REQUEST FOR PROPOSAL (RFP)

 

For

 

Preventing the Co-occurrence of Child Abuse and Domestic Violence

 

 

Issued by:

 

STATE OF ILLINOIS

DEPARTMENT OF CHILDREN AND FAMILY SERVICES

DIVISION OF CHILD PROTECTION

 

 

Proposals must be received no later than November 12, 2001 at 5:00 p.m.

 

406 East Monroe, Station #40

Springfield, IL  62701-1498

For further information regarding this RFP contact Gail Jackson at 217/785-2513.

 

 

LATE PROPOSALS OR FAXED PROPOSALS WILL NOT BE ACCEPTED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TABLE OF CONTENTS

 

 

PART   I.        Proposal Requirements

 

PART  II.       Program Requirements

 

PART III.       Proposal Package

 

PART IV.       Selection Criteria

 

PART   V.       Appendix

 

A.      Letter of Intent

B.       Application Checklist

C.      Standard Terms and Conditions

D.      Contract (CFS968-45)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I.            Proposal Requirements

 

 

1.   Title

 

      Prevent the Co-occurrence of Child Abuse and Domestic Violence

 

2.   Date of Issue:  August 21, 2001

 

3.   Issuing Organizational Unit

 

      Illinois Department of Children and Family Services

      Division of Child Protection

      406 East Monroe

      Station #40

      Springfield, IL  62701-1498

 

      Contact Person

     

      Gail Jackson

      Division of Child Protection

      (217) 785-2513

 

4.   Where to obtain additional copies

 

Additional copies may be downloaded from the Department’s web site: www.state.il.us/agency/dcfs Additional printed copies may be obtained from the contact person by calling (217) 785-2513 or writing to the address listed under “Issuing Organizational Unit.”

 

The Department is an equal opportunity employer. It does not discriminate in hiring or granting awards. The Department complies with the American With Disabilities Act of 1990. If a disability necessitates assistance in your reviewing or responding to this Request for Proposals (RFP), please contact Gail Jackson at (217) 785-2513.

 

5.  Letter of  Intent

 

All agencies are encouraged to submit a letter of intent to respond to the RFP. Letters of intent should be sent no later that September 15, 2001 to the Contact Person at the address listed under “Issuing Organizational Unit.” Letters of intent may be submitted by facsimile machine to: The Division of Child Protection, the facsimile machine number is (217) 785-0395. If you cannot meet the above deadline, please call the Contact Person to inform her of your intent to respond.

6.   Due Date, Time, Location(s) and Addressee

 

Proposals must be received no later than 5:00 p.m. on November 12, 2001. Submit your completed proposal package to:

 

Illinois Department of Children and Family Services

Division of Child Protection

406 East Monroe

Station #40

Springfield, Illinois   62701-1498

     

To be considered, proposals must be in the possession of the DCFS staff at the specified location by the designated date and time stated above. Envelopes containing applications should be marked with: PREVENT THE CO-OCCURRENCE OF CHILD ABUSE AND DOMESTIC VIOLENCE.

 

7.   Submission Requirements

 

Submit an original and three unbound copies of the application. The original proposal must have an original authorized signature.

 

1.      Signed Cover Sheet

2.      Proposal Abstract

3.      General Information

4.      Program Narrative (see application content)

5.      Projected Measurement

6.      Budget

 

Required Attachments

Agency Organizational Chart

501 C-3 Current Not-for-Profit Status

Letter of Support from  LAN

Collaboration Letter/s

Agency/ Program Mission Statement

     

8.   Award Notification

 

      The Department expects to notify successful applicants in December.

 

9.   Estimated Length of Agreement

 

The Department estimates that the length of the Agreement will be twelve months January 15, 2002 through January 15, 2003.

 

 

10.    Department’s Right to Withdraw

 

The Department of Children and Family Services may withdraw this RFP at any time prior to the actual time an agreement is filed with the Comptroller.

 

11.    Timetable

 

      09/15/01          Notice of Intent to Apply due to the Department of Children and

                              Family Services, Division of Child Protection.

 

      11/12/01          Grant Applications due in the Department of Children and Family

                              Services Division of Child Protection.

 

      12/14/01          Notice of Awards to all applicants.

 

      01/15/02          Project Start-up Date.

 

12.    Definition and Key Words

 

      The following definitions are used throughout the Request for Proposals:

 

a)      Agency means the vendor agency.

b)      Applicant means the legal entity that assumes the liability for the administration of the grant funds and is responsible to the Department of Children and Family Services for the performance of the activities.

c)      Department means the Department of Children and Family Services.

d)      Division means the Division of Child Protection.

e)      Grant Recipient means the vendor awarded funds for direct benefit of the community.

f)        Proposal means response to Request for Proposal (RFP).

g)      Program means designated plan for carrying out the applicant’s proposal.

h)      State means State of Illinois.

i)        Vendor means a public, tribal governing body, non-profit, or religious organization, in existence for at least 2 years, submitting a proposal in response to this RFP and is known as the applicant.

 

The term “we”, “our” and “us” refer to the State. “You”, “your”, “vendor” and “offer or” refer to the person submitting the offer.

 

 

 

 

13.    Late Proposals/Responses

 

      Late proposals will not be opened or considered by the Department, but will be

Retained by the Department until Notices of Grant Award are distributed or the RFP is withdrawn.

 

14.    Notice of Award

 

Successful grantees will be notified in writing by Jess McDonald, Director, Department of Children and Family Services. A Notice of Grant Award is not equivalent to an agreement with the Department to commence providing services.

 

15.    Commencement of Services

 

Successful grantees must not commence any billable service prior to the Department’s final and complete execution of an Agreement. Services provided and expenses incurred by a grantee prior to the complete and final execution of a written Agreement will be at the grantee’s expense.

 

16.    Public Information

 

All information submitted pursuant to this RFP is subject to the Illinois Freedom of Information Act. The successful grantee must recognize and accept that any material marked proprietary or confidential that must be made a part of the contract may be considered open for public inspection. Price information submitted by successful grantees will be considered public. For proposals that are not accepted, only the record of the proposal will be considered public information.

 

17.    Contract

     

Successful grantees will be required to enter into a two-part agreement with the Illinois Department of Children and Family Services, which requires certain assurances and certifications. This agreement can be found in Appendix D.

 

18.    Payment Method and Fiscal Reporting

 

         Payments to successful grantees will be made on a quarterly basis.

 

19.    Source of Funds

 

         The Department will award Tax Check-Off Funds.

 

 

 

20.    Expected Number of Awards, Minimum and Maximum Award Amounts

 

The Department expects to make at least 10 awards, with no more than one award per Local Area Network service area. The minimum award amount is $30,000, with the maximum award up to $50,000.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II.  Program Requirements

 

 

Background

 

Within the past decade, researchers and clinical practitioners have shown significant overlap between child abuse/neglect and family violence.   In families where one form of violence exists, there is a high likelihood that other forms of violence are present.  Children are often the invisible victims when domestic violence occurs. 1

Concern about children’s exposure to domestic violence is increasing in light of a growing body of knowledge regarding the prevalence and effects of this exposure.  Researchers estimate that as many as 10 million children experience family violence each year.  Empirical studies indicate that children in families where violence occurs face three risk factors:  the risk of being abused themselves, the risk of being neglected, and the risk of being traumatized by observing the violence.2  Exposure to domestic violence can have significant negative effects on children’s behavioral, emotional, social, and cognitive development.3

 

The Statewide Citizens’ Committee on Child Abuse and Neglect (SCAN) is responsible for recommending to the Illinois Department of Children and Family Services (DCFS) priorities for the direction and scope of the use of child abuse prevention funds.4  These funds are collected from the Illinois State Income Tax Check-Off and have been designated for demonstration grants to community-based agencies which focus on reducing child abuse/neglect in situations where domestic violence may also be present.

 

The primary purpose of these demonstration grants is to enhance the safety of children by supporting projects designed to address the co-occurrence of child maltreatment and domestic violence. SCAN welcomes applications that propose innovative programs which will reduce incidents of child abuse in situations where domestic violence is an issue.

 

Scope of the Program

 

The FY 2001 child maltreatment and domestic violence prevention grant program provides a unique opportunity for community-based agencies to develop intervention services or approaches that address the co-occurrence of child maltreatment and domestic violence before it begins or before it escalates.  Applicants are encouraged to develop projects which address the safety of children affected by domestic violence, or the potential of such violence.  Many families in which child maltreatment occurs struggle with multiple problems, including poverty, substance abuse, and domestic violence.  Although extra consideration will be given to applicants whose programs include strategies that address substance abuse and poverty-related issues, the focus of the proposal must be on the co-occurrence of child maltreatment and domestic violence.  Applicants are encouraged to create partnerships with other service providers who are currently promoting policies and practices that enhance the safety of children through child abuse/neglect prevention programs.

 

Program Purpose Areas 

 

The child abuse prevention grant program will support projects that focus on keeping children safe from abuse/neglect.  Examples of such programs include:

 

 

 

 

 

 

 

Extra consideration will be given to programs that include any of the following:

 

 

 

 

 

Activities That May Compromise Victim Safety

 

Ensuring the safety of children is the guiding principle underlying child abuse/neglect prevention grants.  Certain practices may compromise the safety of children rather than enhance it.  Persons who abuse/neglect children must be held accountable, whether they intended to hurt the child, whether they themselves were victims of violence, whether the maltreatment was a one-time action, or whether they immediately sought counseling or other treatments to remedy the situation.  Consistent with our goals of assuring child safety from maltreatment, applicants are discouraged from proposing any of these activities:

 

Mediation, couples counseling, or family counseling, that includes the batterer, as a primary response.  These types of programs imply that the child and/or the non-offending parent are equally responsible for the violent actions of the perpetrator.  They also do not address or account for the power and control held and maintained by the caretaker, thereby rendering any agreements or mediations suspect.5

 

Failure to file a child abuse/neglect report when an adult victim of domestic violence  abuses or neglects the children.  Being the victim of domestic violence does not justify abusing or neglecting children. Applicants must acknowledge their responsibility as mandated reporters of child maltreatment, and assure that reports are immediately made to the Child Abuse Hotline whenever any individual connected with the program becomes aware of child maltreatment.

 

Failure to cooperate with a child protection investigator who is conducting an investigation of child abuse/neglect.  Grantees will be expected to work closely with child protection investigators to assure that all relevant information is provided so that accurate safety assessments can be completed.  Combating child abuse/neglect is a community function; all parties must work together as a team to be successful in keeping children safe.  Failure to cooperate is in violation of the State laws and constitutes a breach of any contract agreement.

 

Programs that do not use the criminal justice system when necessary to attain the goal of preventing child abuse.  People who perpetrate domestic violence and abuse children must be accountable for their actions.  Programs that focus only on counseling, impulse control, improving communication skills, and alleviating stress are not sufficient to hold abusers accountable for their actions.  Applicants must be willing to work with the Department to follow through with the criminal justice system when necessary.

 

Core Values

 

The following core values are the guiding principles for service provisions under this award that must be incorporated and implemented into the program design service delivery policies, training and evaluation.

 

a)      Continuum of Care:  The process of working together across systems with cooperation and agreements on values, goals, standards, definitions, and course of action that is uniform and accepted by all.  The focus is on which is in the best interest of the child or individual served and how each system can contribute to the plan.

b)      Strength based:  A belief founded on the idea that all persons possess a set of strengths, hopes and desires on which a service approach can be built.  The focus of the person is on their attributes.  Strengths are identified and valued, and service intervention build on them.  Treatment fosters a belief system that is non-threatening and positive.

 

c)      Build on natural and community supports:  Celebrates the wealth of resources in our communities.  Utilize formal and informal support and treatment systems.  When necessary, foster development of additional support or resources that are on-going to include family, relatives, neighbors, friends, faith community, and co-workers, which are examples of natural supports.  Every attempt should be made to include them.  The ultimate goal for the service system is to weave the client so well into the fabric of informal support systems that the role of formal services is very small or not needed at all.

 

d)      Growth from environment that encourage learning:  Belief in growth, learning, recovery, and improvements from a system that instills hopes from environments that are dedicated to treating children, families and individuals with respect and dignity.

 

Who May Submit a Proposal

 

Any 501 3C (tax exempt status) community-based agency or qualified service provider with a recognized Fiscal Agent within Illinois that have direct community or public impact that can demonstrate its effectiveness in reaching the targeted population identified in the body of the Request for Proposal (RFP).

 

Availability of Funds

 

The Child Abuse Prevention Fund has appropriated $500,000 for the child maltreatment and domestic violence child abuse prevention grant programs.

