A. Scope of Services and Responsibilities The DEPARTMENT and the GOVERNMENTAL BODY agree as specified in Part 5.
B. Compensation Compensation (if any) shall be as specified in Part 6.
C. Term of Agreement This Agreement will start 11 /01 /25 and will expire 04/30/35
D. Amendments All changes to this Agreement must be mutually agreed upon by the DEPARTMENT and the GOVERNMENTAL
BODY and be incorporated by written amendment, signed by the parties.
® E. Renewal This Agreement may not be renewed.
Printed 11/07/25 Page 2 of 13 BoBS 2804 (Rev. 05/07/25)
Part 2
GENERAL PROVISIONS
A. Changes If any circumstances or condition in this Agreement changes, the GOVERNMENTAL BODY must notify the
DEPARTMENT in writing within seven (7) days.
B. Compliance/Governing Law The terms of this Agreement shall be construed in accordance with the laws of the State of Illinois.
Any obligations and services performed under this Agreement shall be performed in compliance with all applicable state and
federal laws. The Parties hereby enter into this Intergovernmental Agreement pursuant to the Intergovernmental Cooperation Act,
5 ILCS 220/1 et seq.
C. Availability of Appropriation This Agreement is contingent upon and subject to the availability of funds. The DEPARTMENT, at
its sole option, may terminate or suspend this Agreement, in whole or in part, without penalty or further payment being required, if
(1) the Illinois General Assembly or the federal funding source fails to make an appropriation sufficient to pay such obligation, or if
funds needed are insufficient for any reason (2) the Governor decreases the DEPARMENT's funding by reserving some or all of
the DEPARTMENT's appropriation(s) pursuant to power delegated to the Governor by the Illinois General Assembly; or (3) the
DEPARMENT determines, in its sole discretion or as directed by the Office of the Governor, that a reduction is necessary or
advisable based upon actual or projected budgetary considerations. GOVERNMENTAL BODY will be notified in writing of the
failure of appropriation or of a reduction or decrease.
D. Records Inspection The DEPARTMENT or a designated representative shall have access to the GOVERNMENTAL BODY's
work and applicable records whenever it is in preparation or progress, and the GOVERNMENTAL BODY shall provide for such
access and inspection.
E. Records Preservation The GOVERNMENTAL BODY, shall maintain for a minimum of six (6) years after the completion of the
Agreement, adequate books, records and supporting documents to verify the amounts, recipients and uses of all disbursements
of funds passing in conjunction with the Agreement.
Cost Category Transfer Request For all transfers between or among appropriated and allocated cost categories,
DEPARTMENT approval is required. To secure approval, the GOVERNMENTAL BODY must submit a written request to the
DEPARTMENT detailing the amount of transfer, the cost categories from and to which the transfer is to be made, and rationale of
the transfer.
G. Subcontracting/Procurement Procedures/Employment of DEPARTMENT Personnel
1. Subcontracting -Subcontracting, assignment or transfer of all or part of the interests of the GOVERNMENTAL BODY
concerning any of the obligations covered by this Agreement is prohibited without prior written consent of the
DEPARTMENT.
2. Procurement of Goods or Services - Federal Funds For purchases of products or services with any Federal funds that
cost more than $3,000.00 but less than the simplified acquisition threshold fixed at 41 U.S.C. 134, (currently set at
$250,000.00) the GOVERNMENTAL BODY shall obtain price or rate quotations from an adequate number (at least
three) of qualified sources. Procurement of products or services with any Federal funds for $250,000 or more will require
the GOVERNMENTAL BODY to use the Invitation for Bid process or the Request for Proposal process. In the absence
of formal codified procedures of the GOVERNMENTAL BODY, the procedures of the DEPARTMENT will be used,
provided that the procurement procedures conform to the provisions in Part 3(K) below. The GOVERNMENTAL BODY
may only procure products or services from one source with any Federal funds if: (1) the products or services are
available only from a single source; or (2) the DEPARTMENT authorizes such a procedure; or, (3) the DEPARTMENT
determines competition is inadequate after solicitation from a number of sources.
