CONTRACT

FOR

TEMPORARY STAFFING SERVICES

CONTRACT NO: 1585-14678

~ II s

COOK COUNTY GOVERNMENT

COOK COUNTY DEPARTMENT OF BUILDING AND ZONING

And.

ANCHOR STAFFING, INC.(Based on State of Illhols Contract No. CM8479776A)

Contract No. 1585-14678

TABLE OF CONTENTS

AGREEMENT.BACKGROUND ...............,

Economic Disclosure Statement {Iucludmg MBH/WBE Utilixation Plan)Signature Pages

...2-

...2....3

List of Exhibita

Exhibit 1Exhibit 2Exhibit 3Exhibit 4Exhibit 5

Cook County RequirementsCounty Price ProposalState of Illinois Contract (Contract No. CMS479776A)Cook County General ConditionsEvidence of Insurance

AGRREMKNT

This Agreement is made and entered into as of , 2015 ("Effective. Date") by andbetween the County of Cook, a public body corporate of the State of Illinois, on behalf of theCook County Department of Building and Zoning hereinafter refened to as "County" andAnchor Staffing, Inc., a corporation authorized to do business in the of the State of Illinoishereinafter referred to as "Contractor or Consultant".

BACKGROUND

Whereas, the County, pursuant to Section 34-140 (the Reference Contract Ordinance" ) ofthe'ook

County Procurement Code, states: "If a governmental agency hss awarded a contractthrough a competitive method for the same or similar supplies, equipment, goods or services asthat sought by the County, the Procurement may be made from that vendor at a price or rate atleast as favorable as that obtained by that government agency w'ithout utilizing a competitiveprocurement method set forth in this Procurement Code;" and

Whereas, the State of Illinois solicited an Invitation for Bid (IFB)for Temporary StidEngServices —Region 1 on April 1,2014for services by the Contractor for the State of Illinois;snd

Whereas, the County wishes to leverage the procurement efforts of the State of Illinois; and

Whereas, the Cook County Department of Building and Zoning desires certain speci6c andsimilar goods and services of the Contractor; and

Whereas,.other County Offices, Departments, aud Agencies may utiTize this agreement forspecific contrach4 pmcurement efforts, as may be applicable via future amendments to thisagreement; slid

Whereas, the Contractor agrees to provide to the County with the Tetuporary Sts%ng Servicesset forth in Exhibit 1,Cook County Requirements and Exhibit 2, County Price Proposal services;and

Whereas, the Contractor warrants that it is ready, willing snd able to supply these services setforth in Exhibit I, Cook County Requirements, and Exhibit 2, County Price Pmposal all onpriciug and payment terms equivalent to or more favorable to the County than those contained inthe State of Illinois ~as set forth in Exhibit 3, County Price Proposal and incorporatedhitein by referent4; and

Contract No. 1585-14678

Whereas, this Contract shall be effective after proper execution of the contract documents by theCounty May 12, 2015 thru May 11,2016 with one (I), one-year renewal options.

Whereas, the Contract amount shall not exceed $28,569.60 and payments shall be made inaccordance with GC-04 and Exhibit 2.

Now, Therefore, in consideration of the mutual promises and covenants herein contained, thesufficiency of which is acknowledged and agreed to by the Parties, Contractor and County, andthe information set forth is incorporated herein by reference.

INCORPORATION OF BACKGROUND INFORMATION

The Background Information set forth above is incorporated and made a part of this Contract byreference.

Incorporation of ExhibitsThe following attached Exhibits are made a part of this Agreement:

Exhibit I Cook County RequirementsExhibit 2 County Price ProposalExhibit 3 " State of Illinois Contract (Contract No. CMS479776A)Exhibit 4 Cook County General ConditionsExhibit 5 Evidence of Insurance

AG-2

Pal&e 1 of 1

I@aster ContractIdentification

Date Published; 06/01/2014

Help

Conbaet Number:Conbact Title:

Category:

T-NumbenT-Number Title:

CMS476776A,BTemporary Staifing Services-Region 1

General Services

TS023MISCEllANEOUS SERVICES

Start Date:Expirafion Date:Fiscal Year:

04/Q1I201403/31/20172014

Joint Purchasing Indicator: YesGreen Contract NoSmail Business Set-Aside: YesDoes this contract inidude a NoBEP Requirement

Agency

Agency designation restricts'who csn purchase from this contract. RO indicates purchasing is open statewide.

Agency:Master Agency:Master Sub-Agency:

SWC - Sbttewide Contract

Comments/Overview

Tempomry staffing services for Cook County. Anchor is primary vendor, Seville is secondaryvendor.

Attachmerrls

~ Anchor Contract .ndf ( 1908805Bytes )~ Seville Contract.odf ( 191767&Bytes )

http: //vrww.purchase.state.ihus/ipb/master.nsf/All/f4ebe&da645303ad&6257cccQQ49939a'/O... 5/4/2015

STATE QF IU.}ji}OIS

CON1'RACT

llgnols Department of Central Management Services

Temporary Stafgng Services Region 1CMS479776A

The parties to this contract are the State of lginois acting through the undersigned Agency fcogectiveiy the stats} and.the veridor. This contract, consbtlug of thb dgnature page and numbered sections Ibted below and any gttechmimts-

referenced in this contract, constitute the entire contract between the Parties mnceming the subject matter of thecqntracb This contract supersedes ag prior proposals, contracts and unddrstandings between the Paitles concer'ning

the'ubject

matter of the contract. This contract can be signed in multiple counterparts and signature mey be electronic or:.digital upon agr'cement of the Parties.

L, . DSSCRIP'hON Of SUPPLIES AND SERVICES

2. PRICING

S. TERM AND TEREEINATION

4, STANDARD BLISINESS TEILMS ARD CONDITIONS

5. SUPPLEMENTAL PROVISIONS

6, STANDAIID CEIWFICATIONS

7. flNANQAL DISCLOSURES AND 07NFUCIS OF INTEREST

8. DISCLOSURE OF BUSINESS OPERATIONS WITM IRAN

ln corisideratlon of the mutuel covenants and agreements contained in this contract„and for other good'and valuable

consideration, the receipt and.sufgciency'of whkh ara hereby admowledged, the partieg'gree to the terms and

conditions set forth herein and have caused this coriuact to be executed by their duly authorized representatives on the

dates shown on tlie fogowing CONTRACT SIGNATURES

page.'BALANCE

OF PAGE }NTENTIONALEV LEFT BLANK-

ggagg ar Lghlols ifsoxwxcu rsu page

'.

gss

STA'FK OF ILUFSOIS

CONT RACfillinois Department of Central Management Services

Temporary Staffing Servkes Region 1

CMS479776fk

lIt

VgfdDOR

Vendor Name: Anchor Stafffng, Inc, .

sv tV V

Printed Name: Joyce Johnson

Title: President/CEO

Address: 99016, Western Aves Suite 203 Chicago II

60643

Phone: (773) 881 0330

Fax: (773) 8824139

Emag: l)ohnsonlLaanckhrstafffng.com

Date:

STATS OF ILLJNOtg

procuring 'Agency or University: Department of centralManagement Services

Street Address: 100 W. Randolph

Plione'. 312-814-2141

Fax 312-8146664

City, State ZIP: Chicago, illinois 6060$

lOfffcial Signature:

Printed Name: Cgck here to enter text.

Date:

Offfcla Ys Title: Director

Legal'Signature:

Legal Printed Name: Click liere to enter text.

Legal's Title: Senora) Counselt

Fiscal Signature:

Fiscal's Printed Namm Click here to enter text.

Fiscal's Titler FkxXrl Ofhcer

sorest ssnaa asconbwm slgnsrute rvssV.15.5

ASENCY/UNIVERSITY USE QNLY .

l NQT PART QF CQNTIVKTQAL PRQVISIQNE .