 

AGENCY shall use its best efforts to secure sufficient appropriations to fund this CONTRACT.  However, the AGENCY'S obligations hereunder shall cease immediately, without penalty or further payment being required, if the Illinois General Assembly or federal funding source fails to make an appropriation sufficient to pay such obligation.  The AGENCY shall determine whether amounts appropriated are sufficient.  AGENCY shall give VENDOR notice of insufficient funding as soon as practicable after AGENCY becomes aware of the insufficiency.  VENDOR'S obligation to perform shall cease upon receipt of the notice.

 

Award Amount

 

Applicants may apply for funds in the amount of $30,000 to $50,000 to support the priorities/funding sections identified in the RFP, to develop a new program or to enhance an existing one.

Application Guidelines

 

All applicants are required to enter into formal, collaboration agreements with other community-based programs to ensure consistency of state goals and other outcomes with respect to reducing domestic violence and preventing child maltreatment.  Funded programs must agree to work closely with the Department of Children and Family Services by appointing a staff to participate in the Local Area Network (LAN) to ensure that potential DCFS families are given an opportunity to be served by the funded program.  Applicants are required to include funds in the project budget for travel expenses to attend the Child Abuse Prevention Month Kick-Off Event held in Springfield once a year during the month of April.

 

Information Collection

 

Funded applicants are mandated to collect and maintain data that measures the impact of the service efforts to combat the co-occurrence of child maltreatment and domestic violence.  The applicant must identify specific data elements that will be collected and reported to the Department.  Data of particular interest to the Department includes but is not limited to; increases or decreases in the number of family violence incidents and child abuse reports; conviction rates for domestic violence and child abuse cases; protection orders; violations and dual arrests.

 

Application Content

 

     1.    Abstract (may not exceed 1 page)

 

Submit a one-page summary describing the proposed project and how it will reduce child maltreatment and domestic violence.  The summary must clearly indicate the LAN’s and the geographical location where the project will be implemented, and the names of collaborating entities.

 

  1. Project Narrative (may not exceed 5 double-spaced typed pages, one sided 8 ½ x 11 inch paper; margins must not be less than 1 inch and type set can be no smaller than 12 characters).  The narrative should consist of the following components:

 

(a)        Need For The Project (approximately 2 pages)

 

·        This section should describe the problem to be addressed;

 

·        Identify that targeted population and state how the targeted population would benefit from the proposed project and

 

 

 

(b)        What Will Be Done (approximately 3-5 pages)

 

·        The section should detail the project goals and objectives, describing the specific tasks and activities necessary for accomplishing each, and identify who is responsible for accomplishing the tasks and activities.  Include a timeframe for completion.

 

(c)        Who Will Implement the Project (approx. 1-2 pages.)

 

·        All applicants must identify the agencies or offices responsible for carrying out the projects.  This section should clearly identify all of the project partners, specify their respective roles and responsibilities, and delineate the collaborative relationships to be developed.

 

·        All applicants are required to include a Memorandum of Understanding on the partnering agency letterhead signed by the chief executive officers and/or directors of relevant agencies participating or involved in the project.

 

·        A description of the expertise or experience of key staff should be included.  Position descriptions and resumes should be included in the appendix section of the proposal.

 

(d)        The Product (approximately 1 page)

 

·        This section should describe the products that will be generated and how each one could be used to assist other programs in addressing child maltreatment and family violence.

 

(e)        How Success Will be Measured (approximately 1 page)

 

·        This section should describe the criteria that will be used to evaluate the project effectiveness.  The evaluation should be designed to provide an assessment of the effectiveness of how the proposed program will impact children and families.

 

3.         Budget and Budget Narrative

 

Each applicant must include a detailed budget with a budget narrative for the project.  The budget must be comprehensive, reasonable and cost effective in relation to the proposed project.

 

 

 

Selection Criteria

 

All applications will be rated on the basis of the criterion set forth below:

 

Evidence of need:

 

·        Clear and specific objectives;

·        Creativity of solution to the problem or concerns;

·        Evidence of careful planning;

·        Feasible plan of action;

·        Realistic timeframes;

·        Clear thought out evaluation process;

·        Project budget and collaboration efforts.

 

Review Process

 

The Statewide Committee on Child Abuse and Neglect will establish panels of experts from DCFS staff, LAN Liaisons and Steering Committee members to review applications.  The panel will evaluate the information provided in the application against the established criteria.  Each applicant will be ranked using a point system.  In a point system, the proposal best meeting each criterion will receive the maximum points.  The Statewide Citizens Committee on Child Abuse and Neglect will make recommendations on the funded proposal and the Director of the Department of Children and Family Services will make the final decision.  The Department will not allow computer, faxed or other electronic submissions.  Receipt of each application will be acknowledged in writing.

 

Acceptance of Proposal Content

 

Grant recipients receiving awards will be mandated to meet all requirements of this RFP.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

 

 

1.         Carter, L.S., Weithorn, L.A., & Behrman, R.E., (1999).  Domestic violence and children: Analysis and Recommendations.  The Future of Children, 9(3) 4.

 

2.         Carter, J, & Schechter, S, (1997).  Child abuse and domestic violence: Creating community partnerships for safe families.  Available on line at http://www.mincava.edu/link/fvpfl.htm

 

3.         Fantuzzo, J.W. & Mohr, W.K. (1999) Prevalence and effects of child exposure to domestic violence.  The Future of Children, 9 (3) 5-15.

 

4.         The Illinois Department of Children and Family Services (1989).  An Act Creating the Department of Children and Family Services (PA 79-1345 23-39-1004.1 Chapter 23, Par 5004a Sec 4a).

 

5.         The Violence Against Women’s Grant Office, Office of Justice Programs, U.S. Department of Justice, and the Minnesota Center Against Violence and Abuse at the University of Minnesota.  Information is available online at http://www.vaw.umn.edu

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  III.            Proposal Package

 

A complete grant application will include the following (in the following order):

 

                 1.     Signed Cover Sheet

2.         Proposal Abstract

3.         General Information

4.         Program Narrative (see application content)

5.         Projected Measurements

6.         Budget

 

Required Attachments

 

            Agency Organization Chart

            501 C-3 Current Not-For-Profit Status

            Letter of Support from LAN

            Collaboration Letter/s

            Agency/ Program Mission Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS FOR COMPLETING APPLICATION

                                                                                                              

 

            All applications shall be submitted as required in the Request for Proposal.

 

1.      Provide applicant name and address, as it is to appear in the contracts for services, which will be developed for successful applicants.

 

FEIN number:  Provide your nine digit Federal Taxpayer Identification Number (known as the Federal Employer Identification Number)

 

2.      Enter the date the application is forwarded to the Department.

 

3.      Provide the name and title of the person authorized to enter into contracts or                         otherwise obligate the agency to provide services.

 

Signature of “Authorized Official” certifies compliance with all requirements as described in the Request for Proposal, applicable program Rules and Regulations and applicable state and federal Rules and Regulations.

 

4.      Mark (X) to indicate your type of organization. Documentation of current status such as a Certificate of Good Standing from the Secretary of State or other comparable proof of status must be provided for all applicants other than Governmental Entities.

 

   5.  Provide the appropriate district numbers for the area(s) to be served.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


                                                                                                                                                 

 

 

Illinois Department of Children & Family Services

Application

1.        Applicant Organization

 

Name:___________________________________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­_____­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

 

             Address: _________________________________________________________________________

 

             Telephone: (____) _______________________                            Fax:  (____) ___________________

            

             FEIN Number___________________________

 

2.          Date of Submission

 

             ________________      _________   _________

                      Month                                    Day                   Year

 

3.         Applicant Certification:

                       

To the best of my knowledge, the data and statement in this application are true and correct. The applicant agrees to comply with all State/ Federal statutes and Rules/ Regulations applicable to this RFP.

 

Authorized Official:

 

________________________________                                       ______________________

                       Typed Name                                                                             Title

 

________________________________                                       ______________________                    

                    Signature                                                                                      Date    

 

4.         Type of Organization

 

________Child Welfare

________Domestic Violence

________Shelter

________*Tax Exempt Organization (IRC 501 (a) only)

________*Not-For-Profit Corporation

*Must provide documentation of current status.

 

_______________________________________

 

5.         LAN/ Geographical Location

                 

            ________________________________________________________________________________

                                              

6.         For Department Use Only:

 

16


Request for Proposal

Prevent the Co-Occurrence of Child Abuse and Domestic Violence

Proposal Abstract

 

 

 

Name of Agency:   __________________________________________________

 

Dollar amount requested from this RFP:    $_________________

 

Total cost of program:     $__________________

 

Agency Type:   _______________________________________

 

Program Site/s:  List the location/s where clients will receive proposed services.

 

 

 

Location:

 

 

 

 

 

 

 

Location:

      

 

Program Overview (one page): Give a brief overview of the proposed program/ services described in the proposal package. Be sure to mention the service area, the target population, and any special features or collaborations. Briefly state how the program/ services will keep children safe from child abuse and neglect.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV.   Selection Criteria

 

 

Maximum Points (100 total)

 

Selection Criteria                                                                   Maximum Points

 

AGENCY CAPACITY/EXPERIENCE                                   10 POINTS

 

PROJECT NARRATIVE                                                         55 POINTS

 

COORDINATION OF SERVICE DELIVERY                       10 POINTS

 

CORE VALUES                                                                         5 POINTS

 

DATA COLLECTION AND EVALUATION                        10 POINTS

 

BUDGET                                                                                    5 POINTS

 

 

Agency Capacity/Experience (10 Points)

 

 

 

 

 

Project Narrative (55 Points)

 

 

 

 

 

 

 

 

 

Coordination of Service Delivery (10 Points)

 

 

 

 

 

 

 

 

 

Core Values (10 Points)

 

§         The extent to which the core values identified in the body of the Request for Proposal (RFP) are integrated into the program design.

 

 

Data Collection and Evaluation (10 Points)

 

§         The extent to which the applicant explains how the program will be evaluated, i.e., how it will be determined if the program met its goals and objectives;

 

§         The extent to which the evaluation design is linked to the objectives in the Program Objectives Section;

 

§         Funded applicants are advised to collect and maintain data that measures the impact of the service efforts to combat the co-occurrence of child maltreatment and domestic violence.  The applicant must identify specific data elements that will be collected and reported to the Department.  Data of particular interest to the Department includes, but is not limited to, increases or decreases in the number of family violence incidents and child abuse reports; recidivism rates, conviction rates for domestic violence and child abuse cases; protection orders; violations and dual arrests;

 

§         When applicable, the extent to which the applicant includes any existing baseline data and information.

 

 

Program Budget (5 Points)

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

                                                                        Illinois Department of Children & Family Services

                                                                                                                                   

           

Illinois Department of Children & Family Services

 

CHILD ABUSE PREVENTION FUND LETTER OF INTENT

                       

 

We are requesting a Letter of Intent be submitted by September 15, 2001 at  3:00 p.m..  If you cannot meet the above deadline, please call the contact person to inform her of your intent to respond.

 

 

DATE: ____________________        LAN/GEOGRAPHICAL LOCATION:      _______________

 

 

CONTACT NAME:    ____________________       

 

 

TITLE: _________________________________

 

 

ADDRESS: ______________________________

 

 

CITY: ___________________________________   ZIP: ______________________

 

 

PHONE: ________________________________     FAX: ______________________

 

 

INDICATE YOUR PROGRAM FOCUS AREA:

(More than one program may be checked.)

 

q       Domestic Violence program for children

q       Domestic Violence program for the Perpetrator

q       Domestic Violence Program for the Adult Victim

q       Domestic Violence program for the adult victim/child

 

 

                                 

APPROXIMATE AMOUNT TO BE REQUESTED: _________________

 

 

 

 

Mail to:

Illinois Department of Children & Family Services

Attn:  Gail Jackson

Division of Child Protection

406 E. Monroe Street, Sta. 40 · Springfield, Illinois 62701-1498

217-785-2513 · 217-785-0395 Fax

 

             


 

APPLICATION CHECKLIST

 

 

As a final step before submitting your application, use this checklist to ensure that your application is complete.  Failure to include any of the items may result in disqualification of your application.

 

HAVE YOU INCLUDED THE FOLLOWING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STANDARD TERMS AND CONDITIONS

 

1.       TERM AND RENEWALS:  The length of the GRANT, including any renewals, may not exceed that allowed by law, including 30 ILCS 500/20-60.  When the term begins on execution, that means the date of final execution by the State.  If the commencement of performance is delayed because the GRANT is not executed by the State on the start date, the State may change the start date, end date and milestones to reflect the delayed execution.  No renewal may be effective automatically.  No renewal may be effective solely at the Vendor's option.