3. Procurement of Goods or Services - State Funds For purchases of products or services with any State of Illinois funds
that cost more than $20,000.00, ($10,000.00 for professional and artistic services) but less than the small purchase
amount set by the Illinois Procurement Code Rules, currently set to not exceed $100,000 for professional and artistic
services, (See 30 ILCS 500/20-20(a) and 44 III. Admin Code 6.100) the GOVERNMENTAL BODY shall obtain price or
rate quotations from an adequate number (at least three) of qualified sources. Procurement of products or services with
any State of Illinois funds not exceeding $1.00,000 for goods and services or more for professional and artistic services
will require the GOVERNMENTAL BODY to use the Invitation for Bid process or the Request for Proposal process. In
the absence of formal codified procedures of the GOVERNMENTAL BODY, the procedures of the DEPARTMENT will
be used. The GOVERNMENTAL BODY may only procure products or services from one source with any State of Illinois
funds if: (1) the products or services are available only from a single source; or (2) the DEPARTMENT authorizes such a
procedure; or, (3) the DEPARTMENT determines competition is inadequate after solicitation from a number of sources.
The GOVERNMENTAL BODY shall include a requirement in all contracts with third parties that the contractor or
consultant will comply with the requirements of this Agreement in performing such contract, and that the contract is
subject to the terms and conditions of this Agreement.
4. EMPLOYMENT OF DEPARTMENT PERSONNEL The GOVERNMENTAL BODY will not employ any person or persons
currently employed by the DEPARTMENT for any work required by the terms of this Agreement.
Printed 11/07/25 Page 3 of 13 BoBS 2804 (Rev. 05/07/25)
Part 3
® FEDERALLY FUNDED AGREEMENTS
[Not applicable to this Agreement]
Printed 11/07/25 Page 4 of 13 BoBS 2804 (Rev. 05/07/25)
PART 4
SPECIFIC PROVISIONS
A. Invoices Invoices submitted by the GOVERNMENTAL BODY will be for costs that have been incurred to complete the Part 5,
Scope of Services. If the GOVERNMENTAL BODY's invoices are deemed by the DEPARTMENT or auditors to not be sufficiently
documented for work completed, the DEPARTMENT may require further records and supporting documents to verify the
amounts, recipients and users of all funds invoiced pursuant to this Agreement. Furthermore, if any of the deliverables in Part 5
are not satisfactorily completed, GOVERNMENTAL BODY will refund payments made under this agreement to the extent that
such payments were made for any such incomplete or unsatisfactory deliverable.
Any invoices/bills issued by the GOVERNMENTAL BODY to the DEPARTMENT pursuant to this Agreement shall be sent to the
following address:
Illinois Department of Transportation
Attention
District 1, Operations Supervisor
Address
3516 W. Washington Street
E-mail
1
City State Zi Code
Gurnee, IL 60031
All invoices shall be signed by an authorized representative of the GOVERNMENTAL BODY.
B. Billing and Payment All invoices for services performed and costs incurred by the GOVERNMENTAL BODY prior to July 1st of
each year must be presented to the DEPARTMENT no later than July 31st of that same year for payment under this Agreement.
Notwithstanding any other provision of this Agreement, the DEPARTMENT shall not be obligated to make payment to the
GOVERNMENTAL BODY on invoices presented after said date. Failure by the GOVERNMENTAL BODY to present such
invoices prior to said date may require the GOVERNMENTAL BODY to seek payment of such invoices through the Illinois Court
of Claims and the Illinois General Assembly. No payments will be made for services performed prior to the effective date of this
Agreement. The DEPARMENT will direct all payments to the GOVERNMENTAL BODY's remittance address listed in this
Agreement.
C. Termination This Agreement may be terminated by either party by giving thirty (30) calendar days written notice. If the
DEPARTMENT is dissatisfied with the GOVERNMENTAL BODY's performance or believes that there has been a substantial
decrease in the GOVERNMENTAL BODY's performance, the DEPARTMENT may give written notice that remedial action shall
be taken by the GOVERNMENTAL BODY within seven (7) calendar days. If such action is not taken within the time afforded, the
DEPARTMENT may terminate the Agreement by giving seven (7) calendar days written notice to the GOVERNMENTAL BODY.