Aaencv or Univerdtv Reference ¹:14-79776m

Contract ¹CMS47977¹9

mIPB Ref. ¹22031892

m Subcontractor Utilization? R Yes IRINo

Proiect Title Temeorsrv Staffina Sendces

Procurement Method RFB.RFP. Smd¹. etci: IFB

IPB Publication Date: Award Code: A

Subcontractor Disclosure? P Yes Q No

Fundlna Souice Obllaatlnn ¹Small Business Set-Aside? 5V Yes R No

mMinoritv Owned Business? R Yea A No .Percentaae

FamaleCwned Buslnes's? C1'Yes V No Percentaae

Persons With Disabl¹ties Owned Business? R Yes R No Percentaae

Other Preferences?I

AALANCE OF PAQE LEFT llfTERfTIONALLY ELARIK

Sate of I Slave IfS.cootfeop oeeellpsoe ef seppsee eed selvloee

V. Isa

DESCRIPTION OF SUPPUES ANO SERVICES

1.1. RDAL: The ob(ecthle of this lAster contract is to obtain e costeffective, temporaly stafgng servicesolution of the highest quagty to ensure agenctes, departments, boards, commissksns and coundlsunder the Dovemor's direction (reibrred to as User Agencies) receive consistent End quality temporary

'a'gency employees throughout Cook County (also referred to as Regkm 1}.Other agendas, boards, andcommissions under the juftsdicgon of other consNutional officers, the legislative or Judicial branch ofgoverffmenL the state board of education, higher. education and units'f. local governments (alsoreferred.to as User. Agencies).ara not requfrei to utilize the contracts„but are eggible and. wig be,.agowed.to do so if they so choose.

12. SUPPLIES ARD/Olt SERVICES RE(LLRRED:

As the primary vendor, the vendor will supply User Agencies with various t'ypes of Isfrnporary agency .

employees who will fgl positions ranging flam clerical to ggbt industrial (Jsleas'e.see section 1,2.2 for a«ompleth list of Job'class)gest)oat), In scime cases, additional skgh may be required and priced .Ihdivlduagy.as noted in section'L2.3 Additlbnal skills; Telnpon'ir'y aganty employees must be teited by ..the Vehdoi to assure they meet the recluliements of the Job description a'n'd hny additional skgl

'equirementsprior to being placed ln a position.

The Vendor h responsible for ag advertisement, ricrultment and ag BSSBClated costs to ensure the bestqualified candidates are selected for ag positions.

'2.1 Stamlard Requirements.The Vendor has at least five years experience in provMing temporaty sbsfgng services, during which time .

the Vendor, has at least three years experience In meeting the yearly estimated demand of hoursrequired in this Master Contract. The yearly estknated demand of hours by Job dassiflcstlon IS asfollows:

Job Classification

gasic Clerical

Accounting Assistant

Accounting Lead

Telephone OperatorPats Entry I

Data Entry 6Data Entry Ill

Lead WorkerUght (ndustrial

Estimated hours per year

Estimated Demand of Iksurs

61876. 12,669

115,36370460213,37270F77016,79111,820:6,660401413

Slandard skills required for all Jobs include the ahglty to speak, read; and write English at a level requiredto properly perform the tasks under thb Master. Contract This, is to erqure instructions can be followedand safety and warning signs can be obeyed. For ag positions, the tuhpbrsry agency employee must beable to wrIte In the Enggsh language,

1.2.1.1 Vendor must ensure that it Is pmvlding Usir Agendes with tempo'rary agencyemployees who will adhere and conform to ag rules, regulatkxss, and polkles of the UserAgencies in which they svoakl work. Ag temporary. agency employees are required tocommun@ate in a courteous and respectl'ul marmer.

1.2.1.2 Ternporafy agency employees are employees of the Vendor, not User Agencies. TheState may hold the Vendor Nable for any iheft or wglful damfRB to State property caused by any

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temporary agency employee. User Agencies should not give temporary agency employees stateproperty to use outside of State premises unless attended by personnel employed by UserAgency and used to perform functions pertaining to theli assignment for the User Agency,

1.2.2 lob Classiflcations. Usted below sre'itles for temporary agency employees with rnlnlinal.quallflCatiOnS Of the pOSitiOnS COVered under thiS MaSter Centratt. The,jeb deSCriptiOnS and n

requirements as described her'ein are representst'we of the tasks to be performed, Some tasks may varyslightly in regard.to each individual assignment.

1,2.2.1 'asic clericsh provide a variety of basic, general clerical duties.that do nof requirespecial knowledge or sidle. Duties wig indude stufflng, collstlnL afflxlng labels, opening andaddressing mail, sorting mail, flling, copying, faxing, snd shredding, Abigty to fallow oral andwritten instructions is expected,

1.2.2.2 Accountins Assistant: supports fug-time accounting employees through Journalenb'ies, ledger posting, and handling scoounts receivable/payable Additional duties Include"recondgng bank stateriients, sbglty to m'ake rapid and accurate arithmetic calculations either

'anuallyor by mschirie,-and operating an. adding machine. Understanding of bookkeeping .principles and sccountin'g techniques is required.

1.2.2,3 Accountlns lead: Exhibits knowledge pf general accounting systems with supervisionfrom a fug-time accountant. Assists with accounting audits and ls famlgar with tsx flings.Working knowledge of methods snd procedures including rules, laws, and regulations relating tostate and non stats entities. Duties r»ayindude preparation cf audltiiig Invoices, documents andledgers for contracts, or mconcgiation, of division account records. Knowledge should beequivalent to four years of cogege'in business administration courses or accounting.

',2.2,4 Teleohone Doerator: Ablgty to answer and operate, multi-gn'e tehephones andtransfer. csgs within an agency. Duties may aho indude:greetlrig the pubgc snd scheduNng

appointments in written day'lanners, Additional tasks may include'basic clerk3l work such asfIling, opening snd addressing mail, copying, faxing, and use of a calculator and/or addingmachine. Ability to follow oral and written instructions Is mandatory,

1;2,2,5 Data Entnr I:Ability to use data entry machines snd personal computers to enter dataand accurately input 4,000 keystrokes per hour. position Iequires the sbglty tq follow oral andwritten instriictions, snd perform highly repetittye work under sometimes noisy conditions,

1.2.2,6 Data Entrv II: Have at least o'e-year prior expirisnce in data entry. Required. expsdence will enable this temporary sgepcy employee to'perate.data eritry machines and

pere'onal computes to accurately enter data at a tate of 6,000keystrdkbs per hour. Additionally,

abglty to reoord, Identgy, and.correct data 'entry errors Is expected. Must be able to follow oraland written instructions, anti parlor'm highly mpetitive work eider sometimes noisy conditions.Basic arithmeflc calculations, either manuegy or using a calculator, may be required.

1,2.2.2 Data Entrv Ilk Have at lekst two years of prior experience In date entry. Requiredexperiences will enable thh temporary agency employee to operate data entiy machines andpersonal computers to accurately'enter dat'a at a'rats of s,s00 keyitrokss per hour.Addltionagy, abiilty to record, identify and correct data entry errors is expected. Must be able tofogow oral and written Insbucflons snd peiform highly repetiflve work under sometimes noisy

condhions; Arithmetic calculation either manually or using a calculator, may be required.

1.2,2;8 iced Worker: Responsible.for training and coordinating other temporary agencyemployges on duties assigned in clerical, data entry, and telephone operator posigons. A lead

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worker must have knowledge equivalent to one-year's prior experience as a temporary agencyemployee. Ability to follow and deliver eral and written Instructions Is necessary;

1,2.2.9 Llaht Industriak Basic unskgled manual work including moving oNc'e equipment,furniture and boxei, Duthrs may abo indude organizing, tklyire, and packing of goods to beshipped. Ability to follow oral and written instructions is mandatory,

1.2.3 Adtfitimml Skfil Requirements. The. following is a list of additional skill quagfications that maybe required by User Agencbrs. These skih may be requesied as an additional requirervient toany of the )ob c)eislficatlons klentlfiad above, Temporary agency employees inust ba teated b'

the Vendor to ensure that they meet these requlremadts prior to being 'placed in th'e position.

1.2.3.1 'endina/Liftlnu.SDlbs: May require squatting, dimbing, bending, standing 'for'longperiods of time and lifting up to 50 lbs.

1.2.3,2.. Bendlne/Uftlne is ibs; May require squatting, cgmblng, bending, standing fbr long'

periods of time arid lifting up to 75 lbs.

1,2.33 ~Din: Fully licensed class D driver, qualified io drive any single vehicle with aGVWR 16,000 pounds or less that Is not designed to transport 16 or more people, Must beinsured ln the State of Ifiinols.

1.2.3A Hand Truck: Must be able to operate a two-wheel and four-wheel hand truck

1,2.3.5 Notarv public: Current Notary public appointee with authority to notar'ua in ifiinols.