 

2.        TERMINATION FOR CONVENIENCE:  If AGENCY terminates for convenience, AGENCY shall pay VENDOR for supplies and services satisfactorily provided and authorized expenses incurred up to the time of termination.

 

3.       AVAILABILITY OF APPROPRIATIONS (30 ILCS 500/20-60):  AGENCY shall use its best efforts to secure sufficient appropriations to fund this GRANT.  However, the AGENCY'S obligations hereunder shall cease immediately, without penalty or further payment being required, if the Illinois General Assembly or federal funding source fails to make an appropriation sufficient to pay such obligation.  The AGENCY shall determine whether amounts appropriated are sufficient.  AGENCY shall give VENDOR notice of insufficient funding as soon as practicable after AGENCY becomes aware of the insufficiency.  VENDOR'S obligation to perform shall cease upon receipt of the notice.

 

4.        CONSULTATION:  VENDOR shall consult with and keep the AGENCY fully informed as to the progress of all matters covered by this GRANT.  Where time permits and VENDOR is not otherwise prohibited from so doing, VENDOR shall offer the AGENCY the opportunity to review relevant documents prior to filing with any public body or adversarial party.  VENDOR shall promptly furnish the AGENCY with copies of all correspondence and all documents prepared in connection with the services rendered under this GRANT.  Upon request, VENDOR shall arrange, index and deliver all correspondence and documents to the AGENCY.

 

5.        AUDIT/RETENTIONOFRECORDS (30 ILCS 500/20-65):  VENDOR and its subgrantors shall maintain books and records related to performance of this GRANT or subgrant and necessary to support amounts charged to the State in accordance with applicable law, terms and conditions of this GRANT, and generally accepted accounting practice.  VENDOR shall maintain these books and records for a minimum of three (3) years after the completion of the GRANT, final payment, or completion of any GRANT audit or litigation, whichever is later.  All books and records shall be available for review or audit by the AGENCY, its representatives, the Illinois Auditor General, and other governmental entities with monitoring authority upon reasonable notice and during normal business hours.  VENDOR agrees to cooperate fully with any such review or audit.  If any audit

indicates overpayment to VENDOR, or subgrantor, the AGENCY shall adjust future or final payments otherwise due.  If no payments are due and owing to VENDOR, or if the overpayment exceeds the amount otherwise due, VENDOR shall immediately refund all amounts which may be due to the AGENCY.  Failure to maintain the books and records required by this Section shall establish a presumption in favor of the AGENCY for the recovery of any funds paid by the AGENCY under the GRANT for which adequate books and records are not available to support the purported disbursement.

 

6.        INDEPENDENT GRANTOR:  The VENDOR shall be an independent grantor.  Supplies provided and/or services performed pursuant to this GRANT are not rendered as an employee of the AGENCY or of the State of Illinois.  Amounts paid pursuant to this GRANT do not constitute compensation paid to an employee.

 

7.        RESPONSIBILITY FOR AGENTS AND EMPLOYEES:  VENDOR shall remain fully responsible for the negligent acts and omissions of its agents, employees and subgrantors in their performance of VENDOR'S duties under this GRANT.  VENDOR represents that it shall utilize the services of individuals skilled in the profession for which they will be used in performing services hereunder.  In the event that the AGENCY determines that any individual performing services for VENDOR hereunder is not providing such skilled services, it shall promptly so notify VENDOR and VENDOR shall replace that individual.

 

8.       ASSIGNMENT AND SUBGRANTING:

 

a)       VENDOR may not assign, subgrant, or transfer any interests in the work subject of this GRANT without AGENCY'S prior written consent.  In the event the AGENCY gives such consent, the terms and conditions of this GRANT shall apply to and bind the party or parties to whom such work is subgranted, assigned, or transferred as fully and completely as VENDOR is hereby bound and obligated.  This includes requiring such parties to submit certifications and disclosures to AGENCY for review and approval.

b)       Where VENDOR is providing professional and artistic services,  names and addresses of all subgrantors utilized by VENDOR shall be listed in an addendum to this GRANT together with the anticipated amount of money that the subgrantor is expected to receive pursuant to this GRANT (30 ILCS 500/35-40).

c)        If VENDOR is unable to secure or maintain individuals named in the GRANT to render the services set forth in the GRANT, VENDOR shall not be relieved of its obligations to complete performance.  However, the AGENCY shall have the option to terminate the GRANT upon written notice to VENDOR.

d)       The AGENCY may transfer the subject matter of this GRANT or payment responsibility to another State agency after giving written notice to VENDOR.

e)       AGENCY reserves the right to assign the grant for financing purposes.

 

9.        MAINTENANCE ASSURANCE:

 

a)      The AGENCY reserves the right to maintain any equipment purchased under this Agreement using AGENCY personnel or third-party maintainers.  In such case, VENDOR shall provide the AGENCY or its maintenance provider with such services, documentation, materials and parts under reasonable terms and conditions and at reasonable costs.  The AGENCY reserves the right to return to VENDOR'S maintenance following written certification by VENDOR that the equipment is eligible for VENDOR'S maintenance.  In such event, VENDOR'S standard charges for the certification inspection, plus any applicable charges required to bring the equipment into eligibility for VENDOR'S maintenance shall apply.  Exercise of these rights by the AGENCY shall be without penalty or sanction by VENDOR.

b)      Should VENDOR discontinue service or maintenance of equipment or software provided under this GRANT, VENDOR shall provide to the AGENCY adequate documentation and access to specialized or proprietary tools to allow the AGENCY or a subgrantor to maintain the equipment or software.  This provision shall not apply if VENDOR makes arrangements for continued service and maintenance through another vendor and at a price acceptable to the AGENCY.

 

10.      SOLICITATION AND EMPLOYMENT:  VENDOR shall not employ any person employed by the AGENCY at any time during the term of this GRANT to perform any work required by the terms of this GRANT.  As a condition of this GRANT, the VENDOR shall give notice immediately to the AGENCY'S director if VENDOR solicits or intends to solicit for employment any of the AGENCY'S employees during the term of this GRANT.  AGENCY has no authority to grantually refuse to hire VENDOR'S employees who apply to the State for employment.

 

11.      BACKGROUND CHECK:  The State may conduct criminal and driver history background checks of VENDOR'S officers, employees or agents who would directly supervise or physically perform the GRANT requirements at State facilities.  Any such officer, employee or agent deemed unsuitable by the State must be replaced immediately.

 

12.     CONFLICTS OF INTEREST:  VENDOR covenants that it has disclosed, and agrees it is under a continuing obligation to disclose to the AGENCY, financial or other interests (public or private, direct or indirect) that may be a potential conflict of interest under Article 50 of the Illinois Procurement Code (30 ILCS 500/50), or which may conflict in any manner with the VENDOR'S obligations under this GRANT.  VENDOR further covenants that it shall not employ any person with a conflict to perform under this GRANT.  VENDOR further covenants that no person has an interest in VENDOR or in this GRANT that would violate Illinois law, including 30 ILCS 500/50-13.

 

13.      CONFIDENTIALITY AND USE OF WORK PRODUCT:   

 

a)     Any documents or information obtained by VENDOR from the AGENCY in connection with this GRANT shall be kept confidential and shall not be provided to any third party unless disclosure is approved in writing by the AGENCY.  All work product produced under this GRANT, including, but not limited to, documents, reports, information, documentation of any sort and ideas, whether preliminary or final, shall become and remain the property of the STATE, including any patent, copyright or other intellectual property rights.  With the exception of ideas, all such work products shall be considered works make for hire within the meaning of 17 U.S.C. §101.  To the extent that any portion of such work products is not a work made for hire, VENDOR completely and without reservation assigns to the AGENCY all right, title and interest in and to such portion of the work products, as well as all related copyright, patent, trade secret, and other related proprietary rights therein.  The AGENCY shall exercise all rights of ownership in all such work product without restriction or limitation and without further compensation to VENDOR.  The AGENCY shall have the right to use all such work product without restriction or limitation and without further compensation to VENDOR.  VENDOR shall not acquire or have any right to use, disclose or reproduce the work product or any equipment, documents, information, media, software, or know-how obtained from the State except to perform this GRANT.  Nothing herein shall be construed as precluding the use of any information independently acquired by VENDOR without such limitation.

b)      The ideas, concepts, methodologies, processes, inventions and tools (including computer hardware and software where applicable) that VENDOR previously developed and brings to the AGENCY in furtherance of performance of the GRANT shall remain the property of the VENDOR. VENDOR grants to the AGENCY a nonexclusive license to use and employ such software, ideas, concepts, methodologies, processes, inventions and tools solely within its enterprise.

 

14.      LIABILITY AND INSURANCE:

 

a)      VENDOR agrees to assume all risk of loss and to indemnify and hold the State, its officers, agents and employees, harmless from and against any and all liabilities, demands, claims, suits, losses, damages, causes of action, fines or judgments, including costs, attorneys' and witnesses' fees, and expenses incident thereto, relating to bodily injuries to persons (including death) and for loss of, damage to, or destruction of real and/or tangible personal property (including property of the State) resulting from the negligence or misconduct of VENDOR, its employees, agents, or subgrantors in the performance of the GRANT.  VENDOR shall assume risk of loss until delivery to the agency's facility.  VENDOR shall do nothing to prejudice the State's right to recover against third parties for any loss, destruction, or damage to State property,

and shall at the State's request and expense, furnish to the State reasonable assistance and cooperation, including assistance in the prosecution of suit and the execution of instruments of assignment in favor of the State in obtaining recovery.

 

b)       VENDOR shall maintain public liability, casualty and auto insurance in sufficient amount to protect the State from liability for acts of VENDOR and risks and indemnities assumed by VENDOR.  If VENDOR does not have minimum coverage for bodily injury of $250,000 per person/$500,000 per occurrence, and for property damage, $100,000 per occurrence, VENDOR must inform the AGENCY and seek written permission for lesser coverage.  VENDOR shall carry Worker's Compensation Insurance in amount required by law.  Upon request, VENDOR shall provide and maintain any bond required by law or the AGENCY. VENDOR shall provide copies of certificates of insurance evidencing the coverage described in this paragraph.

 

c)       VENDOR shall, at its expense, defend the AGENCY against all claims asserted by any person that anything provided by VENDOR infringes a patent, copyright, trade secret or other intellectual property right and shall, without limitation, pay the costs, damages and attorneys' fees awarded against the AGENCY in any such action, or pay any settlement of such action or claim.  Each party agrees to notify the other promptly of any matters to which this provision may apply and to cooperate with each other in connection with such defense or settlement.  If a preliminary or final judgment shall be obtained against the AGENCY'S use or operation of the items provided by VENDOR hereunder or any part thereof by reason of any alleged infringement, VENDOR shall, at its expense, either (a) modify the item so that if becomes noninfringing; or (b) procure for the AGENCY the right to continue to use the item; or (c) substitute for the infringing item other item(s) having at least equivalent capability; or (d) refund to the AGENCY an amount equal to the price paid, less reasonable usage from installation acceptance through cessation of use, which amount shall be calculated on a useful life not less than 5 years, and plus any additional costs the State may incur to acquire substitute supplies or services.

 

d)       The AGENCY assumes no liability for actions of VENDOR and is unable to indemnify or hold VENDOR harmless for claims based on this GRANT or use of VENDOR provided supplies or services.  Unless provided by law, VENDOR is not eligible for indemnity under the State Employee Indemnification Act (5 ILCS 350/1 et seq.).  Any liability for damages that the State might have is expressly limited by and subject to the provisions of the Illinois Court of Claims Act (705 ILCS 505/1) and to the availability of suitable appropriations.

 

15.     TAX COMPLIANCE:  VENDOR shall be in compliance with applicable tax requirements and shall be current in payment of such taxes.

16.     WARRANTY:

 

a)       VENDOR warrants that all services will be performed in a good and professional manner.

b)       Unless otherwise specified in this section, supplies shall be new, unused, of most current manufacture and not discontinued.  All supplies shall be free of defects in materials and workmanship, shall be provided in accordance with manufacturer's standardized warranty and shall perform in accordance with manufacturer's published specifications.  These are minimum requirements which may be modified by specific provisions of the GRANT.

 

c)       VENDOR warrants that it has title to, or the right to allow the State to use, the supplies and services being provided and that the State will have use of same without suit, trouble or hindrance from VENDOR or third parties.