In either instance, the GOVERNMENTAL BODY shall be paid for the value of all authorized and acceptable work performed prior
to the date of termination, including non -cancelable obligations made prior to receipt of notice of termination and for which work
will be completed within thirty (30) days of receipt of notice of termination, based upon the payment terms set forth in the
Agreement.
D. Location of Service Service to be performed by the GOVERNMENTAL BODY shall be performed as described in Part 5.
E. Ownership of Documents/Title to Work All documents, data and records produced by the GOVERNMENTAL BODY in carrying
out the GOVERNMENTAL BODY's obligations and services hereunder, without limitation and whether preliminary or final, shall
become and remain the property of the DEPARTMENT. The DEPARTMENT shall have the right to use all such documents, data
and records without restriction or limitation and without additional compensation to the GOVERNMENTAL BODY. All documents,
data and records utilized in performing research shall be available for examination by the DEPARTMENT upon request. Upon
completion of the services hereunder or at the termination of this Agreement, all such documents, data and records shall, at the
option of the DEPARTMENT, be appropriately arranged, indexed and delivered to the DEPARTMENT by the GOVERNMENTAL
BODY.
F. Software All software and related computer programs produced and developed by the GOVERNMENTAL BODY (or authorized
contractor or subcontractor thereof) in carrying out the GOVERNMENTAL BODY's obligation hereunder, without limitation and
whether preliminary or final, shall become and remain the property of both the DEPARTMENT and the GOVERNMENTAL BODY.
The DEPARTMENT shall be free to sell, give, offer or otherwise provide said software and related computer programs to any
other agency, department, commission, or board of the State of Illinois, as well as any other agency, department, commission,
board, or other governmental entity of any country, state, county, municipality, or any other unit of local government, or to any
entity consisting of representatives of any unit of government, for official use by said entity. Additionally, the DEPARTMENT shall
be free to offer or otherwise provide said software and related computer programs to any current or future contractor.
The DEPARTMENT agrees that any entity to whom the software and related computer programs will be given, sold or otherwise
offered shall be granted only a use license, limited to use for official or authorized purposes, and said entity shall otherwise be
Printed 11/07/25 Page 5 of 13 BoBS 2804 (Rev. 05/07/25)
prohibited from selling, giving or otherwise offering said software and related computer programs without the written consent of
both the DEPARTMENT and the GOVERNMENTAL BODY.
G. Confidentiality Clause Any documents, data, records, or other information given to or prepared by the GOVERNMENTAL
BODY pursuant to this Agreement shall not be made available to any individual or organization without prior written approval by
the DEPARTMENT. All information secured by the GOVERNMENTAL BODY from the DEPARTMENT in connection with the
performance of services pursuant to this Agreement shall be kept confidential unless disclosure of such information is approved
in writing by the DEPARTMENT.
H. Compliance with Freedom of Information Act. Upon request, GOVERNMENTAL BODY shall make available to
DEPARTMENT all documents in its possession that DEPARTMENT deems necessary to comply with requests made under the
Freedom of Information Act. (5 ILCS 140/7(2)).
I. Reporting/Consultation The GOVERNMENTAL BODY shall consult with and keep the DEPARTMENT fully informed as to the
progress of all matters covered by this Agreement.
J. Travel Expenses Expenses for travel, lodging, or per diem is NOT allowed pursuant to this Agreement.
K. Indemnification Unless prohibited by State law, the GOVERNMENTAL BODY agrees to hold harmless and indemnify the
DEPARTMENT, and its officials, employees, and agents, from any and all losses, expenses, damages (including loss of use),
suits, demands and claims, and shall defend any suit or action, whether at law or in equity, based on a alleged injury or damage
of any type arising from the actions or inactions of the GOVERNMENTAL BODY and/or the GOVERNMENTAL BODY's
employees, officials, agents, contractors and subcontractors, and shall pay all damages, judgments, costs, expenses, and fees,
including attorney's fees, incurred by the DEPARTMENT and its officials, employees and agents in connection therewith.
GOVERNMENTAL BODY shall defend, indemnify and hold the DEPARTMENT harmless against a third -party action, suit or
proceeding ("Claim") against the DEPARTMENT to the extent such Claim is based upon an allegation that a Product, as of its
delivery date under this Agreement, infringes a valid United States patent or copyright or misappropriates a third party's trade
secret.
