Printed 9/9/2015
Page 3 of 5
BLR 05310 (Rev. 06/12/15)
(14)
(RailroadRelatedWorkOnly) The estimates and general layout plans for at-grade crossing improvements shouldbe forwarded to
theRail Safety andProject Engineer, Room 204, IllinoisDepartment of Transportation, 2300SouthDirksenParkway, Springfield,
Illinois, 62764. Approval of the estimates andgeneral layout plans should be obtainedprior to the commencement of railroad
relatedwork. All railroad relatedwork is also subject to approval be the IllinoisCommerceCommission (ICC). Final inspection for
railroad relatedwork should be coordinated throughappropriate IDOTDistrict Bureauof Local Roads andStreets office.
Plans andpreemption times for signal relatedwork that will be interconnectedwith traffic signals shall be submitted to the ICC for
reviewand approval prior to the commencement of work. Signal relatedwork involving interconnectswith statemaintained traffic
signals should alsobe coordinatedwith the IDOT’sDistrict Bureauof Operations.
The
LPA
is responsible for thepayment of the railroad related expenses inaccordancewith the
LPA
/railroadagreement prior to
requesting reimbursement from IDOT. Requests for reimbursement shouldbe sent to theappropriate IDOTDistrict Bureau of Local
Roads andStreets office.
Engineer’sPayment Estimates shall be inaccordancewith theDivision of Cost onpageone.
(15)
And certifies to the best of its knowledge and belief its officials:
(a) are not presently debarred, suspended, proposed for debarment, declared ineligibleor voluntarily excluded from covered
transactions by anyFederal department or agency;
(b) have not within a three-year periodpreceding thisAgreement been convicted of or had a civil judgment rendered against them
for commission of fraudor a criminal offense in connectionwith obtaining, attempting to obtain, or performinga public (Federal,
State or local) transaction or contract under apublic transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements receiving stolenproperty;
(c) are not presently indicted for or otherwise criminally or civilly charged by agovernmental entity (Federal, State, local) with
commissionof any of theoffenses enumerated in item (b) of this certification; and
(d) have not within a three-year periodpreceding theAgreement hadoneormore public transactions (Federal, State, local)
terminated for causeor default.
(16)
To include the certifications, listed in item 15 above, and all other certifications required byState statutes, inevery contract,
including procurement of materials and leases of equipment.
(17)
(StateContracts) That execution of this agreement constitutes the
LPA
’s concurrence in the award of the construction contract to
the responsible lowbidder as determined by the
STATE
.
(18)
That for agreements exceeding $100,000 in federal funds, execution of thisAgreement constitutes the
LPA
’s certification that:
(a) NoFederal appropriated funds have been paidor will bepaid, by or onbehalf of the undersigned, to any person for influencing
or attempting to influence anofficer or employee of any agency, aMember of Congress, anofficer or employeeof Congress or
any employee of aMember of Congress in connectionwith the awardingof any Federal contract, themaking of any
cooperativeagreement, and the extension, continuation, renewal, amendment ormodification of anyFederal contract, grant,
loanor cooperative agreement;
(b) If any funds other thanFederal appropriated funds havebeenpaidor will be paid to any person for influencingor attempting to
influence anofficer or employee of any agency, aMember of Congress, an officer or employee of Congress or an employee of
aMember of Congress, in connectionwith thisFederal contract, grant, loan or cooperativeagreement, the undersigned shall
complete and submit StandardForm-LLL, “DisclosureForm toReport Lobbying”, in accordancewith its instructions;
(c) The
LPA
shall require that the languageof this certificationbe included in the award documents for all subawards at all ties
(including subcontracts, subgrants and contracts under grants, loans and cooperative agreements) and that all subrecipients
shall certify and discloseaccordingly.
(19)
To regulate parking and traffic in accordancewith the approved project report.
(20)
To regulate encroachments onpublic right-of-way in accordancewith current IllinoisCompiledStatutes.
(21)
To regulate thedischargeof sanitary sewage into any stormwater drainage system constructedwith this improvement in
accordancewith current IllinoisCompiledStatutes.
(22)
To complete this phase of theproject within three (3) years from the date this agreement is approvedby the
STATE
if thisportion of
the project described in theProject Description does not exceed $1,000,000 (five years if the project costs exceed $1,000,000).
(23)
To complywith the federal Financial IntegrityReviewandEvaluation (FIRE) program, which requiresStates and subrecipients to
justify continued federal funding on inactive projects. 23CFR630.106(a)(5) defines an inactive project as aproject whichno
expenditures have been charged against Federal funds for the past twelve (12)months.
To keep projects active, invoicingmust occur aminimumof one timewithinany given twelve (12)month period. However, to
ensure adequate processing time, the first invoice shall be submitted to the
STATE
within six (6)months of the federal authorization
date. Subsequent invoiceswill be submitted in intervals not to exceed six (6)months.
(24)
The
LPA
will submit supporting documentationwith each request for reimbursement from the
STATE
. Supporting documentation is
defined as verification of payment, certified time sheets or summaries, vendor invoices, vendor receipts, cost plus fix fee invoice,
progress report, and personnel anddirect cost summaries.and other documentation supporting the requested reimbursement
amount (FormBLRS05621 shouldbe used for consultant invoicing purposes).
LPA
invoice requests to the
STATE
will be
submittedwith sequential invoice numbers by project.