 

d)       VENDOR makes this "Year 2000" warranty for itself and its subgrantors and agents:

1)      VENDOR represents and warrants that: (i) all products delivered under this GRANT (the "Products") are "Year 2000 Compliant," which means that all of the technology forming part of, or utilized in, or associated with, the Products (including, but not limited to, information technology, embedded systems, or any other electro-mechanical or processor-based system), and (ii) the services provided under this GRANT ("Services") are "Year 2000 Compliant," which means that all of the technology used by VENDOR and by any of its suppliers, subgrantors, service providers or business partners in providing the Services, or in facilitating the provision of the Services (including, but not limited to, information technology, embedded systems, or any other electro-mechanical or processor-based system) will accurately receive, retrieve, process, provide and output date/time data from, in and between the twentieth and twenty-first centuries, and from, in and between the years 1999 and 2000.

2)      The State may, at any time, require VENDOR to demonstrate and give assurance that it has adopted and implemented procedures necessary to ensure the Products and Services comply with this Year 2000 warranty.

3)    VENDOR's warranty is separate and distinct from any other warranty    specified in this GRANT, and is not subject to any disclaimer of warranty or limitation of VENDOR'S liability which is specified in this GRANT, its exhibits, attachments, schedules, or any document incorporated in this GRANT by reference.  Nothing in this Year 2000 warranty shall be construed to limit any rights or remedies, whether in law or in equity, which the State otherwise has or may have under this GRANT.

 

 

4)      VENDOR shall not be excused from performing because of a "Y2K" problem with any of VENDOR's equipment, hardware, firmware or software or that of any of VENDOR's subgrantors.

5)      In the event of a breach of this Year 2000 warranty, VENDOR shall, at its sole expense and without interrupting ongoing business of the State, immediately take all necessary actions to cure the breach.  In the event that VENDOR fails to cure such breach, the State shall be entitled to seek any and all remedies available to it under this GRANT in law or in equity.

 

17.      BREACH AND OTHER FOR CAUSE TERMINATION:  AGENCY may terminate this GRANT without penalty to the AGENCY or further payment required in the event of:

 

a)      any breach of this grant which, if it is susceptible of being cured, is not cured within 15 days of the AGENCY giving notice of breach to VENDOR, including but not limited to failure of VENDOR to maintain covenants, representations, warranties, certifications, bonds and insurance;

b)      commencement of a proceeding by or against VENDOR under the United States Bankruptcy Code or similar law; or any action by VENDOR to dissolve, merge, or liquidate; or

 

c)      material misrepresentation or falsification of any information provided by VENDOR in the course of any dealing between the PARTIES or between VENDOR and any State agency.

 

18.      NOTICES:  Notices shall be in writing and may be delivered by any means.  Notices sent by fax must show the date/time of successful receipt at the fax number set forth on the signature page.  Either party may at any time give notice in writing to the other party of a change of name, address, or fax number.  Notices to VENDOR shall be sent to the person shown on the signature page.  Notices to AGENCY shall be sent to the executive head of the AGENCY at the AGENCY headquarters.

 

19.      ENTIRE GRANT:  This GRANT, including any attachments, constitutes the entire GRANT between the PARTIES.  Modifications and waivers must be in writing and signed or approved by authorized representatives of the PARTIES to be binding.  If any term or condition of this GRANT is declared void, unenforceable, or against public policy, that term or condition shall be ignored and shall not affect the remaining terms and conditions of this GRANT, and the GRANT shall be interpreted as far as possible to give effect to the PARTIES' intent.

 

20.      NON-DISCRIMINATION:  In compliance with the State and Federal Constitutions, the Illinois Human Rights Act, the U. S. Civil Rights Act, and Section 504 of the Federal Rehabilitation Act,  the AGENCY does not unlawfully discriminate in employment, grants, or any other activity.

 

21.      APPLICABLE LAW:  This GRANT shall be construed in accordance with the laws and rules, including the Standard Procurement Rules, of the State of Illinois.  The Department of Human Rights' Equal Opportunity requirements are incorporated by reference.  Any claim against the State arising out of this GRANT must be filed exclusively with the Illinois Court of Claims (705 ILCS 505/1).  The State of Illinois does not waive sovereign immunity by entering into this GRANT.  Any provision containing a citation to Illinois statutory requirements (cited ILCS) may not contain complete statutory language.  The official text, which is incorporated by reference, can be found in the appropriate chapter and section of the Illinois Compiled Statutes.

 

 

 


CERTIFICATIONS

 

VENDOR certifies its compliance or agreement to comply with the following legal requirements, and that it is not barred from being awarded a grant or subgrant due to violation of, or inability or unwillingness to comply with those requirements.

 

Non-discrimination--Federal Requirements.  VENDOR, its employees and subgrantors, agree to comply with applicable provisions of the U.S. Civil Rights Act, Section 504 of the Federal Rehabilitation Act, and rules applicable to each.  The Americans with Disabilities Act (42 U.S.C. 12101 et seq.) and rules (28 CFR 35.130) (ADA) prohibit discrimination against persons with disabilities by the State, whether directly or through grantual arrangements, in the provision of any aid, benefit or service.  As a condition of receiving this grant, the VENDOR certifies that services, programs and activities provided under this grant are and will continue to be in compliance with the ADA.

 

(5 ILCS 385/3)  Default on Repayment of Educational Loan.  No State agency shall grant with an individual for goods or services if that individual is in default on an educational loan.  [A partnership shall be considered barred if any partner is in default on an educational loan].

 

(30 ILCS 105/15a) Early Retirement.  VENDOR certifies he/she has informed the director of the agency in writing if he/she was formerly employed by that agency and has received an early retirement incentive under Section 14-108.3 or 16-133.3 of the Illinois Pension Code.  VENDOR acknowledges and agrees that if such early retirement incentive was received, this grant is not valid unless the official executing the grant has made the appropriate filing with the Auditor General prior to execution.

 

(30 ILCS 500/50-5) Bribery.

 

a)       No person or business entity shall be awarded a grant or sub-grant if that person or business entity:  (1) has been convicted under the laws of Illinois or any other state of bribery or attempting to bribe an officer or employee of the State of Illinois or any other state in that officer's or employee's official capacity; or (2) has made an admission of guilt of such conduct that is a matter of record but has not been prosecuted for such conduct.

 

b)      No business shall be barred from granting with any unit of State or local government as a result of a conviction under this Section of any employee or agent of the business if the employee or agent is no longer employed by the business and;  (1) the business has been finally adjudicated not guilty; or (2) the business demonstrates to the governmental entity with which it seeks to grant, and that entity finds that the commission of the offense was not authorized, requested, commanded, or performed by a director, officer or a high managerial agent on behalf of the business as provided in paragraph (2) of subsection (a) of Section 5-4 of the Criminal Code of 1961.

 

c)       For purposes of this Section, when an official, agent, or employee of a business committed the bribery or attempted bribery on behalf of the business and pursuant to the direction or authorization of a responsible official of the business, the business  shall be chargeable with the conduct.

 

(30 ILCS 500/50-10)  Felony Conviction.  Unless otherwise provided, no person or business entity convicted of a felony shall do business with the State of Illinois or any State agency from the date of conviction until 5 years after the date of completion of the sentence for such felony, unless no person held responsible by a prosecutorial office for the facts upon which the conviction was based continues to have any involvement with the business.

 

(30 ILCS 500/50-13)  Interest of State Employee, Spouse and Minor Children.

 

a)        Prohibition.  It is unlawful for any person holding an elective office in this State, holding a seat in the General Assembly, or appointed to or employed in any of the offices or agencies of State government and who receives compensation for such employment in excess of 60% of the salary of the Governor of the State of Illinois [$84,079.09], or who is an officer or employee of the Capital Development Board or the Illinois Toll Highway Authority, or who is the spouse or minor child of any such person to have or acquire any grant, or any direct pecuniary interest in any grant therein, whether for stationery, printing, paper, or any services, materials, or supplies, that will be wholly or partially satisfied by the payment of funds appropriated by the General Assembly of the State of Illinois or in any grant of the Capital Development Board or the Illinois Toll Highway Authority.

 

(b)      Interests.  It is unlawful for any firm, partnership, association, or corporation, in which any person listed in subsection (a) is entitled to receive (i) more than 7 1/2% of the total distributable income or (ii) an amount in excess of the salary of the Governor [$140,131.82], to have or acquire any such grant or direct pecuniary interest therein.

 

(c)      Combined interests.  It is unlawful for any firm, partnership, association, or corporation, in which any person listed in subsection (a) together with his or her spouse or minor children is entitled to receive (i) more than 15%, in the aggregate, of the total distributable income or (ii) an amount in excess of 2 times the salary of the Governor [$280,263.64], to have or acquire any such grant or direct pecuniary interest therein.

 

(d)      Securities.  Nothing in this Section invalidates the provisions of any bond or other security previously offered or to be offered for sale or sold by or for the State of Illinois.

 

(e)      Prior interests.  This Section does not affect the validity of any grant made between the State and an officer or employee of the State or member of the General Assembly, his or her spouse, minor child or any combination of those persons if that grant was in existence before his or her election or employment as an officer, member, or employee.  The grant is voidable, however, if it cannot be completed within 365 days after the officer, member, or employee takes office or is employed.

 

(f)       Exceptions.

(1)     Public aid payments.  This Section does not apply to payments made for a public aid recipient.

(2)     Teaching.  This Section does not apply to a grant for personal services as a teacher or school administrator between a member of the General Assembly or his or her spouse, or a State officer or employee or his or her spouse, and any school district, public community college district, the University of Illinois, Southern Illinois University, Illinois State University, Eastern Illinois University, Northern Illinois University, Western Illinois University, Chicago State University, Governor State University, or Northeastern Illinois University.

(3)     Ministerial duties.  This Section does not apply to a grant for personal services of a wholly ministerial character, including but not limited to services as a laborer, clerk, typist, stenographer, page, bookkeeper, receptionist, or telephone switchboard operator, made by a spouse or minor child of an elective or appointive State officer or employee or of a member of the General Assembly.

(4)     Child and family services.  This Section does not apply to payments made to a member of the General Assembly, a State officer or employee, his or her spouse or minor child acting as a foster parent, homemaker, advocate, or volunteer for or in behalf of a child or family served by the Department of Children and Family Services.

(5)     Licensed professionals. Grants with licensed professionals, provided they are competitively bid or part of a reimbursement program for specific, customary goods and services through the Department of Children and Family Services, the Department of Human Services, the Department of Public Aid, the Department of Public Health, or the Department on Aging.

 

(g)      Penalty. A person convicted of a violation of this Section is guilty of a business offense and shall be fined not less than $1,000 nor more than $5,000.

 

(30 ILCS 500/50-25)  Inducements.  Any person who offers or pays any money or valuable thing to any person to induce him or her not to bid on a State grant is guilty of a Class 4 felony.  Any person who accepts money or other valuable thing for not bidding on a State grant or who withholds a bid in consideration of the promise for the payment of money or other valuable thing is guilty of a Class 4 felony.

 

(30 ILCS 500/50-30)  Revolving Door Prohibition.  Chief procurement officers, associate procurement officers, State purchasing officers, their designees whose principal duties are directly related to State procurement, and executive officers confirmed by the

Senate are expressly prohibited for a period of 2 years after terminating an affected position from engaging in any procurement activity relating to the agency most recently employing them in an affected position for a period of at least 6 months.  The prohibition includes but is not limited to:  lobbying the procurement process; specifying; bidding; proposing bid, proposal, or grant documents; on their own behalf or on behalf of any firm, partnership, association, or corporation.  This Section applies only to those persons who terminate an affected position on or after January 15, 1999.

 

(30 ILCS 500/50-40)  Reporting Anticompetitive Practices.  When, for any reason, any vendor, bidder, grantor, or designee suspects collusion or other anticompetitive practice among any bidders, offerors, grantors, proposers or employees of the State, a notice of the relevant facts shall be transmitted to the Illinois Attorney General and the chief procurement officer.  This includes reporting any chief procurement officer, State purchasing officer, designee, or executive officer who willfully uses or allows the use of specifications, competitive bid documents, proprietary competitive information, proposals, grants, or selection information to compromise the fairness or integrity of the procurement, bidding, or grant process (30 ILCS 500/50-45), or any current or former elected or appointed State official or State employee to knowingly uses confidential information available only by virtue of that office or employment for actual or anticipated gain for themselves or another person (30 ILCS 500/50-50).