L. Equal Employment Practice The GOVERNMENTAL BODY must comply with the "Equal Employment Opportunity Clause"
required by the Illinois Department of Human Rights. The GOVERNMENTAL BODY must include a requirement in all contracts
with third parties (contractor or consultant) to comply with the requirements of this clause. The Equal Employment Opportunity
Clause reads as follows:
In the event that the GOVERNMENTAL BODY, its contractor or consultant fails to comply with any provisions of this Equal
Employment Opportunity Clause, the Illinois Human Rights Act Rules and Regulations of the Illinois Department of Human Rights
("IDHR"), the GOVERNMENTAL BODY, its contractor or consultant may be declared ineligible for future contracts or
subcontracts with the state of Illinois or any of its political subdivisions or municipal corporations, and the contract may be
canceled or voided in whole or in part, and such other sanctions or penalties may be imposed or remedies invoked as provided
by statute or regulation. During the performance of this contract, the GOVERNMENTAL BODY agrees as follows:
1. That it will not discriminate against any employee or applicant for employment because of race, color, religion, sex,
national origin, ancestry, age, physical or mental handicap unrelated to ability, or an unfavorable discharge from
military service; and further that it will examine all job classifications to determine if minority persons or women are
underutilized and will take appropriate affirmative action to rectify any such underutilization;
2. That, if it hires additional employees in order to perform this contract or any portion thereof, it will determine the
availability (in accordance with IDHR's Rules and Regulations) of minorities and women in the area(s) from which it
may reasonably recruit and it will hire for each job classification for which employees are hired in such a way that
minorities and women are not underutilized.
3. That, in all solicitations or advertisements for employees placed by it or on its behalf, it will state that all applicants will
be afforded equal opportunity without discrimination because of race, color, religion, sex, national origin or ancestry,
physical or mental handicap unrelated to ability, or an unfavorable discharge from military service;
4. That it will send to each labor organization or representative of workers with which it has or is bound by a collective
bargaining or other agreement or understanding, a notice advising such labor organizations or representative of the
contractor's obligations under the Illinois Human Rights Act and IDHR's Rules and Regulations. If any such labor
organization or representative fails or refuses to cooperate with the contractor in its efforts to comply with such Act
and Rules and Regulations, the contractor will promptly notify IDHR and the contracting agency and will recruit
employees from other sources when necessary to fulfill its obligations thereunder;
5. That it will submit reports as required by IDHR's Rules and Regulations, furnish all relevant information as may from
time to time be requested by IDHR or the contracting agency, and in all respects comply with the Illinois Human
Rights Act and IDHR's Rules and Regulations;
Printed 11/07/25 Page 6 of 13 BoBS 2804 (Rev. 05107/25)
6. That it will permit access to all relevant books, records, accounts, and work sites by personnel of the contracting
agency and IDHR for purposes of investigation to ascertain compliance with the Illinois Human Rights Act and
IDHR's Rules and Regulations;
7. That it will include verbatim or by reference the provisions of this Clause in every contract and subcontract it awards
under which any portion of the contract obligations are undertaken or assumed, so that such provisions will be
binding upon such subcontractor. In the same manner as with other provisions of this Agreement, the
GOVERNMENTAL BODY, its contractor or consultant will be liable for compliance with applicable provisions of this
clause; and further it will promptly notify the contracting agency and the Department in the event any of its contractor
or subcontractor fails or refuses to comply therewith. In addition, the GOVERNMENTAL BODY will not utilize any
contractor or subcontractor declared by the Illinois Human Rights Commission to be ineligible for contracts or
subcontracts with the state of Illinois or any of its political subdivisions or municipal corporations;
8. The GOVERNMENTAL BODY must have written sexual harassment policies that include, at a minimum, the
following information: (i) the illegality of sexual harassment; (ii) the definition of sexual harassment, under State law;
(iii) a description of sexual harassment, utilizing examples; (iv) the Grantee's internal complaint process including
penalties; (v) the legal recourse, investigative, and complaint process available through the Department of Human
Rights and the Human Rights Commission; (vi) directions on how to contact the Department and Commission; and
(vii) protection against retaliation as provided by Section 6-101 of the Illinois Human Rights Act. A copy of the policies
must be provided to the DEPARTMENT upon request; and
In addition, the GOVERNMENTAL BODY is subject to the Illinois Human Rights Act, 775 ILCS 5/1-101 et seq., which prohibits
discrimination in connection with the availability of public accommodations.