1,2.3.6, Hieh School Dioloma/GED:,Compleuon of high school or GED, Must be able to provecompletion if necessary.

1.2.3.7 Microfilm ooeration: Ability to operate a microfilm machine to access arid printrecords.

1.2,3;8 Kevb'onrdina lgs worn); completing online fonna, alphanumeric date entry withoption to complete short senten«e.structured docuinents,

'.2.3.9

Kevboardine l50 worn): Touch-typing skills to type alphanumeri corn.spondenceword processor documents, and additional paragraph-'structwed documents.

1.2.3.10 Skrn Laneuaae'Skits; Abfiity to communicate fluently lri sign language, Including actingas an Interpriter.and must be ragistai ed with the lginois Deaf and Har'd ofHaaring Commission.

, 1.2.3.11 Billnaual Fluencrc Abigty.to commun@ate fluently(readin jwriting, and speaking) In asecond iangu'agi, most oRen spanish User Agency may require additional languages, which canbe specNed at the time oforder.

1,2.3.12 cdmoutar software Sklgs:. Sask knowledge and famglarity with MlcrosoR'owerpoint, word processor progrims (Microsofi wo'rd, wordparfact, or 'other es approved bythe User Agency), spreadsheet piograms (Excel, Lotus, Queue pro, or other as approved by theUser Agency), database software (Microsoft Access,'or other. as approved by the User Agency),emag soltware programs (MicmsoR Outlook or other as apiiroved by the Usir Agency}', Internetsearch browse/a, and have general computer knowledge with sbgity to leam new soRwareprograms quickly. 'The User Agency wgl spedfy at time of order whet specific soRware programswgl be used by the temporary agency empkryee on the assignment.

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1.2.3,13 Advanced comouter Software Skills: Proficient in Microsoft PowerPoint, wordprocessor programs (Mkrospft word, wordperfact, or other as approved by the User Agency)with an ability to perlbrm mail merge files and create tables. Proflcieiit ln gjireadsheet programs(gxcal, lotus, Quattro Pro, or other as approved by the user Agency) with an ability to createcharts. profident in database software (Mkrosoft Access, or other as approved bY the UserAgency). with an ability to create data salts, tables, and reports. proficient m email softwareprograms (Microsoft Outlook or other as approved by the User Agency) and-hava advanced

computer knowledge wkh abgity to perform research via the internet. The User Agency wig

specify et time of order"what specific software programs will be used by the temporary agenCyemPloyee on the assignment.

24.4 Hours ofWork.1.2A.l Standard Houm of Work: Standard work hours sre a 7.5 hour day, Monday throughFriday, scheduled in coordination with the Umr Agency,. weekend hours and/or evening shgts .

may, be required as.needed by the User Agency. User Agendas may utgize temporary. agencyemp)oyeas as much as 40 hours per week 'ny hours worked over 40 hours gp a work week)requires written prior appmvai by the User Agency. The Vendor will not be paid for any boutsworked outside of the Request for placement form, unless sgeciilcaily requested, in writing, bythe User Agency. Overtinw billing rates for hours worked over 40 hours in a work week wouklbe at 25 Omes the hourly bill rate for th'e 'osition including both the )ob classification and anyadditional skgl sets included in the hourly bgling rate,

'Full-time temporary agency employees, will have a one4tour unpaid meal period at the .discretion of the User Agency. This unpaid one-hour perkxf is In addition to the standard 7.3work hours.

1.2.4.2 It Is expected that all temporary agency employees will arrive on One for work asre'quired. If t'hey are unable to arrive prior to the contracted start time and date, temporaryagency employees are required to notify the Vendor, their employer, it is then the responsibgltyof the Vendor to update the User Agency, and make appiopriata. arrangements to flll theposition as soon as possible within the 'specified timeframe rsquirelnents, when required, TheVendor is required to congrm with the User Agency (as noted on the Request for Placementfttrm) that the temporary agency entployee did In fact'start the asslgnmant as agreed. Afteithe temporatv agency employee has stetted an assignment, hs/she must nogfy the vendor'evhen he/she will be tardy or absent, and the Vendor msst notify the teinpomry agencyemployee's supervisor or designee. A temporary agency employee may also notify his/hersupervisor of impending late arrivals or absences but Egg nobTy his/her employer, the Vendor.

1,2.4.3 Shortened Workdsvs; The, User Agency reserves the right to shorten the workday of'ny

temporary agency gmpkniee to no less than four (4) hours at any time. The User Agencyshall give the Vendor at hast four (4) liours advance.ixglce when s temporary agencyemploytpt/s workday Is shortened. The Vendor shaii'be responsible for notifying the temporaryagency employee of the shoitened workday in adxarice. The User Agency may notify thetemporary agency employee but 00I),contact the vendor advising them of s temporary

agency'lnp)oy'ae's

shortenbd workday.

1,2.4.4 calculation of oailv Time; The User Agency will pay the Vendor for the hoars th'e

temporary agency entployee has worked within their scheduled hours. Rounding of time on a'aily basis wig be acceptable in accordance with the "Rule of 7":

~ If7 minutes or iess, then round down to the nearest quarter hour;~ If g minutes or more, t(ten round up to the nearest quarter hour providing rounding

does not exceed the number of hours requested.

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1.2.5 Placement RequirementL1.2.5.1 Reouest for Placement Form: The User Agency will provide the Vendor with aRequest for Placement fo'rin (Attachment A), Indicating the need for and number of terhporaryagency employees that will be required by job classlficauon, additional skiNs, the approximatelength oftime the temporary agency empioyee(s) would be utilized, and the hours of work. The.User Agency ~u provide any special conditions required for the, assignment on the Requez't forplacement form, inciwNng but not limited to pre-intervfew requirements, I'emporary agencyemployee must have demeanor, appropriate for executive ofgce aod'greeting the public, requestfor a past temporary agency employe'e, specific background requirements, and the abflity'ohandle confident(sl and sensitive information. cMs may revise the R'equest for placement Form

. atanytime.

The User Agency has the authority to change the length of time required fora temporary agencyemployee's assignment at any tlmi:.

L2,5,2 . Requests for phfcement forms may be sent to the vendor via fax or email. In

extreme, emergency ins'tances, User Agendas may make s request by telephone but the UserAgency must provide a completed Request'or placement form to the Vendor before thetemporary agency employee begins the assignment.

1.2,s.g Time Raoulremehts for placement: Unless the User Agency permits a longer .

response time, the vendor will have two business days to respond to a Request for piacement(i.e,, identify a temporary agency employee). A business diy Is defined as Monday throughFriday, except State holidays, between the hours of 8:00 azn. local time and 5:00 p.m. local .

time. If the Primary Vendor is unable, to identify a temporary agency employee ln the timeallotted, the. Request. for Placement may,then be passed to the 5eqondary vendor, should aUser. Agency deem a Request for placement an emergency, that request shall take precedentover all other requests.

1.2.5.4 Recailinx Reouests for Placement: User AgenciesreseNe the right to recall a Requestfor Placement in the event a temporary agency employee declines s position'prior to the startdate but after the original allotted tlmpframe tne vendor hsd to fill the request. In such cases,the User Agency reserves the right to'gi'a position through the Secondary Vendor,

SZ;g Nackgrouml Checks and Tests. All temporary agency employees ghall be subject to the samebackground checks required for full-time State employeea Any temporary agency employeethat does not pass a crimlnal background check, drug test, driver history, or any otherappmpriate test is not elkilbia foi placement. The, state reserves, th''ight to decline any

'temporaryagency employee if they do not pass full-time personnel agency background checkand/or drug test requirements.

The User Agency will provide a blank consent form for a badrground check, drug test, driver

history; or any other apprupriate test'to the vendor with each job placement. request. Uponobtaining the temporary agency amp)oyga's signature on the consent'orm,. the Vendor shallfonnard it. to the User'gency, par the User Agency, the vendor. shell notify the temporaryagency employee of the date and time drug or any other appropriate tests wlN cake place. TheUser Agency ww notify the Vendor if the temporary agency employee )s eligible for placement.