 

(30 ILCS 580)  Drug-free Workplace.  No grantee or grantor shall receive a grant or be considered for the purposes of being awarded a grant from the State for the procurement of any property or services unless that grantee or grantor will provide a drug free workplace. No individual engaged in the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance may have a grant or grant.  False certification or violation of the certification may result in sanctions including, but not limited to, suspension of grant or grant payments, termination of the grant or grant and debarment of granting or grant opportunities with the State for at least one (1) year but not more than five (5) years. GRANTOR/GRANTEE:  For the purpose of this certification, "grantee" or "grantor" means a corporation, partnership, or other entity with twenty-five (25) or more employees at the time of issuing the grant, or a department, division, or other unit thereof, directly responsible for the specific performance under a grant or grant of $5,000 or more from the State.

 

The grantor/grantee certifies and agrees that it will provide a drug free workplace by:

 

(a)      Publishing a statement for the purpose of:  (1) notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance, including cannabis, is prohibited in the grantee's or grantor's workplace; (2) specifying the actions that will be taken against employees for violations of such prohibition; and (3) notifying the employee that, as a condition of employment on such grant or grant, the employee will abide by the terms of the statement and notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five (5) days after such conviction.

 

(b)     Establishing a drug free awareness program to inform employees about:  (1) the dangers of drug abuse in the workplace; (2)  the grantee's or grantor's policy of maintaining a drug free workplace; (3) any available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon employees for drug violations.

 

(c)      Providing a copy of the statement required by subparagraph (a) to each employee engaged in the performance of the grant or grant and to post the statement in a prominent place in the workplace.

 

(d)     Notifying the granting or granting agency within ten (10) days after receiving notice under subsection (a)(3) above from an employee or otherwise receiving actual notice of such conviction.

 

(e)      Imposing a sanction on, or requiring the satisfactory participation in a drug abuse assistance or rehabilitation program by, any employee who is so convicted, as required by Section 5 of the Drug Free Workplace Act.

 

(f)      Assisting employees in selecting a course of action in the event drug counseling, treatment, and rehabilitation is required and indicating that a trained referral team is in place.

 

(g)      Making a good faith effort to continue to maintain a drug free workplace through implementation of the Drug Free Workplace Act.

 

INDIVIDUALS:  If VENDOR is an individual, or an individual doing business in the form of a sole proprietorship, the individual certifies that the individual will not engage in the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance. This requirement applies to grants of more than $5000.

 

(30 ILCS 582)  International Anti-boycott.  Every grant entered into by the State of Illinois for the manufacture, furnishing, or purchasing of supplies, material, or equipment or for the furnishing of work, labor, or services, in an amount exceeding $10,000 shall contain certification, as a material condition of the grant, by which the grantor agrees that neither the grantor nor any substantially-owned affiliated company is participating or shall participate in an international boycott in violation of the provisions of the U.S. Export Administration Act of 1979 or the regulations of the U.S. Department of Commerce promulgated under that Act.

 

(720 ILCS 5/33E-3)  Bid-rigging.  A person commits the offense of bid-rigging when he knowingly agrees with any person who is, or but for such agreement would be, a competitor of such person concerning any bid submitted or not submitted by such person or another to a unit of State or local government when with the intent that the bid submitted or not submitted will result in the award of a grant to such person or another and he either (1) provides such person or receives from another information concerning the price or other material term or terms of the bid which would otherwise not be disclosed to a competitor in an independent noncollusive submission of bids or (2) submits a bid that is of such a price or other material term or terms that he does not intend the bid to be accepted.

 

Bid-rigging is a Class 3 felony.  Any person convicted of this offense or any similar offense of any state or the United States which contains the same elements as this offense shall be barred for five years from the date of conviction from granting with any unit of State or local government.  No corporation shall be barred from granting with any unit of State or local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation and: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to grant and that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent in behalf of the corporation as provided in paragraph (2) of subsection (a) of Section 5-4 of the Criminal Code.

 

(720 ILCS 5/33E-4)  Bid-rotating.  A person commits the offense of bid rotating when, pursuant to any collusive scheme or agreement with another, he engages in a pattern over time (which, for the purposes of this Section, shall include at least 3 grant bids within a period of 10 years, the most recent of which occurs after the effective date of this amendatory Act of 1988) of submitting sealed bids to units of State or local government with the intent that the award of such bids rotates or is distributed among persons or business entities which submit bids on a substantial number of the same grants.  Bid rotating is a Class 2 felony.  Any person convicted of this offense or any similar offense of any state or the United States which contains the same elements as this offense shall be permanently barred from granting with any unit of State or local government.  No corporation shall be barred from granting with any unit of State or local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation and:  (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to grant and that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent in behalf of the corporation as provided in paragraph (2) of subsection (a) of Section 5-4 of this Code.

 

(775 ILCS 5/2-105)  Equal Employment Opportunities -- Affirmative Action/Sexual Harassment.  Every party to a public grant and every eligible bidder shall:

 

(1)     Refrain from unlawful discrimination and discrimination based on citizenship status in employment and undertake affirmative action to assure equality of employment opportunity and eliminate the effects of past discrimination;

 

(2)     Comply with the procedures and requirements of the Department's [Illinois Department of Human Rights] regulations concerning equal employment opportunities and affirmative action; [The equal employment opportunity clause of the Department of Human Rights' rules is specifically incorporated herein.]    

 

(3)     Provide such information, with respect to its employees and applicants for employment, and

 

(4)     Have written sexual harassment policies that shall 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 VENDOR's internal complaint process including penalties; (v) the legal recourse, investigative and complaint process available through the Department and the [Illinois 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 this Act.  A copy of the policies shall be provided to the Department upon request. [Out of state vendors may utilize the VENDOR's state's equivalent of the Department and Commission.]

 

(775 ILCS 25/2)  Discriminatory Club Dues.  No private organization which sells goods or services to the State pursuant to the Illinois Procurement Code, nor any private organization which receives any award or grant from the State, nor any public body may pay any dues or fees on behalf of its employees or agents or may subsidize or otherwise reimburse them for payments of their dues or fees to any discriminating club.  "Discriminatory club" means a membership club, organization, association, or society, or the premises thereof, which practices discrimination in its membership policy or in access to its services and facilities, except any facility, as to discrimination based on sex, which is distinctly private in nature such as restrooms, shower rooms, bath houses, health clubs and other similar facilities for which the Illinois Department of Human Rights, in its rules and regulations, may grant exemptions based on bona fide considerations of public policy.


Minority, Female, Person with Disability Status and Subgranting

 

 

The Business Enterprise Program Act for Minorities, Females and Persons with Disabilities (BEP) (30 ILCS 575/1) establishes a goal for granting with businesses that have been certified as owned and controlled by persons who are minority, female or who have disabilities. While you must complete this form, your response will not be considered in the evaluation.  A listing of certified business may be obtained from the Department of Central Management Services' Business Enterprise Program for Minorities, Females and Persons with Disabilities by calling 312/814-4190 (Voice & TDD), 800/356-9206 (Toll Free), or 800/526-0844 (Illinois Relay Center for Hearing Impaired). 

 

Name of Your Company (and DBA)________________________________________________

 

a.         Is your company at least 51% owned and controlled by individuals in one or more of the following categories?       Yes                             No                  

            If  "Yes," check each that applies.

 

Category

Minority                                              

Female                                                

Person with Disability                           

Disadvantaged                                     

 

b.         If "Yes," please identify, by checking the applicable blanks, which agency certified the business and in what category:

 

Certifying Agency        

Department of Central Management Services                                       

Women's Business Development Center                                                           

Chicago Minority Business Development Council                                             

Illinois Department of Transportation                                                    

Other (identify)                                                                                    

 

Category

Minority                                              

Female                                                

Person with Disability                           

Disadvantaged                                     

 

c.         If you are not a certified BEP business, do you have a written policy or goal regarding granting with BEP certified vendors?         Yes                  (attach copy)    No                  

 

If "No", will you make a commitment to contact BEP certified vendors and consider their proposals?     Yes                                    No                  

 

Do you plan on ordering supplies or services in furtherance of this project from BEP certified vendors?  Yes                                    No                  

 

If "Yes", please identify what you plan to order, the estimated value as a percentage of your total proposal, and the names of the BEP certified vendors you plan to use.


DISCLOSURES

 

FINANCIAL INTERESTS AND POTENTIAL CONFLICTS OF INTERESTS

 

The Illinois Procurement Code requires that vendors desiring to enter into certain grants with the State of Illinois must disclose the financial and potential conflict of interest information as specified below (30 ILCS 500/50-35 a,b,h).

VENDOR shall disclose the financial interest, potential conflict of interest and grant information identified in Sections 1, 2 and 3 below as a condition of receiving an award or grant.  Submit this information along with your offer.

This requirement applies to grants with an annual value exceeding $10,000.

A publicly traded entity may submit its 10K disclosure (include proxy if referenced in 10K) in satisfaction of the disclosure requirements set forth in both Sections 1 and 2.  Section 3 must be completed by all VENDORS.

 

Section 1:        Disclosure of Financial Interest in the VENDOR

 

a)       If any individuals have one of the following financial interests in the VENDOR (or its parent), please mark each that apply and show their name and address.  Then complete Section 2 and 3.  If no individual has the stated interest, mark the first blank, skip Section 2, but complete Section 3.

 

No individuals have the following interests              (_____)

Ownership exceeding 5%                                      (_____)

Ownership value exceeding $84,079.09                             (_____)

Distributive Income Share exceeding 5%                (_____)

Distributive Income Share exceeding $84,079.09   (_____)

 

Name:  ___________________________________________________

 

Address:  _________________________________________________

 

 

b)      For each individual named above, show the type of ownership/distributable income share:

 

sole proprietorship _____     stock _____     partnership _____

 

other (explain)                                                                                                      

 

c)       For each individual named above, show the dollar value or proportionate share of the ownership interest in the VENDOR (or its parent) as follows:

 

If the proportionate share of the named individual(s) in the ownership of the VENDOR (or its parent) is 5% or less, and if the value of the ownership interest of the named individual(s) is $84,079.09 or less, check here (_____).

 

If the proportionate share of ownership exceeds 5%, or the value of the ownership interest  exceeds $84.079.09, show either:

 

The percent of ownership                                                      %, or

 

The value of the ownership interest   $                                 


Section 2:        Disclosure of Potential Conflicts of Interest.  For each of the individuals having the level of financial interest identified in Section 1 above, check "Yes" or "No" to indicate which, if any, of the following potential conflict of interest relationships apply.  If "Yes," please describe each situation (label with appropriate letter) using the space at end of this Section 2.  Attach additional pages as necessary).

 

a.      State employment, currently or in the previous 3 years, including grantual employment of services [directly with the individuals identified in Section "1" in their individual capacity unrelated to the VENDOR's grant.  Identify grants with the VENDOR in Section "3".

 

         Yes ____            No  ____        

 

b.      State employment of spouse, father, mother, son, or daughter, including grantual employment for services in the previous 2 years.

 

         Yes ____            No  ____        

 

c.      Elective status; the holding of elective office of the State of Illinois, the government of the United States, any unit of local government authorized by the Constitution of the State of Illinois or the statutes of the State of Illinois currently or in the previous 3 years.

 

         Yes ____            No  ____        

 

d.      Relationship to anyone holding elective office  currently or in the previous 2 years; spouse, father, mother, son, or daughter.

 

         Yes ____            No  ____        

 

e.      Appointive office; the holding of any appointive government office of the State of Illinois, the United States of America, or any unit of local government authorized by the Constitution of the State of Illinois or the statutes of the State of Illinois, which office entitles the holder to compensation in excess of expenses incurred in the discharge of that office currently or in the previous 3 years.

 

         Yes ____            No  ____        

 

f.       Relationship to anyone holding appointive office currently or in the previous 2 years; spouse, father, mother, son, or daughter.

 

         Yes ____            No  ____        

 

 

 

 

g.      Employment, currently or in the previous 3 years, as or by any registered lobbyist of the State government.

 

         Yes ____            No  ____        

 

h.      Relationship to anyone who is or was a registered lobbyist in the previous 2 years; spouse, father, mother, son, or daughter.

 

         Yes ____            No  ____        

 

i.       Compensated employment, currently or in the previous 3 years, by any registered election or re-election committee registered with the Secretary of State or any county clerk in the State of Illinois, or any political action committee registered with either the Secretary of State or the Federal Board of Elections.

 

         Yes ____            No  ____        

 

j.       Relationship to anyone; spouse, father, mother, son, or daughter; who is or was a compensated employee in the last 2 years of any registered election or re-election committee registered with the Secretary of State or any county clerk in the State of Illinois, or any political action committee registered with either the Secretary of State or the Federal Board of Elections.