M. Tax Identification Number GOVERNMENTAL BODY certifies that:
1. The number shown on this form is a correct taxpayer identification number (or it is waiting for a number to be issued),
and
2. It is not subject to backup withholding because: (a) it is exempt from backup withholding, or (b) has not been notified
by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all
interest or dividends, or (c) the IRS has notified the GOVERNMENTAL BODY that it is no longer subject to backup
withholding, and
3. It is a U.S. entity (including a U.S. resident alien).
NAME OF GOVERNMENTAL BODY:
Taxpayer Identification Number:
Legal Status (check one):
Village of Deerfield
30-0002270
❑ Tax-exempt ® Government ❑ Other
N. International Boycott The GOVERNMENTAL BODY certifies that neither GOVERNMENTAL BODY nor any substantially owned
affiliate is participating or shall participate in an international boycott in violation of the U.S. Export Administration Act of 1979 or
the applicable regulations of the U.S. Department of Commerce. This applies to contracts that exceed $10,000 (30 ILCS 582).
101
P.
Forced Labor The GOVERNMENTAL BODY certifies it complies with the State Prohibition of Goods from Forced Labor Act, and
certifies that no foreign -made equipment, materials, or supplies furnished to the DEPARTMENT under this Agreement have been
or will be produced in whole or in part by forced labor, or indentured labor under penal sanction (30 ILCS 583).
Equipment The DEPARTMENT and the GOVERNMENTAL BODY agree to the following:
1. The GOVERNMENTAL BODY must obtain the DEPARTMENT's written approval prior to purchasing any equipment
with funds acquired under this Agreement;
2. The GOVERNMENTAL BODY acknowledges that the DEPARTMENT is under no obligation to approve, and the
DEPARTMENT may, if it approves, subject that approval to additional terms and conditions as the DEPARTMENT
may require;
3. The GOVERNMENTAL BODY acknowledges that any equipment purchased under this Agreement must remain the
property of the DEPARTMENT;
4. The GOVERNMENTAL BODY must use the equipment for the authorized purpose under Part 5 (Scope of Service/
Responsibilities) and Part 6 (Compensation) during the period of performance or the equipment's entire useful life;
5. The GOVERNMENTAL BODY must not sell, transfer, encumber, or otherwise dispose of any equipment that is
acquired under this Agreement without prior DEPARTMENT's written approval;
6. In cases where the GOVERNMENTAL BODY fails to dispose of any equipment properly, as determined by the
DEPARTMENT, the GOVERNMENTAL BODY may be required to reimburse the DEPARTMENT for the cost of the
equipment; and
7. For purposes of this provision, "equipment" includes any tangible or intangible product, having a useful life of two
years or more, an acquisition cost of at least $100, and used solely in GOVERNMENTAL BODY's performance under
this Agreement.
Printed 11/07/25 Page 7 of 13 BoBS 2804 (Rev. 05/07/25)
PART 5
SCOPE OF SERVICE/RESPONSIBILITIES
o compensate the GOVERNMENTAL BODY for the routine snow and ice control work it performs on Illinois
ighways that are designated as "State routes" within the GOVERNMENTAL BODY's boundary, which the
'overnment Body has agreed to maintain per Computation Sheet — Municipal Maintenance (Attachment A) of
its AGREEMENT. Snow and Ice control is described in the DEPARTMENT's District 1 Snow and Ice Control
lanual (most recent edition).
This maintenance location listing may be modified as appropriate and mutually agreed to by both parties. Such
modification shall be in writing and must be approved by the Regional Engineer or his or her designee on behalf
of IDOT and by the PUBLIC WORKS DIRECTOR, on behalf of the Governmental Body. It is understood these
modifications may result in a modification to the total payments under this agreement. However, the parties
hereby agree that a formal amendment to the agreement is not necessary to modify the locations, nor is a formal
amendment necessary to modify a change in cost associated with the change in locations, provided the change
in amount of total payments is less than 10%.