Al temporary agency employees w'ho perform onsite services may be required to undergo arandom background check or drug teat if there Is reasonable suspicion'o believe that theywould no lohger meet requirements of the Stake. Vendor shall comply with appgcebla 'current

and future State, Federal, and local laws and regulations, and rules, administrathss directivess

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and polifdes and procedures of Central Management Services and the User Agency. Failure todo so may result in tmmination of the temporary agency employee and/or the Vendor'sContract.

1J.T Right to Terlnlnete Temporsry Agency Emphyee. User Agencies reservethe right to terminate .the servkes of any temporary agency employee whom the User Agency deems unqualified oiunable to meet or comply with User Agency standards. Terlnination of a temporary agency

'mployeewill be effective knrnediately upon notification to the Vendor. The Vendor will adviseits 'employee (the temporiry agency emphiyea) of the termination, The vendor will only bepaid for the silvlces provided by the. tsmporsfy agency euqdoyqe up through termination, Atths User.Agency's discregon, a temporary agency employee may be terminated or replaced atanytime.

12.8 Payrog Instructions. The Vendor shall be responsible for all accounting and payrog functions in

connectkm with its services, including reco'nfs of deductions snd state and federal taxes,

1.2.0 Tlmeshaets. The Vemlor'ust maintain complete and.accurate accoun5ng recoids tosubstantiate-ag —char~must prdvtde each of its employees with weekly~tmesheets.Timesheets shag be fnslniained by each temporary agency employee on a daily basis. At the

'ndof each week, the State employee designated ss the temporary agency employeeessupervisor or an authoffzed alternate shall fdgn the temporary agency'employee's timesheet.Upon the designated supervisor or the authorized alternate affixing his/her signature to thetemporary agency employee's timesheets, the User Agency Is attesting to the hours in which the

temporary agency employee has worked. Timesheets meat bi. Iaxed or'emaged ro the vdndor

by non temporary agency employees. User Agencies will monitor tempore ly agency employees'time at work to ensure the accuracy of the timesheets, up to and Including cases when

temporary agency employees are supefvlsed i'emote staff or support multiple people,withins User Agency.

Timesheets shall serve as the basis for the Vendor's billing to User Agencies Timesheetscontaining terms, conditions.or any contract language are exprasdy.objected hereto.

Vendor must provide timeslreets electronkalfy to each temporary agency employee's supervisor.

designated in each User Agency as noted on the lteciuest for placement Form; unless a Ussr

Agency elects to have vendor. send ag tlmesheets to one penna within that i/ter Agency.

1240 Vendor Background and gapabgities.1.2.10.1 vendor must ensure that its stafFs background, expertlss, and management supportare SuCh that it Wgl meet the needa Of thla COntraCt St ag tlfneac

1.2,10,2 Vendor shall have ongoing !nltiatlves snd piugrams to minknite turnover and

absenteeism and provide a co'p y of such inlttatlves anti progr'arne upon request.

1.2.10.$ Vendor's testing software and programs shall ensure temporary agency. employeesare qualNed for requirel placements. CMS msy request s demonstration of'uch testingsoltware and programs st anytime.

1'2.10A Vendor shag have ongoirig initbctives to racrw't quaiifled individuals seeking

employment Vendor shag also be easgy accessible by those seeking employment in

consldaratkm of serving fnultiple User Agendas throughout cook county. cMs inay request a

copy of such initiatives at any time.

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1.2.105 Vendor shall maintain a database of possible temporary agency employees that couldmeet the job classiiicetfons and additional skills requirements ln order to meet the placementtime requlrem'ants.

1.2.11 Vendor Contrict Administration,1.2,11.1 Vendor shag monitor the level of satisfaction wiih each User Agency, on anwngoing

'asis,to ensure any chigenges are addressed in a timeiy manner. Upon request, Vendor shallmeet with 'User Agencies on a regular basis, if needed, io discuss challenges and proposesolutions.

1.2.11,2 Vendor's au'tomation toois shall meet the decentralized demands of this Contractand shall not be dependent upon the State making additional purchases.

12113 If required, vendor shall provkfaan onsite supervfsoi when a User Agency has 35 ormore temporary agency employees within one bureau/divMon.

LK22 Other SpkcNcatlons.

1.2.12.1 'molovment. At any time, the State reserves the right, witliout any fees orpenalties, to consider any temporary agency employee for full time employment, should they bedeemed the most quagfied candidate through a standard state hiring process, Addltlonafly,

temporary agency employees'hall be allowed to immediately become employed by anysuccessful future Vendor of the'State without fees or penalties of any kind,

1.2.122 Non<omoetitton. Vendor is prohibited from entering into Not to Compete"covenants or,sNon<ompetitlon clauses" with either erriployses or independent contractors, orany party specificsliy related to the perfonnance of an oQeation required under the resultant.contract whkh would prohibit said Indipendent'contractor, subcontractor, or employee fromcompeting, directly or Indirectly, In any way with the vendor.

1.2.12.3 Iieoortinx of Susoected Fraud. Abuse or Misconduct. Vendor shall timely report'suspecuid fraud, abuse, or misconduct of any state employee or a temporary agency employeeassigned to a User Agency rmmediately. The Vendor shall also report any gke Information toCMS'ontract Administrator bnmedlstely.

1.2.12A Soeclal Eouioment or Assistance. The Vendor, being the employer of the temporary.agency employee, will provide in accordance with the Rehabilitation Act and the Americans with

Disabilities Act any special equipment or services that is requirbd for s bfrnporary agencysm ployee to peiforrn the duties that they are assigned at the vendor's expense.

. 1.2,12,5, Economic. Adlustment'Clause. In the event the Vend','s cost to provide the servicesIncrease due to a government-mandated increase during the period of time in which thisContract Is in effect, t'e Vendor shall be'entitled to adjust the price by an amount sbfgcient tocompensate the Vendor 'completely and precisely for such increase. Such priceadjustmenlfincrease shag be effective. only upon written approval by cMs through a fully-.

axecuted contract amendment.'The claim for'sqch adjustment must Include, as appgcable, a

certigcetlon from the vendor verlfyigg the cost at tha time of the award and at the tlmi ofthe'equestedincrease. The increase will be for the cost to the vendor only: No increase or change

In the vendor's overhead, progt or other factors wili be approved. The State reserves the rightto ask for invoices, published price lists, or any other evidence establishing Vendor's msts tosupport the increase.

'In all cases the Vendor must fge a claim for such adjustment prior ko the delivery of the'services.If the Vendor has excessive complaints filed for non-delivery, iis request msy be denied, until

sxru or sxnax us~:oescrlptlm otsasrsles ms sewxecv. ssa

such time as ail complaints are resolved to. the satisfaction of the User Agency and CMS. In anyevent, the request to increase must be approved via a fufiyexecuted contract amendment.

In the event such costs should decrease due to government.mandated decreases during theperiod of time this Contract ls .In effect„ the Vendor shall adjust the pdce downward tocompletekl and precisely account for such decrease. Suck decreases shaH become effacdve.upon the effective date of the government mandate. It is the responsibility of the Vendor tonotify CMS of any such decrease.

the vendor ls advised that public Act 94 1072 amended The Minimum Wage Law providing for'n Increase'In the minimum wage. vendor's prlddg.should be In donsideraRon of the legislated:change in minimum wage.

. 1,2.12.6 Amendments. This contract shafi be amended or modified only by the mutualconserit of the Vendor and CMS, Amendments to the Contract inuat be In wrifing and signed by

.

both partieg No khenae In. addition bx nr waiver of anv term or crindl5on of this contract .shag be'blndini unleii eoaioved via h fuge~acute'd'contract'ameridment bv CSIIS.

'.2.12;7Axencv Identigcation Cards. Temporary agency employees may receive anIdentification card If and when deemed appropriate by the User Agency. Temporary agencyamployeei shag carry or wear his or her identification card where It is clearly visible to otherpersonnel 'whge working,.as directed by the User Agency'I regulations, The Vendor wgl beresponsgde foi returning ag Identlfic'ation car'ds issued to temporary age'ncy employees wholeave the User Agency when they are transliarred to another assignment, tarinlnated, when anindividual's placement expires,.or when an updated card is bsued. The cards am to be returnedto the mmporsry agency mnpioyee's supervisor ir'nmediataly upon departure or if requested atany time. If cards ara not returned, the vendor will reimburse the s@ta$10,00.foreach misslrig

card.