 

         Yes ____            No  ____        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


CFS968-45                                                                                                                       Desc                        

Rev. 5/01                                                                                                                                 Prog Name:                                                             

ILLINOIS DEPARTMENT OF CHILDREN AND FAMILY SERVICES   (Internal Use Only)

Standard

 

Contract #                                             Department of  Human Rights #                          

 

A.         1.   THIS CONTRACT is entered into between the Illinois Department of Children and Family

                  Services, hereinafter referred to as the "Department,” and

                                                                                                            (Certified Name),

                                                                                                            (DCFS name)

hereinafter referred to as “Contractor,”

Principal address at:                                                                                                      

Mailing address at                                                                                                         

2.       Under this Contract, notice to the Department shall be sent to 406 East Monroe, Springfield, Illinois 62701, Attention: Director. Notice to the Contractor shall be sent to the principal address.

 

3.   For any address change, the Contractor will give written notice of any change(s) of its principal office/mailing address(es) at least 30 days in advance of the change.

 

4.       Written notice of changes of name, ownership, taxpayer identification number or taxpayer certification should be provided at least 45 days in advance, and such changes may require new contracts to be written.

 

B.         Federal Taxpayer Identification Number (FEIN)                                                                           OR Social Security Number                                                                                                            

 

C.         Legal Status (check only one):

 

___ Individual                                                        ___Nonresident Alien 

___ Sole Proprietorship (must use SSN)                ___Trust or Estate

___ Partnership                                                        ___Foreign Corp Prtnrship, Trust or Estate

___ Tax Exempt Hospital/Ext Care Facility              ___Other (indicate type below):

___ Corporation – Medical/Hlth Care                                  ___Not-for-Profit Corporation

___ Corporation – NO Medical/Hlth Care                           ___ Limited Partnership

___ Governmental Entity                                                  ___ Real Estate

 

Taxpayer Certification:

Under penalties of perjury, the person signing this Contract on behalf of the Contractor personally certifies that the name, taxpayer identification number and legal status listed above are correct.

 

D.        Contractor Fiscal Year                 

            From                     to     .

 

E.         Contract Term

             This Contract shall be effective on                                   and shall expire on                            

 

F.        Contract Amount

The amount payable for services provided according to the conditions of the Description of Service is  estimated at or  a maximum of $                            . (If multiyear contract, see attached “Multiyear Schedule.”)

 

G.        Payment (choose either 1a or 1b to describe payment)

             1a.      $                                               The Department will pay the Contractor per day, hour, week, month, quarter or other unit (specify)                                                                                        .

                   1b.     The Department will pay per the payment rates listed on the attached “Rate Schedule.”


G.        Payment (cont)

 

2.   For payment, the Contractor shall submit to the Department invoice vouchers or reporting forms, as required by the Department, on a monthly basis, unless otherwise agreed. Such invoices or reporting forms shall be submitted within 30 days after the end of each month (unless otherwise stipulated in this contract) in which services are provided and shall include information to support the claim for payments, as may be requested by the Department.

 

3.   The Department shall process vouchers for payment within 60 days of verification except in the lapse period beginning July 1 at which time the Department shall make reasonable efforts to process vouchers for payment within 30 days of voucher verification.

 

4.   The Contractor waives the right to full payment if vouchers, reporting forms or required supporting information are submitted later than 30 days after the end of the fiscal year or more than 30 days following the expiration or termination of the Contract, whichever is first.

 

5.   The Contractor agrees that the Department reserves the right to correct any mathematical or computational error in the payment subtotals or total contract obligation.

 

H.        Services

 

1.   The Contractor agrees to deliver services to the Department as stipulated in the “Description of Services or Program Plan.”

 

2.       All services delivered by the Contractor shall comply with all Department rules, regulations, procedures, and protocols. Policy guides are hereby incorporated by reference and made a part of this contract. In the event of a conflict between a provision or provisions of the Contract and the Description of Services or Program Plan, the provisions of the Contract apply, unless specifically agreed by the parties in an attached addendum.

 

I.                   Subcontracts and Contract Reassignment

 

1.    This contract or any part thereof, shall not be subcontracted, assigned or delegated without a signed subcontract on file with the Contractor. At its option, the Contractor may use the Subcontract Agreement Form (IL 418-968-10) for service subcontracts.

 

2.    Subcontracted services shall be provided pursuant to a written contract between the subcontractor and the Contractor and shall be subject to all provisions contained in this Contract. The Contractor shall remain responsible and liable for the performance of any person, organization or corporation with which it contracts.

 

3.    The Contractor understands and agrees that this Contract, or any portion of this Contract, may not be sold, assigned or transferred in any manner and that any actual attempted sale, assignment or transfer without prior written approval of the Department shall render this Contract immediately null and void.

 

J.          Governing Law

 

This Contract, and all subcontracts entered into pursuant to this Contract, shall be governed by the laws of the State of Illinois and insofar as applicable, by related federal laws and regulations. The Contractor agrees to timely compliance with all local, state and federal laws, regulations, and standards.

 

 

 

 

 

 

 

 

 

 

K.        Confidentiality

 

1.    Except as may be required by state or federal law, regulation or order, the Contractor shall not release information concerning persons served by the Department without prior written approval of the Director of the Department, or designee.

 

2.    The Contractor shall inform its employees and subcontractors of such confidentiality obligations, as well as the penalties for violation thereof, and shall assure their compliance therewith. The Contractor acknowledges that nothing herein prevents the Contractor from sharing any confidential information with the Department for youth for whom the Department has legal responsibility, and the Contractor is required to deliver said information to the Department upon request as allowable under state or federal law.

 

L.        Liability

 

The Department assumes no liability for actions of the Contractor or the Contractor's employees or subcontractors under this Contract. Contractor agrees to hold the Department harmless against any and all liability, loss, damage, cost or expenses, including attorney's fees arising from the acts or omissions of the Contractor and/or its employees and/or subcontractors or from any violation of any of the state and federal laws and regulations, with which the Contractor has certified it is in compliance.

 

M.        Ownership and Use of Certain Data, Information and Work Product

 

1.       Performance by the Contractor may include access to and use of documents and data which may be confidential or considered proprietary to the Department or a Department Contractor, or which may otherwise be of such a nature that its dissemination or use, other than in performance of the Contract, would be adverse to the interest of the Department or others.

 

2.       Materials created under this Contract by the Contractor, its employees, or subcontractors, individually or jointly with others, shall be considered “work made for hire” as defined by the U.S. Copyright Act.

 

3.       Any reports, studies, publications, training manuals, participant materials, slides, designs, drawings, specifications, notes, documents, software and documentation, computer based training modules, electronic, magnetic or digital material and other work in whatever form shall be referred to as “the materials.” The Department shall own all rights, title and interest in all of the materials conceived or created by the Contractor, or its employees, or subcontractors, either individually or jointly with others, that arise out of the performance of this Contract.

 

4.   The Contractor shall, upon request of the Department, execute all papers and perform all other acts necessary to assist the State to obtain and register copyrights, patents or other forms of protection provided by law for the materials.

 

5.   The Contractor shall provide the Department with all computer source code, object code, and all other documentation necessary to understand and use such codes.

 

6.   The Contractor, its employees and any subcontractors, shall not copyright, copy, reproduce, allow or cause to have the materials copied, reproduced or used for any purpose other than performance of the Contractor’s obligations under this Contract without the prior written consent of the Department’s Director.

 

7.       Upon expiration or termination of this Contract, all of the materials whether in paper, electronic or other forms shall be, at the option of the Department, delivered to the Department by the Contractor.

 

 

 

 

 

 

 

 

 

 

N.            Record Keeping and Monitoring

 

1.   Pursuant to the Illinois Procurement Code, 30 ILCS 500/20-65, the Contractor agrees to the following:

 

a)    The Contractor and all subcontractors shall maintain books and records necessary to support amounts charged to the Department under this Contract, or all of the subcontracts under this Contract. The books and records shall be maintained by the Contractor and all subcontractors for a period of three (3) years from the date of final payment under this Contract or the completion of this Contract or subcontract, whichever is later. However, the three (3) year period shall be extended for the duration of any audit in progress at the time of that period’s expiration.

 

b)   All books and records maintained per subsection 1a) of this Section shall be available for review and audit by the Auditor General and the Department. The Contractor and all of the Contractor’s subcontractors under this Contract shall cooperate fully with any audit.

 

c)   Failure of the Contractor or any of the Contractor’s subcontractors under this Contract to maintain the books and records required by subsection 1a) of this Section shall establish a presumption in favor of the Department for the recovery of any funds paid by the Department for which required books and records are not available.

 

4.       The Contractor shall maintain all such other records as may be required by the Department.

 

5.       The Contractor shall assist the Department in its functions of reviewing financial and programmatic records and monitoring and evaluating performances under this Contract. Except in emergency situations, the Department will attempt to notify the Contractor at least five (5) days prior to a review of Financial and Programmatic records relating to this Contract. The Contractor shall allow Department employees, federal officials authorized by the Director, and other qualified persons, total access to all financial and programmatic records relating to this Contract.

 

6.       The Contractor’s books of accounts shall be kept in accordance with the standards of Accounting and Financial Reporting for Voluntary Health and Welfare Organizations, or other methods which are consistent with generally accepted accounting principles.

 

7.       The Contractor shall keep true and accurate financial records reflecting all financial transactions pursuant to this Contract.

 

8.       The Contractor shall maintain time and attendance records for all staff whose salaries are funded in whole or in part pursuant to this Contract and consistent with generally accepted business practices.

 

O.        Good Standing

 

            The Contractor certifies that it is in good standing as a business entity and is able to do business with the State of Illinois because of this good standing.

 

P.         Office of the Inspector General

 

1.   The Office of the Inspector General (OIG) of the Department has the authority to impound and have access to records and facilities without advance notice. The Contractor further agrees that, for the purposes of this section, documents and records include all computer, electronic and digital data.

 

 

 

 

 

 

 

 

 

 

 

P.         Office of the Inspector General (cont)

 

2.       In cooperation with the OIG, the Contractor agrees to the following:

 

a)   To fully comply with requests or Notices of Impounding by the OIG for the production of documents and records.

 

b)   To refrain from removing, altering or tampering with documents requested or impounded by the OIG or that are the subject of a pending OIG investigation.

 

c)   To maintain any records identified by the OIG in a manner to prevent tampering, altering or removal by employees.

 

d)   To allow and encourage employees to speak to the OIG regarding pending investigations.

 

Q.        Compliance with Civil Rights Laws

 

1.   The Contractor certifies that it is in compliance with all applicable federal, state and local laws protecting the civil rights of persons.

 

2.   The Contractor further certifies that it has reviewed all applicable laws, including the American with Disabilities Act of 1990; the Rehabilitation Act of 1974; Titles VI and VII of the Civil Rights Act of 1964 and the Civil Rights Act of 1991; the Burgos Consent Decree of 1977; the Agreed Order of 1991; and has established policies, practices and procedures consistent with said laws.

 

R.        Drug Free Workplace

 

The Contractor shall comply with the Drug-Free Workplace Act, 30 ILCS 580/1 et seq. If the Contractor employs 25 or more employees and this Contract is for $5,000 or more, the Contractor agrees to comply with the Drug-Free Workplace Certification.

 

S.        Federal Lobbying Restrictions

 

1.    No funds received under this Contract shall be used for attempting to influence federal legislation or to pay the salary or expenses of any individual engaging in said activity.

 

2.   The Contractor certifies to the following:

 

a)   No federally appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress, in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any federal contract, grant, loan or cooperative agreement.

 

b)  If any funds, other than federally appropriated funds, have been paid or will be paid to any person for influencing or attempting to influence any of the above persons in connection with this Contract, etc., the Contractor must also complete and submit timely, federal form LLL, Disclosure Form to Report Lobbying, in accordance with its instructions.

 

c)  If there are any indirect costs associated with this Contract, total-lobbying costs shall be separately identified in the indirect cost rate proposal, and thereafter treated as other unallowable activity costs.

 

 

 

 

S.        Federal Lobbying Restrictions (cont)

 

d)   The Contractor must include the language of this certification in the award documents for all subcontracts. All subcontractors are required to be subject to and to comply timely with said certification and disclosure.

 

3.   This certification is a material representation of fact upon which reliance was placed to enter into this transaction and is a prerequisite for this transaction, pursuant to 31 U.S.C. Sec. 1352 (1989). Any person who fails to file the required certifications shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

 

T.          Educational Loan

 

The Contractor certifies that none of its employees are in default on an educational loan as provided in Section 30-15.2 of the School Code (105 ILCS 5/30-15.12).

 

U.         Bid-Rigging/Bid Rotating Law

 

The Contractor certifies that it has not been barred from contracting with a unit of State or local government as a result of a violation of 720 ILCS 5/33E-3 & 5/34E-4 of the Illinois Criminal Code of 1961.