Printed 11/07/25 Page 8 of 13 BoBS 2804 (Rev. 05/07/25)
PART 6
COMPENSATION FOR SERVICES
State Funds (Appropriation Code: 011-49405-4472-0200) (Estimate)) $69,140.001 100%
Subtotal $69,140.00 100%
Local Match Provided Through the GOVERNMENTAL BODY $0.00 0%
GRAND TOTAL $69,140.00
Funding Breakdown
Terms and Conditions:
1.) GOVERNMENTAL BODY agrees that total payment for each fiscal year from _2026 through 2035_ must
not exceed the previous year's total payment plus cost adjustment. [Cost adjustment means the previous year's
total payment x % change of the Construction Cost Index, which is published in the Engineering News Record
(January edition for each year)].
2.) The GOVERNMENTAL BODY must submit an invoice voucher for the cost of service rendered and
expenses incurred every 3 months (quarterly), and the DEPARTMENT will compensate the GOVERNMENTAL
BODY, subject to Part 4A of this AGREEMENT, and according to the attached Computation Sheet - Municipal
Maintenance (Attachment A); and
.) The DEPARTMENT will pay the GOVERNMENTAL BODY's quarterly invoice vouchers (#2, above) on or
bout January 31 and April 30 of each fiscal year, subject to the DEPARTMENT's inspection for satisfactory
peration and maintenance of covered streets.
Bud et
Printed 11/07/25 Page 9 of 13 BoBS 2804 (Rev. 05/07125)
PART 7
CERTIFICATION REGARDING LOBBYING
(49 CFR PART 20)
® [NOT APPLICABLE TO THIS AGREEMENT]
Printed 11/07/25 Page 10 of 13 BoBS 2804 (Rev. 05/07/25)
PART 8
AGREEMENT AWARD NOTIFICATION
REQUIRED FOR ALL PROJECTS
Does this project receive Federal funds? ❑ Yes ® No
Amount of Federal funds Name of Proiect
$0.00 Snow and Ice Control on Specified State Routes
Federal Proiect Number
Assistance Listing Number*, Federal Agency, Program Title
N/A
*For Assistance Listing Number, refer to original Federal Award/Grant Agreement.
REMAINDER OF THIS PAGE IS INTENTIONALLY BLANK
Printed 11/07/25 Page 11 of 13 BoBS 2804 (Rev. 05/07125)
ANNUAL CERTIFICATION FOR SINGLE AUDIT COMPLIANCE
NOTICE
The certification applies ONLY to governmental agencies, local units of government and non-profit agencies expending federal
funds for this project. It does not apply to for -profit public or private entities.
• If 2 CFR Part 200, Subpart F, Section 200.501, Audit Requirements applies to your organization, submit the certification or a copy
of your single audit to the DEPARTMENT at the end of your fiscal year for any fiscal year in which you expended any federal
funds related to this contract.
NOTE: ANNUAL COMPLIANCE WITH THIS REQUIREMENT IS MANDATORY FOR EVERY YEAR IN WHICH FEDERAL FUNDS ARE
EXPENDED FOR THIS PROJECT BY ANY STATES, LOCAL GOVERNMENTS OR NONPROFIT ORGANIZATIONS. FAILURE TO
COMPLY WITH THE ANNUAL CERTIFICATION TO THE DEPARTMENT WILL RESULT IN SUSPENSION OF PAYMENTS TO
REIMBURSE PROJECT COSTS.
In accordance with 2 CFR Part 200, Subpart F, Section 200.501, Audit Requirements, non-federal entities that expended at least the
threshold amount as set out in 2 CFR 200.501(a) in federal Awards (direct federal and federal pass -through awards combined), Grantee
must have a single audit or program -specific audit conducted for that year as required by 2 CFR 200.501 and other applicable sections of
Subpart F of 2 CFR Part 200. The DEPARTMENT is required by federal law to obtain and review the single audit of all entities that had
any federally participating funds pass through it, irrespective of the amount provided by the DEPARTMENT. It is the responsibility of the
agencies expending Federal funds to comply with the requirements and determine whether they are required to have a single audit
performed.