1.2.12.$ 'Desienatad User Axencv Contacts. As provided by CMS, the Hst of User Agencyliaisons notes the indMduals responsibfk Sar placing orders on behalf of individual UserAgencle's. If the Vendor accepts an order from a person nat on the list on behalf of a User

Agency ind the position is filled, the Vendor will be responslblg for any bills accrued, This Hst

may be modified by CMS et any time during the term of thb Contract. The agency oontact Hst isf this Contract.provided upon fully execution o

1.3. NRLESTDNES AND DEUVERABLEL N/A

1.4. VENDOR / STAFF SPECIFICATIONS: N/A

1.5, TRANHPORTATiON AND OEUVERY: N/A

1.6. SUBCONTRACTING

'ubcontractors are agowed.

- For purposes of this section, subcoritm'ctors are those specificafiy hired to perform ag or part of the

work covered by the contract. If subcontractors will be utigzed, vender mukt identify belovr the names

and addresses of ag subcontractors it will be enterkqf Into a contractual, agreement wkh a total value of

550,000 or more irr the performance of this Contract, together with a description of the work to be

. Performed by tha subcontractor and the anticipated amount of money to the extent the information ls

known that each subcontractor is axp'ected to receive pursuant to the contract.

sou orlfihols Irsoxxrscr: Oeurlision ofsvsaau and servaesV.1'

1.6.1. Will subcontractors be uSizedf 0 Yes g No

~ Subcontractor Name: N/A

Amount to be paid: N/A

Address: N/A

Description of work: N/A

~ Subcontractor Name: N/A

Amount to be paid: N/A

Address: N/A

.Description ofwork: N/A

Ag subcontmcts must indu'de the stsndmd csrtlgratlsns asd Financial Dbclosures and

Conglcts of Interest completed snd signed by the subcontrador.

1.6.2, If at any. time during the tenn'of the Contract, Vendor adds or changes any subcontractors,

Vendor will be requimd to promptly notify, by written amendment to the Contract, the State

Purchasing Officer or the Chief procumment Oflicer of the names and addresses and the

expected amount of money that each new or replaced subcontractor will receive pursuant to

the Contract,'ny subcontracts entered into prior to sward of ths Contract are done at the

Vendor's and subcontractor's risk,

1.1. WHSIE SERVICES ARE TO BE PERFORNIEDt Unless otherwise disckubd In this section ag services shag

be performed in the United stscrus If the vendor performs the services purchased hereunder In another

country In viobrtkm of this provision, such ection msy be deemed by the Stats as a breach of the

contmct by Vendor.

Vendor shall dbdose ths iocatioiw where the services required shag be performed and the known or

anticipated Value of the services us b'e performed at each location, lf the Vendor received additional

consideration in the evaluation based on work being performed in the Ursted States, it shall be a breach

of contract N the vendor shifts any such work outside ths United ststbu

Location where seivices wig.be performed: 9901s.western Avenue, suite 209 chicago, IL 60643

Value of services performed at this location: The entire value of contract awarded

Location where servkes wig be performed:: 9901s.western Avenue, Suite 209 chkago; IL 60649

Value of services performed st this location: The entire value of contract swarded

sou of lllihos Imcanlracv e'saltsus vf supsser eu avuuuV. Isa

PRICING

2.1 FORMAT OF PIRCING!

2.1.1 Veridor shall submit pricing Iri the format shown below, bated nn the terms and conditions setforth In section 1of this Contract.

2.1,2 Priclngshag be submitted in the fogowlng format; hourly rats,

2.2 .'TYpE oF PRIciNG: The Hlinols oilice of the comptroger requires the state to lad@ate whether thecontract pridng Is grm or estimated at the time it Ls submitted for obgsatlon. Pricing pursuant to thiscontract is firm.

2,S ERPENSES ALLOWED: Expenses ara not allowed

2;4 DISCOUNT: The State may receive a 0 96 discount for payment ndthin 30 days of ieceipt of correctInvoice. This discount will not be a Factor ln making the award.

2.3 VENDOR'S pRIQNG: Attach additional pages if necessary or if the fnnrmt of pricing specified above inSection 2.1requires additional pa'ges.

2.5.1 Vendor's Price for the Inithtl Term: The estimated amount payable for.this Contract is$4,673,088.00.

Job CSesslHcegon

Sndn Qaical

Anmansm Aealalaht

Aonmsnn Lead

Teltadnnta onelalnr

Data Enlnl I

Data Ennv II

Data Eaav IN

Lead Nandnv

Unnl Indvenhl

Teart

$ 10.78

11.98

8 II36$ 10.89

8 10.15.

$ 11.07

$ 11.82

$ 11.69

$ 11.07

Years. Raise

$ 10JHI

$ 11A7

8 11JN

$ '. 10317

$ 10.28

$ 11.16

$ 11.41.

$ 11,78

$ 11,16

Year S

$ 10,94

$ 11.56

$ 11.75.

$ 11.06

10,S1

'l1;26

$. 11.50

8 11.88

$ 11.16

stale of aanola lf8Cennatt: Prltlna

V. laa

Additional Sdlfs hourly rate wgl be added

bo tha Job Classification hourlu blll

rates'ml,

asAsitfttl ftittstgtls '. Blg sate

sending/Uftlng%1 lb» SBandies/Lltlnsrs'Ibs S 0.05

. Onvlng S 0.40trend Tracy, '

noblypubllc. - . '. S 0.10Hlghgchool/SED '

Srdlcroslm 0pmueons Sxeyboardlngfsswpinl S 0.10Keyboardlrig (Sguoml S 0.55sign tanguage ',S 0,10Sglhgual Fluency .

'

computer softwam'

0.75Advan'ced Computer software '

'1.25

'rhe »tote o/iiiineh dms not make any paonmtem es m the numen o/pemonae/ar bourn m he valiant rhe quonmhs smvidsd ore estimoles e/what maybe vmd

by aii rrsrs Agencies lrdsme sss Aitachment elk Enimatm are bmed when possiblle on hnmm his»are usage. 'Irnbunm user Agency pmpnmr medi/Iretions ond

arear foctors may kr/rewed tom/ asanuiy, scummed qv anima» am net yiorantsed, hawesm,'ender shall/umiak er retuimmsnn for uw canoarr paiod wheurer

mare Or iCm gran the praurdad SatimOle,

2 si.2 Renewal Compensation: N/A

2.5.2.1 Agency/University Formula for Oeterrnining Renewal Compensation: N/A,

2,5.2.2 y/endor's pr'ice for Renewal(s): N/A

erato or it snore IreCmnract; patina

w tss

8. TERIN AND TERMINATION

S.l TERM OF THIS CONTRACT: This contract has an initial term of April 1, 2014 to March 31,2927. If a startdate Is not identgled, the term shall commence upon the last dated signature of the Parties.

3.1.1 In no event will the total t»rm of the contract, including the initial term, any renewal terms and

any extehsions, exceed 16years.

3.1,2 Vdndor shall dot commence bigable work In furtherance of the contract prior to final execudo'n.

of the contract.

3.2 RENEWAL: N/A

3,3 TERMINATION FOR CAUSE: The State may terminate this contract, in whole or iri part, Immediately.upo'n notice to the Vendor if: (a) the State determines that the acdons or inactions of the Vendor, its

agents, employees or subcontractors have caused, or reasonably could cause, jeopardy to health, safety, .or property, or (b) the Vendor has notNed the State that it is unable or unwilling to perform thu

contract,

If Vendor fails to perform to the state's satisfaction any material requirement of this contract, Is ln

violation of a material provision of this contract, or the state deb.rmines that the Vendor lacks theRnanclal resources to perform the contract, the State shall provide wrhten notice to the Vendor to cure

the problem identiged within the peiiod of time specNed in the State's written notice, lf not cured by

that date the state mey either; (a) immediately terminate the contrstt without add@oral written notlc'e

or (b) enfor'ce the terms and conditions of the contract.

For termination due to any of the causes contained in this Section, the State retains its rights to seek 'any

available legal or equitable remedies and damages.

3 4 TERMINATION FOR CONVENIENCE; The State may, for Its cdnvenbnce and with 30 days prior written

notice to Vendor, terminate this contract In whole or In part and without payment of any penalty orincurring any further obligation to the Vendor,

3A,1 The Vendor shall be entitled to compensathm upon submission of invoices and proof of dahn

for supplies and services provided in compgance with this contract up to and including the diteof termination.