 

V.         Boycotts

 

The Contractor certifies that neither it nor any substantially owned affiliated company is participating or shall participate in an international boycott in violation of the provisions of the U.S. Export Administration Act of 1979, 50 U.S.C.A. ap. ' 2401 et seq. or the regulations of the U. S. Department of Commerce promulgated under that Act, and the International Anti-Boycott Certification Act, 30 ILCS 582/1 et seq.

 

W.       Dues and Fees

 

The Contractor certifies that it is not prohibited from selling goods or services to the State of Illinois because it pays dues or fees on behalf of it’s employees or agents, or subsidizes or otherwise reimburses them for payment of its dues or fees to any club that unlawfully discriminates (775 ILCS 25/1, 25/2).

 

X.         Pro-Children Act

 

The Contractor certifies that it is in compliance with the Pro-Children Act of 1994, (Public Law 103-227). The Contractor prohibits smoking in any portion of its facility used for the provision of health, day care, early childhood development services, education or library services to children under 18 years of age which services are supported by Federal or State government assistance (except portions of the facilities which are used for inpatient substance abuse treatment).

 

Y.         Sexual Harassment

 

The Contractor certifies that it will prohibit sexual harassment as defined in the Illinois Human Rights Act, 775 ILCS 5/2-101(E), and will not tolerate such conduct by its employees.  Further, the Contractor certifies that it has a written sexual harassment policy as required by the Illinois Human Rights Act at 775 ILCS 5/2-105 (1994) and shall deliver to the Department a copy of such policy upon request.

 

 

 

 

 

 

 

 

 

 

 

Z.         Procurement Ethics and Disclosure

 

The Contractor certifies that it has met all applicable certification and disclosure requirements under the Illinois Procurement Code (30 ILCS 500/50), including the requirements listed below.

 

1.      Bribery

 

The Contractor certifies that it is not barred from being awarded a contract or subcontract under ILCS 500/50-5 of the Illinois Procurement Code.

 

2.      Felons-Business with State or State Contractor

 

The Contractor certifies that it is not in violation of the requirements under ILCS 500/50-10 that no person or business convicted of a felony shall do business with the State of Illinois or any State Agency from the date of conviction until five (5) years after the date of completion of the sentence for that felony.

 

3.      Conflicts of Interest

 

The Contractor certifies that it is not, and will not during the term of this Contract become in violation of any of the provisions regarding conflict of interest, which are prohibited by Section 50-13 of the Illinois Procurement Code.

 

4.      Negotiations

 

The Contractor certifies that no person participating in negotiations relative to this Contract on behalf of the Department has a contract for future employment or is negotiating concerning possible future employment with Contractor per the Illinois Procurement Code, 30 ILCS 500/50-15.

 

5.      Revolving Door Provision

 

Per the Illinois Procurement Code, 30 ILCS 500/50-30, the Contractor certifies that chief procurement officers, associate procurement officers, State purchasing officers and their designees whose principal duties are directly related to State procurement, and executive officers confirmed by the Senate are expressly prohibited for a period of two (2) years after terminating an affected position from engaging in any procurement activity relating to the State agency most recently employing them in an affected position for a period of at least six (6) months. This provision applies only to persons who terminate an affected position on or after January 15, 1999.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AA.           Contractual Employees

 

1.   Those Contractors who are deemed employees under IRS regulations will be considered contractual employees and not an independent contractor, pursuant to the Illinois Procurement Code.

 

2.   The Internal Revenue Services (IRS) and the Illinois Department of Revenue require federal and state income tax withholding on compensation paid to individuals who perform personal services for the state on a contractual basis who are deemed employees under IRS regulations.

 

3.   Contractual employees do not acquire any employment rights with the Department or the State of Illinois by virtue of this Contract and do not qualify for inclusion in the State Employees Retirement System, the State Universities Retirement System, or the State Employees Group Insurance Program.

 

4.   At any time during the term of this Contract, coinciding with established pay periods, Contractual employees may opt to participate in the State Employees Deferred Compensation Plan, created in accordance with 40 ILCS 5/22a-111.1 and Section 457 of the United States Internal Revenue Code. At such time, the Contractor agrees to defer from payment under this contract an amount per pay period as specified on the CMS Enrollment form. The Contractor further agrees to abide by the terms and conditions of the State Employees Deferred Compensation Plan currently in force and as may be amended from time to time.

 

5.       5.   Where applicable, Ccontractual employees will comply with regulations governing travel for state employees. Payments are not guaranteed until this Contract has been filed with the Department. Timesheets as required by the Department must be completed and submitted in accordance with Department requirements.

 

6.       The Department reserves the right upon written notice to the Contractor to terminate this contract for any reason at any time, including immediately on the date of said notice without any advance notice. The Contractor agrees that such termination shall be effective upon designated termination date contained in said notice which may be the date the notice is either (1) mailed to the Contractor in an envelope properly addressed to the Contractor’s mailing address set forth in this contract with postage fully prepaid and deposited in a United States post office or post office box or (2) hand delivered to any representative, employee, officer or agency Contractor.

 

7.       The Contractor reserves the right, upon advance written notice of at least 30 calendar days to the Department, to terminate this contract for any reason at any time. The Contractor agrees that such termination shall be effective upon the designated termination date contained in the notice, provided that said termination date shall not be less than 30 calendar days after the date the notice was mailed to the Department’s mailing address set forth in this contract, with postage fully prepaid and deposited in the United States post office or post office box. Hand delivery notices to any officer, agent or employee of the Department shall not be effective notice without written consent of the Director of the Department.


FY _____

Description of Services

Contractual Employees

 

 

a.                    Position Title:                                  ___________________________________

 

Work Location                                                                                 ______________

 

   Supervisor signing timesheets:                ______________________________                                                     

 

(Note: Contractual employees shall not bill more than 40 hours in one week without prior written approval from the Department for each week in which approval is requested.  If Contractual employee must drive for employment purposes and wishes to seek reimbursement, he/she must complete the Department travel voucher form.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                       

 

 

AA.    Local Area Networks (LANS)

 

Upon request of the Department, the Contractor shall participate to the extent and in the manner as requested by the Department in developing and delivering services to Department clients within designated LANs.

 

BB.      Payment Provisions

 

The Contractor will submit bills to the Department by the 30th working day of each month for the prior month. Any bills submitted 30 days after the end of the service month may be subject to reimbursement at 80% of the Contract rates.

 

CC.      Rates

 

Rates will be determined per Department Rule and Procedure, or previous written agreement signed by the Director or his/her designee.  The Department shall notify the Contractor of rates and/or changes.

 

DD.     Audits

 

1.      If the Contractor receives in the aggregate $150,000 or more from the Department during the current State of Illinois fiscal year, the Contractor will submit audited financial statements prepared by an independent Certified Public Accountant in accordance with generally accepted auditing standards within 180 days following the completion of the Contractor’s fiscal year.

 

2.      If the Contractor receives in the aggregate $300,000 or more (regardless of the source) from Federal funds through Department contracts/ grants during the current State of Illinois fiscal year, the Contractor will submit audited financial statements along with a copy of the management letter prepared by an independent Certified Public Accountant in accordance with OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations.

 

3.   All audited financial statements shall include a Statement of Functional Revenues and Expenses by program within each individual Contract prepared in accordance with Department Rule 357.

 

4.   The Contractor shall submit three (3) copies of its audited financial statements, and, if applicable, copies of the management letter, to the Department of Children and Family Services, Office of Budget Development, 406 East Monroe Street, Station 440. Any written requests for waivers or amendments to the state audit requirements shall be made to the same address.

 

EE.      Return of Equipment

 

Upon expiration or termination of this Contract, all buildings and equipment meeting the following two conditions shall be identified to the Department within 90 days and returned subject to final disposition decision: (1) exceeding $1,500 in value at the time of purchase with a useful life of three years and (2) purchased directly with Department funds and not included in acceptable cost allocation plan.

 

 

 

 

 

 

 

FF.       Return of Funds

 

Upon expiration or termination of this Contract, the Department shall issue a determination of excess revenue. No later than 15 days after the Contractor’s completion of the required audit, all revenues in excess of expenses as of the date of expiration or termination shall be returned by check(s) (with Department contract numbers identified on all checks and/or correspondence) in accordance with all appropriate rules and requirements and shall be made payable to:

 

Treasurer, State of Illinois

c/o Illinois Department of Children & Family Services

406 East Monroe Street

Station #412

Springfield, IL 62701

 

HH.     Subcontracts

 

1.       The Contractor shall ensure that the Subcontractor signs a statement certifying agreement that all services as specified by the terms of this agreement and delivered by the Subcontractor shall comply with all Department rules, regulations, procedures, and protocols. Policy guides shall also be incorporated by reference and made a part of the subcontract.

 

2.       All subcontracts shall be submitted to the Department for amendment into this contract.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                          

AA.      Substitute Care Placement Information

 

1.   The Contractor must complete the 906 Placement/Payment Authorization Form immediately after placement of a Department client and then transmit the 906 placement information via a telephone call or fax to the Department specified office.

 

2.   If this Contract relates to Institutional Residential Care, Child Welfare Group Homes or Supervised Independent Living Substitute Care programs, the Contractor must complete the 906 Placement/Payment Authorization Form immediately after placement of a Department client and then transmit the 906 placement information via a telephone call to the appropriate Region. Tthe appropriate Department Region must receive such telephone call or fax within two (2) working days of the client’s placement or discharge.

 

BB.     Local Area Networks (LANS)

 

Upon request of the Department, the Contractor shall participate to the extent and in the manner as requested by the Department in developing and delivering services to Department clients within designated LANs.

 

CC.     Termination of Services to Department Clients

 

1.      Both parties agree to give 14 calendar days written notice prior to termination of contractual services to any Department client in substitute care provided, however, that the Department may terminate services immediately with no prior written notice in those rare instances where the Department determines that notice would threaten the health, safety, or welfare of any Department Client. Notwithstanding any other provision to the contrary, notice as required by this paragraph shall be sent by CERTIFIED MAIL to the Contractor at its principal address indicated on Page 1, and to the Department at the Regional Office of client origin, and shall be effective upon mailing.

 

2.      No termination of services may be made without full consideration of the best interests of the Department client. The Agency will abide by the Department’s determination of the best interests of the Department client.

 

DD.     Current Funding

 

    The Department may make current funding payments. Each current funding payment will be subsequently compared and reconciled to actual billings created by the entry of payment authorization forms (CFS-906). Adjustments will be made to the current funding based upon those reconciliations and anticipated utilization changes. Current funding may be withheld for failure to comply with financial reporting requirements.

 

EE.      Payment Provisions

 

The Contractor will submit bills to the Department by the 8th working day of each month for the prior month. Any bills submitted 30 days after the end of the service month may be subject to reimbursement at 80% of the Contract rates.

 

FF.       Rates

 

Rates will be determined per Department Rule and Procedure or previous written agreement signed by the Director or his/her designee. The Department shall notify the Contractor of rates and/or changes.

 

GG.     Audits

 

1.         If the Contractor receives in the aggregate $150,000 or more from the Department during the  current State of Illinois fiscal year, the Contractor will submit audited financial statements prepared by an independent Certified Public Accountant in accordance with generally accepted auditing standards within 180 days following the completion of the Contractor’s fiscal year.

 

2.      If the Contractor receives in the aggregate $300,000 or more (regardless of the source) from Federal funds through Department contracts/ grants during the current State of Illinois fiscal year, the Contractor will submit audited financial statements along with a copy of the management letter prepared by an independent Certified Public Accountant in accordance with OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations.

 

3.   All audited financial statements shall include a Statement of Functional Revenues and Expenses by program within each individual Contract prepared in accordance with Department Rule 357.

 

4.   The Contractor shall submit three (3) copies of its audited financial statements, and, if applicable, copies of the management letter, to the Department of Children and Family Services, Office of Budget Development, 406 East Monroe Street, Station 440. Any written requests for waivers or amendments to the state audit requirements shall be made to the same address

 

HH.     Return of Equipment

 

Upon expiration or termination of this Contract, all buildings and equipment meeting the following two conditions shall be identified to the Department within 90 days and returned subject to final disposition decision: (1) exceeding $1,500 in value at the time of purchase with a useful life of three years and (2) purchased directly with Department funds and not included in acceptable cost allocation plan.