In order to comply with the requirements, your agency must provide the following information to the DEPARTMENT on an annual basis for
every year in which you expended funds for costs associated with this project:
1. If your agency expended at least the threshold amount asset out in 2 CFR 200.501(a) or more in Federal awards from all sources,
including other agencies, in a year, you are required to have a single audit performed, and submit a copy of the report to the
DEPARTMENT within the earlier of 30 days after completion of the single audit or no more than nine months after the end of your fiscal
year end.
2. If your agency expended less than the threshold amount asset out in 2 CFR 200.501(a) in Federal awards from all sources, including
other agencies, in any fiscal year for which you expended funds for project costs, and were not required to conduct a single audit, yQu
must complete and return the certification statement.
3. If your agency receives multiple awards from the DEPARTMENT, only one annual submittal of this information is required.
Please submit a copy of your single audit or the Single Audit Not Required Certification to:
Illinois Department of Transportation
Financial Review & Investigation Section, Rm. 126
2300 South Dirksen Parkway
Springfield, IL 62764
DOT.AuditReviewk'c0linois.gov
The single audit must be comprised of four parts. You have the option of including the four parts in one report or a combination of reports.
The four parts are commonly known as:
1. Comprehensive Annual Financial Report (Financial Statements).
2. Schedule of Expenditures of Federal Awards and Independent Auditor's Report thereon.
3. Independent Auditor's Report on Internal Control over Financial Reporting and on Compliance and other matters based on an
Audit of Financial Statements performed in accordance with Government Auditing Standards.
4. Independent Auditor's Report on Compliance with Requirements Applicable to each Major Program and on Internal Control
over Compliance in accordance with 2 CFR Part 200.
Additional information which should be submitted:
1. Corrective Action Plan(s), if applicable,
2. Management Letter, if applicable, and
3. Status of Prior Year Findings, if applicable.
For your convenience, you may also submit the information via email to DOT.AuditRevieweillinois.gov or via fax at 217/782-5634. If you
have any questions, please contact the Audit Coordination Section at 217/782-6041.
Printed 11/07/25 Page 12 of 13 BoBS 2804 (Rev. 05107/25)
NOTICE
Do not submit this certification to the DEPARTMENT with your signed contract.
• The certification applies ONLY to governmental agencies, local units of government and non-profit agencies expending
Federal funds for this project. It does not apply to for -profit public or private entities.
• If 2 CFR Part 200, Subpart F, Section 200.501, Audit Requirements applies to your organization, submit the certification
or a copy of your single audit to the DEPARTMENT at the end of your fiscal year for any fiscal year in which you
expended any Federal funds related to this contract.
Annual Certification of Audit Type
1. Do not submit this Certification to the Department with your signed contract.
2. This form must be submitted, by the award recipient, yearly, within 60 days of the award recipient's fiscal year end, for the entire length
of the contract.
3. You will submit this form to: DOT.AuditReview@illinois.gov within 60 days of your fiscal year end.
The Illinois Department of Transportation (IDOT) is required to obtain and review the Single Audit of all entities that have
federally participating funds pass through it.
Section A
The certification applies ONLY to government agencies, local units of government and non-profit agencies expending federal funds. It
does not apply to for -profit public or private entities.
The requirements of a Single Audit are as follows:
• In accordance with 2 CFR 200 Uniform Administrative Requirements, non-federal entities are required to have a single audit
conducted if the total federal awards expended, from all awarding agencies in the entities fiscal year are greater than:
$750,000.00 for audits of fiscal years beginning on or after December 26, 2024, or
$1,000,000.00 for audits of fiscal years beginning on or after October 1, 2024.
Section B
Certification for fiscal year
Check the box that applies.
through
❑ The amount of federal funding our organization expended for our fiscal year,
exceeds. the Single Audit threshold. Therefore, we are required to have a Single Audit.
❑ The amount of federal funding our organization expended for our fiscal year,
the Single Audit threshold. Therefore, we are not required to have a Single Audit.
Section C
through , meets or
through , is below
Fiscal Year End Date
Address ty State Zip Code
Contact Name Title
Phone E-mail
FEIN do not enter a dash UEI
Section D
I certify that the above information is correct and in compliance with 2 CFR 200 Uniform Administrative Requirements:
Name
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Date
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Printed 11/07/25 Page 13 of 13 BoBS 2804 (Rev. 05/07/25)
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