5.5 AVAILABILITY OF APPROPRIATION: This contract is contingent upon and subject to the availability offunds. The state,'t its sole option, may terminate or suspend this contract, in whole or in part, without

penalty or further payment being required, if (1) the illinois Genelal Assembly or the federal funding'ourcefags'o make an appropriation suNclent to p'ay such obilggtlon or if RInds needed am InsuNclent

for any reason (30 ILcs 500/20M), (2) the Governor decreases the Department's fumling by reserving

some or ag of the Department's appropriation(s) pursuant to power delegated to the Governor by the

ggnois General Assembly, or (3) the Department determines, in Its sole discretion or as directed by the

ONce of the Governor, that a reduction is necessary or advisable based upon actual or projected

budgetary consklerations. Contractor wgl be notified in writing of the fagure of appropriation or qf a

reduction or decrease.

IsSfnln of llanoil IFS

cnnnnen Tenn end Tnnnlnntlon

V. ISA

4. STANDARD BUSINESS TERMS AND CONDITIONS

4.1 PAYMENT TERMS AND CONDITIONSl

4 1.1 Late Payment: Paymenls, indudlng late payment charges, wgl be paid ln accordance with theState Pmmgt Payment'Act and rules when aPplicable. 30 ILCS 540 74 Ill. Adm. Code 900. Thisshall be. vendor's sole remedy for late payments by the state. payment terms contained onVendor's invoices shali have.no force and

effect.'.1.2

Minority Contractor Initiative: Any Vendor awarded.a contract under Sectkm 20-10, 20-15, 20-25 or 20-30 of the Egnois Procurement Code (30 ILCS 500) of $1,000or more is required fo pay afaa of 525. The comptroger shall deduct the fee frere the Erst check issued'o the vendor underthe contract and deposit the fee in the corn ptroser's Admlnhtrative Fund. 15 ILc5 405/23.9,

4.1.3 Espenses: The Stats wgl not pay for supplies provided or services r'endered, Including related.expunsmi incurred prior to the exeduilon.of this contract by the Parties even if the effectivedate of the contract Is pdor to execution.

4 L4 Prevailing Wage; Ass condition of receiving payment Vendorrnust(i) be In compliance with thecontrecb (li) pay Its employees prevaglng wagei when required by lsw, (El) psy lts suppliers andsubcontractors according t» the terms of their respective contracts, and (Iv) provide Een waivers .

to the state upon iequest. Exam'ples of prevailing wage categories indude public works,printing, janitorial, window washing, buiwing snd groungs services, site technician services,natural resource services, security guard and food services. The prevailing waggk are revised by

'he

Department of Labor and are avassble on the Department's ofgcbl website, which shall bedeemed proper notification of any rate changes under this subsection. Vendor is resporislble for .

contacting the illinois Department'of Labor to ensure endarstandlng'of prevalgng wage.requirements at 217-7s2-6206 or (htuxllwwwxtdte.lLud/ssenorixxd/index.haul.

4.1.5 Federal Funding: This contract may be paitiagy or totally funded with Federal funds, If federalfunds are erpected to be used, then the percentage of the good/service paid using Federalfunds and the tb'til federal funds expected to be used wgl be provided in the award notice.

4.1,6 InvotcinS: 8y submitting an invoice, Vendor certifies that'the supplies or services provided meet. ag requirements of the contract, and the amount bliled.and'expenses incurred iire as allowed in

the contract. Invoices for supplies purchased, services performed and expenses incurred

through Tune 30 of any year must be submitted to the state no later than july 31of that year,othenvise Verldor may,have to seek payment through the illinois Court of Claims. 30 ILCS

.10S/25. Ag invoices are subject to statutory offset, 30 ILCS 210,

4,1.6.1 vendor shall not bls for any taxes unless accompanied by proof that the state is subjectto the tax. If necessary, Vendor 'may Request the applkable Agency/University state tax

exemption number and federal tax exemption information.

4.1,6.2 vendor shall submit. invoices weekly to the hiring divbion within the User Agency andpayment shall be made In accordance with standard User Aggncy's procedures.Tlmesheets must be approved by the hiring dlyiskm within the User Agency prior tobeing invoiced. The hiring division within the User Agency shall review and approve agirwoices before pmcesslog them for payment. Each kwoice shag include a'record oftIme expended by date, the Individual's name, job dasslficstlon, additional skgls', Ifappgcable, and the work location,'he State of lglnois dlsclalms any. responsibglty forpayment of sny berudgx, taxes, insurance or any other compensation other than theamount(s) stated herein,

ldsuds df usda IFB

CdlludcL ndlldedSINudddvdllIlrdlld CoIldwdds

V. dsa

4.2 ASSIGWIENT: This contract may not be assigned, transferred in whole or In part by Vendor without theprior written consent of the State.

SUBCONTRACTING: For purposes of this section, subcontractors als those specificagy hired to performag or part of the work covered by the contract. Vendor must recehe prior written approval before sideof any subiontractors in the performance of this contract. Vendor shag describe, in an attachment If notalreadY provided, the names and addresses of sg authorized subcontractor to be.utglssd by vendor Inthe peilbrmance of this contract, together with a description of the work to be pelf»rmetf by thesubcontractor snd the anticipated amount of money that each subcontractor'Is expected to receivepursuant to this contract. If requhed, Vendor shall provide a copy of any subcontracts within 15 defsafter execution of this contract. Ag subcontracts must include the seine certiiications that Vendo'r mustmake as a condRIon of this contract, Vendor shall include in each subcontract the subcontractorosrtfflcations as shown on the standard subcontractor certlrication form svagable h»m the state. If atany.time during the term of the contract, vendor adds or changes any subcontractors, then vendor

'ust

promptly notify, by written amendmeiR to'the contract, the State Purchasing Ofgcer oP the Chiefprocurement'fficer of the names and addresses and the expected amount of money that each new or.replaced subcontractor will receive pursuant to the Contract,

4.4 AUDIT/RETENTION OF RECORDS> Veridor and its subcontractors shall maintain books and recordsrelating to the performance of the 'contract or subcontract snd necessary to support amounts chargedto the State pursuant the contract or subcontract. Books and records, Including information stored in

databases or other computer systems, shall be maintained by the ye'ndor for a period of three yearsfrom the later of the date of final payment under the contract or comphtion of the contract, and by thesubcontractor for a p'cried of three years from the later of final payment under tlie term or completionof the subcontract. If federal funds are used to psy contract costs. the Vendor and Its subcontractorsmust retslri its records for five years. Books and records required to be maintained under this sectioiishall be available for review or audit by representatives of: the procuring Agency/University, the .Au'ditor General; the Executive Inspector General, the chief procurement officer, state of iginols internalauditors or other governinental entitles with monitoring authority, uftan r'easons hie notice 'and duringnormal business hours, vendor and ks subcontract»is shall coopatsts fully with any such autlit and with

any Investigation conducted by any of these entities. Failure to mtgnutln books and records required bythis section shall establish a presumption In favor of the State.for the recoveiy of sny funds paid by theState under the contract for whkb adequate books and records are not available to support thepurported disbursement. The Vendor oi subcontractors shall not impose a charge for audit orexamination of the vendor's books and records,.30 Itcs 500/20-65.

4.5 TIME IS OF THE ESSENCEi Time is of the essence with respect to Vendor's performance of this contract,Vendor shell continue to perform Its obligatioris whge sny dispute concerning the contract Is beingrasolvgd uriless otherwise directed by the State.

4.6 No vvAIUER 0F RRNITs: Except as specifically waivedin writing, failure bye Party to exercise or enforce

a right does not waive that Party's right to exercise or enforce that or other rights irl the future,

FORCE EEAIEURE: Fsgure by either. party to perl'orm its duties snd ebllgatiohs will. be excused by

unforeseeable drcumstances beyond its reasonable control and hot dec to Its negllgmice, Including actsof nature, acts of terrorism, riots, labor disputes, fire, flood, exploeon, snd governmental prohibition.