 

II.        Return of Funds

 

Upon expiration or termination of this Contract, the Department shall issue a determination of excess revenue. No later than 15 days after the Contractor’s completion of the required audit, all revenues in excess of expenses as of the date of expiration or termination shall be returned by check(s) (with Department contract numbers identified on all checks and/or correspondence) in accordance with all appropriate rules and requirements and shall be made payable to:

 

Treasurer, State of Illinois

c/o Illinois Department of Children & Family Services

406 East Monroe Street

Station #412

Springfield, IL 62701

 

JJ.       Subcontracts

 

1.                The Contractor shall ensure that the Subcontractor signs a statement certifying agreement that all services as specified by the terms of this agreement and delivered by the Subcontractor shall comply with all Department rules, regulations, procedures, and protocols. Policy guides shall also be incorporated by reference and made a part of the subcontract.

 

2.                All subcontracts shall be submitted to the Department for amendment into this contract.

 

 

 

 

AA.           Use of Grant Funds

 

Payments made under this Grant may only be used by the Grantee for purposes and costs specified in the Description of Services and Grant Budget, or approved amendments.

 

BB.      Amendment to Description of Services and Grant Budget

 

All proposed revisions to the Description of Services and Grant Budget must be submitted in advance, in writing, for approval by the Department Grant Administrator. The Department Grant Administrator will provide written approvals or denials of such revisions to the Grantee.

 

CC.      Grant Program Reporting

 

1.       Upon completion of the Grant program activity, but no later than the expiration or termination date of this Grant, the Grantee will provide the Department Grant Administrator with a grant program activities report describing and verifying the activities identified in the Description of Services/Program Plan and Grant Budget.

 

2.       The program activities report will also include a summarization of the Grantee’s assessment of the impact and effectiveness of the Grant project.

 

DD.   Grant Fiscal Reporting

 

Prior to the end of the Grant period, as specified in this agreement, the Grantee will provide the Department Grant Administrator with a Grant funds expenditure report. The Grant funds expenditure report shall detail the expenditure of Grant funds and any unliquidated Grant obligations. This expenditure report shall be formatted similar to the Budget submitted with the Grant (or as amended). As provided by Section FF of this grant agreement, the Grantee will retain records and documentation of costs reflected in the Grant funds expenditure report.

 

EE.      Return of Equipment

 

Upon expiration or termination of this Grant, all buildings and equipment meeting the following two conditions shall be identified to the Department within 90 days and returned subject to final disposition decision: (1) exceeding $1,500 in value at the time of purchase with a useful life of three years and (2) purchased directly with Department funds and not included in acceptable cost allocation plan.

 

FF.    Grant Funds Closeout and Grant Funds Recovery Act

 

1.   The Illinois Grant Fund Recovery Act (30 ILCS 7085) limits the period of time that State Grantor agencies may allow Grant funds to be available for expenditure by Grantees. It also establishes authority and requirements for the recovery of Grant funds held by the Grantee.

 

2.   The Grant funds expenditure report specified in Section DD above shall constitute the initial basis for fiscal closeout of this Grant agreement and compliance with the Grant Funds Recovery Act. If the expenditures and unliquidated obligations reflected in the Grant funds expenditure report fully account for all Grant payments made to the Grantee under this agreement and any interest earned by the Grantee on those payments, the Grant shall be closed out subject only to any potential future audit.

 

 

 

 

 

 

 

 

FF.    Grant Funds Closeout and Grant Funds Recovery Act (cont.)

 

3.   Should the expenditures and unliquidated obligations reflected in the Grant funds expenditure report not exhaust the amount of Grant payments and Grantee interest earnings, the Grantee may effect fiscal closeout of the Grant by remitting to the Department Grant Administrator the amount that Grant expenditures and unliquidated obligations do not exhaust the amount of Grant payments and Grantee interest earnings. Such return shall be by check(s) (with the Department Grant number identified on all checks and/or correspondence) in accordance with all appropriate rules and requirements and shall be made payable to:

 

Treasurer, State of Illinois

c/o Illinois Department of Children & Family Services

406 East Monroe St.

Station #412

Springfield, IL 62701

 

 

 

4.   In any instance the Department Grant Administrator shall review the Grant expenditure report and on that basis determine whether, and in what amounts, the Grantee may need to make repayment of Grant payments and earned interest to affect Grant closeout. If not already accomplished, such repayments must be made within 45 days after the expiration of the Grant agreement.

 

5.       Regarding any questions arising from the Department Grant administrator’s determinations of required repayments of Grant funds, the Grantee shall have the right to informal and formal hearing opportunities as provided for in the Grant Funds Recovery Act.

 

GG.     Audits

 

1.   Pursuant to Department Rule 357, the Grantee will submit audited financial statements within 180 days following the completion of the Grantee’s fiscal year if the Grantee (with the exception of Day Care Contractors) receives in the aggregate $300,000 or more (regardless of the source) from Federal funds through Department contracts/grants during the current State of Illinois fiscal year.

 

2.  The audited financial statements along with a copy of the management letter must be   prepared by an independent Certified Public Accountant in accordance with OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations.

 

3.     All audited financial statements shall include a Statement of Functional Revenues and Expenses by program within each individual Contract prepared in accordance with Department Rule 357.

 

4.   The Grantee shall submit three (3) copies of its audited financial statements, and, if applicable, copies of the management letter, to the Department of Children and Family Services, Office of Budget Development, 406 East Monroe Street, Station 440. Any written requests for waivers or amendments to the state audit requirements shall be made to the same address.The Contractor shall submit one (1) copy of its audited financial statements to the Associate Deputy Director, Department of Children and Family Services, POS Monitoring Division, Office of Field Audits, 1026 S. Damen, Chicago, Illinois, 60612. Any written requests for waivers or amendments to the state audit requirements shall be made to the same address.

 

 

 

 

 

 

 

 

 

AA.      Day Care Payment Provisions

 

1.   Full-Day day care consists of attendance with the Contractor for five (5) or more hours per child, per day and includes travel time when the Contractor supplies transportation.

 

2.   Part-Day day care consists of attendance with the Contractor for less than five (5) hours per child, per day and includes travel time when the contractor supplies transportation.

 

3.    Eligibility determinations and continued re-determinations for day care services are the responsibility of the Department. Payments shall be based on a per diem rate of reimbursement. For children served under this Contract, the Department shall reimburse for day care based on the number of days per month/year that service is necessary and approved by designated regional staff. For site-administered day care contracts, the provisions in this paragraph are superseded by a Site Administered Exhibit (1968/ Supplement F), if applicable.

 

4.    Payments under this Contract will be calculated in the following manner: When total attendance in a given month is 80% or more of eligible days, multiply the rate by the number of eligible days. If the ratio is less than 80%, the reimbursement will be for actual days of attendance.

 

5.   The Department shall pay the Contractor for all day care services provided to eligible children. The Contractor shall not attempt to collect from the parents or foster parents any fee for services provided pursuant to this Contract.

 

6.    No other mandatory SERVICE FEES, special fees or additional charges of any type for regular day care services may be imposed by the center or home. If optional services are offered, parents or foster parents may choose to pay directly for such optional services. A written notice listing optional services must be provided to all parents before activities occur and such services must be offered on a voluntary basis.

 

7.      The Contractor certifies that:

 

a)   Costs for services provided under this Contract shall not be charged simultaneously to the Department of Human Services.

 

b)    The rates do not represent costs that are disallowed under Department Rule 356.

 

c)    The rates do not represent costs associated with the provision of services to non-subsidized clients. The Contractor certifies that the rates do not exceed the rates for the same or substantially similar services to non-subsidized clients. The Contractor shall provide to the Department a copy of its general fee schedule given to the public.

 

BB.     Licensing Compliance

 

At all times during this Contract, the Contractor shall be in compliance with the licensing requirements of the Child Care Act of 1969, as amended, and all applicable standards prescribed by state or federal law or regulations. The Contractor shall neither claim nor accept payment for activities that are not in compliance with the appropriate licensing rules or licensed capacity as defined in Rules 406, 407 and 408.

 

CC.     Parental Access to Day Care Facility

 

The Contractor agrees to allow parents, foster parents or legal guardians access to the facility at all times which the child is in attendance, unless the Contractor has been given a copy of a court order prohibiting contact between such individual and a child.

 

 

 

 

DD.     Contract Attachments

 

Region Administered Day Care Contract: Supplements A and C required

 

Site Administered Day Care Contract: Program Plan and Supplements A, D and F required

 

Specialized/Therapeutic Day Care Contract: Program Plan, Budget and Supplement A and C or F required

 

Child Rate Exception Form: Required if specialized day care services are added for a child within this contract.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AA.      Subcontracts

 

1.   All subcontracts shall be submitted to the Department for amendment into this contract.

 

2.   All subcontracts shall list the name and addresses of all subcontractors.

 

3.   All subcontracts shall identify the anticipated amount the subcontractor shall receive pursuant to the contract.

 

4.   All subcontracts shall identify the services and deliverables to be provided by the subcontractor.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RATE SCHEDULE

                                                           

 

 

RATE COUNT

PAYMENT FREQUENCY

(hr, day, wk, mo, qtr, current funding, advc pay)

 

TYPE SERVICE CODE

 
 
RATE AMOUNT

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

 

 

 

$

 

MULTIYEAR SCHEDULE

 

CONTRACT YEAR
ESTIMATED AMOUNT*

Current

 

Year 2

 

Year 3

 

Year 4

 

Year 5

 

Year 6

 

Year 7

 

Year 8

 

Year 9

 

Year 10

 

 

* A multiyear contract does not imply a written commitment or obligation by the Department to provide a contract at the stated estimated amounts, and all multiyear contracts are subject to termination and cancellation in any year for which the General Assembly fails to make an appropriation to make payments under the terms of this contract.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE DEPARTMENT AND THE CONTRACTOR AGREE TO THE FOLLOWING:

 

I.       Termination

 

A.  Each party reserves the right to terminate this Contract at any time for any reason, upon 30 days written notice to the other party.

 

B.  This Contract is breached by the Contractor if it fails to perform any material act mandated by this Contract; and, at that time, the Department may terminate this Contract immediately upon notice.

 

C.  Termination of this contract shall be effective upon the date notice is made. Notice of contract termination shall be made via CERTIFIED MAIL.

 

D.  Pursuant to the Illinois Procurement Code, 30 ILCS 500/20-60 (b), this Contract is subject to termination and cancellation in any year for which the General Assembly fails to make an appropriation to make payments under the terms of this Contract.

 

II.     Severability

 

         In the event any provision of this Contract is declared void, voidable or otherwise unenforceable, then such provision, term or condition shall be severable from this Contract and this Contract shall otherwise be fully effective, binding and enforceable.

 

III.     Authority to Execute and Bind

 

        The person signing this Contract on behalf of the Contractor acknowledges that he/she has read and understands the terms herein and warrants that he/she has full power and authority to execute this Contract and bind the Contractor. If the Contractor is a corporation, the individual hereby warrants he/she has been granted such authority by resolution of the corporation’s Board of Directors.

 

 

This Contract and the attachments herein contain all the terms and conditions agreed to by the parties. No other agreement regarding the subject matter of this Contract shall vary unless agreed to in writing and signed by all parties, with the exception that contract rates may be increased without a two-party signed agreement. This Contract shall not be binding and enforceable unless signed by all parties, including the Director of the Department.

 


IL DEPARTMENT OF CHILDREN & FAMILY SERVICES          

 

 

                                                                                 

Regional Administrator,                                    Date

Deputy Director, Executive Staff

 

                                                                                 

DCFS Director                                     Date

 

Attachments:

    Budget                                Exhibit C

    Exhibit E                        

    Other ____________

 

    Day Care Supplmnt C        Day Care Supplmnt D

    Day Care Supplmnt E        Day Care Supplmnt F

    Site Administered Day Care Program Plan  

    Child Rate Exception Form

CONTRACTOR

 

 

                                                                                 

Contractor Authorized signature                        Date

 

 

                                                                                 

Name (please print)

 

 

                                                                                 

Title (please print)

 

                                                                                 

Address

 

 

(         )                                        (      )                      

Telephone #                                 Fax #


 


If the amount of this Contract is in the amount of $250,000 or more in a fiscal year, or order against a master contract in the amount of $250,000 or more in a fiscal year, or is an amendment or change to an existing contract that increases the value of that contract to or by $250,000 or more in a fiscal year, then this Contract shall not be binding and enforceable until it is also approved and signed in writing by the Chief Legal Counsel and Chief Fiscal Officer of the Department in accordance with 30 ILCS 105/9.02.

 

The following signatures approve the expenditures identified within the attached Contract:

 

 

                                                                                 

DCFS Director                                                 Date

 

 

 

                                                                                 

DCFS Chief Legal Officer                                    Date

 

 

 

                                                                                   

DCFS Chief Fiscal Officer                                   Date