The non-declaring Pa'rty may cancel the contract without pendhy if perkinnance does not resume within

30days of the dedatation.

slain of dsnols Isa

canvass: standald aoslnsss Teltns and condtsonsV. ass

i7

4.9 CONFIDENTIAL 04FORMATIONt Each Party, including its agents and subcontractors, to this contractmsy have or gain access to conRdential data or information owned or maintained by the other party in

'he

course of carrying out Its lusponslblgtles under this contract; Vendor shall presume sg Information

received from the State or to which 'It galas access pursuant to this contract Is congdentbl. Vendor

information, unless clearly marked as confidential and exempt flem disclosure 'under the Sllnois

Freedom of Infiurmstion Act, shag bs considered public. No congdentisl data collected, maintained; orused in the course of performance of the contract shall be disseminated except as authorized by law a'nd

with the written consent of the dlsdos(ng party, either during the puffed of thb contract or thereafte'r,

The reCelVlng Party muat return any and all data Cqlfeoted, malntaktedr Created Or uSed in the Cuuite Ofthe parfolmanse Of the contract, in whatever foim't is maintained, promptly at the end of the contract,or earlier at the request of the disdosing Paity, or notify the disclosiag Party in writing of its destrucuon.

The foregoing obggations shall nut apply to congdentlal data or information lawfugy in the receivingParty's possessl'on prior to IN acquisition from tlie disclosing Party; received ln good faith from' third

party not subject to any conAdentiagty obligation to the disclosing party),sow is or later becontes-publlcly known through no breach of congdentiality obligation by the receiving Party; or Is

independently. developed by the receiving psity indthout the uss or benefit of the dbclosing party'4

confidential information.

4i9 UBE AND DwNERBHIPI All work perform'ed orsbpplles created byvendor under this contract, whetherwritten documents or data, goods or dellvsrsbles of any kind, shalt be deemed wodt for hire under

copyright law and all inteliectuil pioperty and other laws, and the Rate of illinois's granted sole and

exclusive ownership to all such work, unless othervdise igreed in writing. Vendor hereby assigns to theState ag dight, title, and interest in and to such work including any related intellectual property rights,

and/or wslves any and ag claims that Vendor may have to such work Inciuding any so.called amoral

rlghtan In COnneCtiOn With the Wark. VendOr SCknOWledgeS the State may uSS the WOrk praduCt fOr any

purpose. Confidential data or information contained in such work shall be subject to confidentiality

provisions of this contract.

INDEBSNIFIcATIDN AND LIABILITy: The vendor shall indemnify and hold harmless the state of illinois,

its agencies, ofgcers, employees, agents and volunteers from any and all costs, demands, expenses,

losses, claims, damages, liabilities, settlements and judgments, indudlng in-house and contracted

.attorneys'ees and expenses, arisfng out of: (a) any breach or violation by Vendor of any of its

certificatio'ns, representations, warranties, covenants or agreements; (b) any actual or sgeged death or

injury to any person, damage to any property or any other damage or loss claimed to result In whole orin pert from vendoi's nagllggnt performanc'e; or (c) any act, activity oi omission of vendor'or, 'any of its

.employees, representatives, subcontractors or agents. Neither Party shall be liable for incidental,

special, consequential or.punitive deme(les,

4.11 INSURANCEl Vendor shall, at ag times during the term and sny renewals msintiln and provide sCertificate of Insurance naming the State as additlonsgy insured for sg required bonds and Insurance.

, Ce'rtfflcates may not be modified or csriceled untg at least SS-days'otice hss been provided to the

state. vendor shall provide: (a) General commerdal Liability occurrence form In slnount of $1,000,000

per occurrence (Combined Single Umit Bodily Injury and Property Damage)'and S2,000,000 Annual

Aggregate; (b) Auto Liabgity, Including Hired Auto and. Non-owned Auto, (combined single Limit Bodily

Injury and Property Damage) In amount of S1,000AI00 per occurrence; and,(c) worker's compensation

Seto af dsnole INoutectt stnnderd sadnonn Tontnnnd condNaneV. Iss

Insurance in amount required by law. Insurance shall not limit vendor's obligation to indemnify, defend,or settle any claims.

4,12 INDEPENDENT CONTRACTOR: Vendor shall act as sn Independent contractor and not en agent oremployee of, or joint venture with the State. All payments by the State shall be made on that basis.

SOUGTATIDN AND EMploYMENT> vendor shail not employ any parson employed by the State during'he

term of this contract to perform any work under this contract. Vendor shall give notice immediately

to the Agency's director If vendor solicits or Intends to solicit state ernployeep to perform any work .

under this contract.

COMPUANCE WITH THE LAw: The vendor, its employees, agents, and subcontractors shall comply with

ag applicable federal, state, and local laws, rules, ordinances, regulations, orders, federal circulars and

all gcense Rnd permit'requirements in the performance of this contract. vendor shall be in compliance .

with applicable tax requirements and shall be current lri payment of such taxeL. Vendor shaH obtain atits own expe'nse, all Ecenses and permissions necessary for the performance of this coritract.

4.15 BACKGROUND cHEcK: whenever the state deems it reasonably necessary for security reasons, thestate may conduct, at its expanse, criminal and driver history background checks of vendor's and

subcontractors officers, employees or agents. vendor 'or subcontrsclorshali reassign Immedhtely any'uch

individual who; in the opinion of the State, does not pass the backgmund check.

4.16 APPLICABLE IAW: This contract shall be construed In accordance vdth and is subject to the laws and

rules of the state of ggnois. The Department of Human Rights'qual opportunity requirements (4¹ RI.

Ac(rn. code 750j.ere incorporated by jeferencd. A'n y cisim against the ENts arising out of this contract'

must be flied exdusively with the Rlinois Court of Claims. 70S ILCS 905/1. The State shall not enter into

binding e'rbitratlon to resolve any contract dispute. The State of gllnois does not waive sovereign

immunity by entering into this contract, The official text of cited statutes is incorporated by reference.

An unofficial version can be viewed at (yvsv.lisa.xov/kxddstion/lies/scssssl.

4.17 ANTI-TRUST ASSIGNMENT: If Vendor does not pursue any claim or causa of action it has arising undey

federal or state antitrust laws relating to the subject matter of the conlrac, then upon request of theglinois Attorney General, vendor shall assign to the State rights, title and Interest in and tu the claim orcause'of actlon.-.

4.18 CONTRACTUAL AUTHORITY:, THe Agency that signs for the State of Illinois shall be the Only Stats, entity

responsible for perhnnance and pay'ment under the contract. when the chief procurement Officer orauthorized designee signs in addidon to an Agency, they do so as approving officer arid'shall have ho

liabilRY to Vendor. When the Chief Procurement Ofgcer or authodzed designee, or State Pu'rchasing

Oificer signs a master contract on, behalf of State agencies, only the Agency that phces an order with

the Vendor shiN have any liability to Vendor for that order.

4,19 NOTICES: Notices and other communications prmdded for herein shag be given in writing by registered

or certined mail, return. receipt requested, by receipted hand delivery, by courier (UixL Federal Express

or other similar and reliable carrlerj, by e-mail, or by fax showing the date and time of, successful receipt.

Notices shall be sent to the Individuals who signed the contract udng the contact Inbxmatlon following

the signatures. Each such notice shall be deemed to have been provided at the time It Is actusgyreceived. By giving notice, either Party may change the contact info/madan.

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4.20 MODIFICATIONS AND SURVIVAL Amendments, modifications and waivers must be in writing and.signed by.authorised representatives of the parties. Any provision of this contract officially declared

. void,'unenforceable, or against pubgc policy, shall be igriored and the remaining provisions shagbe'nterpreted,as far as possible, to'give effect to the Parties'ntent, Ag provisions that by their nature .

would be expected to survive, shall survive termination. In the event of a conflict between the State'and the Vendor's terms, conditiens and attachments, the State's terms, conditions'and attachments

'haliprevail.

4.21 PERFORMANCE Rk'CORD / SUSPENSION: Upon request of the State, Vendor shall meit to disc(ass .performance or provide contract performance updates to help ensure proper performance of thesontract. The State may consider Vendor's performance under this contract and compliance with lawand rule to determine'whether io continue the fxtntract, suspend Vendor from doing future business

'iththe state for a specified period of time, or to determine whether Vendor can be considered .responsible on spedffc future contract opportunities..

4.22 FREEDoM OF INFORMATIDN Acff This contract and all related publk records maintained by, provided-'o

or required to be provided to the State are sub)a'ct to the Ellnols Freedom of Information Act (FOIA)(SO ILCS 140) notwithstanding any provision to the contrary that may be.found in this contract.

4.2S SCHEDULE OF WORK: Any work performed on State premises shall be done during the hoursdesignated by the State and perfofmed in a mariner that does eot interfere with the State and its

'ersonnel.

4,24 WARRANTIES FOR SUPPLIES AND SERVICES

4.24,1, Vendor warrants that the supplies furnished under this contract wig: (a) conform to thestandards,.speclffcations, drawing, samples or descriptiong famished by the State or furnished

by the vendor and agreed to by the state including but not limited to all specwcagons attachedas exhibits hereto; (b) be merchantable, of:good quality and workmanship, end free from

'defects for a period of twelve moiiths or longer if so speci(led in writing, and fit and sufficientfor the intended use (c) comply with'll federal'nd state laws, regulations and ordinancespertaining to the manufactufin'g, pack!ng,'labeling, sale and degvery of the supplies; (d) be ofgood title end be free and dear of ag liens'and encumbrances and; (e) not infringe any patent,copyright or. other intellectual property rights of any third party. Vendor 'agmes to reimbursethe state for any losses, costs, damages or expenses, Including without Emitations, reasonableattorney's fees and bxpenseg arising from fagure of the suppg'es to meet such'warranties,

4.24.2. Vendor shag'insure that ag manufacturers'arranties are 'transferred to th'e State and shagprovide a cop'y of the warranty. These warranties shail be in addition to sll other warranties,express, unpiled or statutory, and shag survive the State's payment, acceptanoe, inspection orfailure to inspect the supplies.

424.3. Vendor warrants that ali services wig be performed to meet the requirements of the contract iri

an efficient and effective manner by trklned and competent personnel. vendor shall inonitorperformances of each individual end shall. reassign immstgately any..individual who is notperlbrining ln accordance with the contract, who is dlsrupthe or not respectful of others Irt theworkplace, or who In any way violates the contract or State Folkies.

stern of IenoxIFB'onvent:

standard sntfnera Terms and condstonaV. 1s.s

20

4,25 REPORTING, STATLIS AND MONITORING SPECIFICATIONS:

4.25.1, Vendor. shag Immediately notify the State of any everit that may have a material Impact onVendor's ability to perform the contract.

4.25.2. By August 31 of each year, Vendor shall report to the Agency or University the number ofqualified veterans and certain ex-offenders hired 'during Vendor's last completed fiscal year, For

'

the purposes of thla secgon, qualified veteran Is definad in 30 ILCS 500/ifii.67 and exwfliender isdefined In 30 ILCS 500/45-70.

4.26 EMPLOYMENT TAE cREDIT: vendors who hire qualified veterans and certain extenders maybu'ligiblefor tax credits: 35 ILcs 5/216, s/217. please cpntact the Blinois,Deparbnent of Reveniie

(telephone 6:21775244772) for intbrmation about tax credits.

sais of illinois Iiscultrsm uSlld1AI SISslSN TINll ~ lid COIMWOII5

v, ss.s

5. SUPPIEMENTAL PROVISIONS

S.t STATE SUPPLEMENTAL PROVISIONS:

Agency/University Definitions

N/A

Required Federal Clauses, Certlficatlons and Assu/ances'

N/A'

pubic Works Requirements (construction and maintenance ofa public work). 820 ILCS 130/4,

N/A

Q Prevailing Wage ((anito'rial cleaning, windoer cleaning, building and grounds, site technician',,natural resources, food services, and securit'y services, if valued at more than $200 per month or$2,000 per year or printing) .30 ILCS 500/2540.

N/A

Cj Agency/University Specific Terms and Conditions

N/A

Q Other(desCribe)

N/A

S.2 VENDOR SUPPLEMENTAL PROVISIONS

P vendor Supplemental Provisions.

Click here to enter text.

srnre ef Illinois fps

Conlree: Sop plernentel prrnrlaone

V. 13.5

22

6. STANOAIID CERTIFICATIONS

Vendor acknowledges and agrees that corn pgance with this subsection in its entirety for the term of the contract .and any renewals. is a material requirement and condition of this contract. By executing this contract Vendorcertiges compgance with this subsection In its entirety, aml is under a umtinuing obggation to remain in,compliance and report any non-compliance.

This subsection, in its entirety„appges to subcontractors used on this contract. Vendor shall Include these "Standard CertiRcetions In any subcontract used in the performance of the contract using the Standard.Certificatlon form provided by the State.

If this contract extends over multiple fiscal years, including the initial tenn and all renewals, Vendor and'tssubcontractors shall corrgrm compliance with this section in the manner and format detenu(ned by the State bytha date specified by the state and ln no event later than July 1of each year that this contract remains Ih iffect.

If the parties determine that any certification in this section is not applicable to this contract'it inay be strickenwithout affecting the remaining subsections.

6.1 As part of each certification, Vendor acknowledges and agrees that should Vendor or its subcontractorsprovide false informatloni or fail to be or rimain In compliance with the standard certificationrequirements, one or more of the fogowlng sanctions wgl apply.

e the contract maybe void by'operation of law,

the State may void the contract, snd

~ the Vendor and It subcontractors may be subject to one or more Of the fogowlng: suspension,debarment, denial of payment, civil. fine, or criminal penalty.

Identifying a sanction or failing to Identify a sanction In relation to any of the specific certificatlons doesnot waive imposition of other sancfions or preclude application of sanctkrns not specgicagy identified.

8;2 Vendor certlfies it.and Its employees will coniply with applicable provisions Of the United Stat'es.tfygRights Act, Section 504 of the Federal Rehabilgatlon Act, the Ameikans with Disabilltbs Act, andappgcable rules iri performance of this contract,

6.3 . Vendor, if an indivklual, sole proprietor, partner or an individual as mersber of a LLC, certlfias he/she isnot in default oiien educational loan. 5 ILCS

385/3.'.4

Vendor, If an individual, sole proprietor, partner or an individual as member. of a LLC, certifies It he/shehas not received'(I) an early retirement incentive pdor to 1993 under Section 14-1098or 16-133.3ofthe illinois pension Code or (ii) an early retirement incentive on or after 2002 under Section 14 108 3 or16-1333of the lginois Pension Code. 30 ILCS 105/15a; 40 ILCS 5/14-1083; 40 ILCS 5/16-133,

6,5 vendor certifies that,lt Is a legal entity authorized to do business in INinots prior to submission of a bid,offer, or proposal. 30 ILCS 500/1-15.80, 2043.

6.6 To the extent there was a current Vendor providing the services covered by this contract and theemployees of that Vendor who provided those services are covered -by a cogectWe bkrgainingagreement, vendor certifies (I) that it wig offer to assume the collective bargaining obligations of theprior employer, including gny existirig collective bargaining agreement with the bargainingrepresentative of any existing collective bargaining unit or units performing substantlagy similar work to

Rate of 1llinm IFscolltfIct: suttdsfr ornaklu0wV. ss.s

the services covered by the, contract subject to its bid or offer, and As that it shail offer em ploymsnt toag employees currently employed in any existing bargaining unit whs perform substanbagy similar workto the work that wgl be performed pursuant to this contract. This doss not apply to heating,'ir.conditioning, plumbing and slectdcal service contracts, 30 ILCS 500/25-.80.

vendor certiges it has neither been convicted of bribing or attempting to bribe an oIRcer or employee of''

. the Stkte.of llgriois or any other State, nor mide an admission ofgugt of such conduct that Is s matter of;record. 30 ILCS 5O}/50-5.

if Vendor has been convicted ofa felony, Vendor certifie at least five years have passed after the dateof corn pletlon of the senterice for such felony, unless no person held responsible bY a prosecutor's ciNcefor the facts upon which the conviction was based continues to have any involvement with the business..30 ILCS 500/50-10-

6,9 If Vendor or any ofgcer, director, partner, or other managerial agent of Vendor has been convicted of afelony under the Sarbanes-Oxley Act of 2002, or a Class 3 or.Class 2 I'elony under the ggnols Segurbies

'aW Of 1953, VendOr CkrtifieS St leaSt flVe yearS haVe paeaed SinCe the date Of the COnViotlOnr Vendar.,further certifies that it ls not barred from being awarded a contract aed acknowledges that the state .shall declare the contract void If this certification is false. 30 ILCS 500/50 105.

6.10 Vendor certiges It is not barred from having a contract with the State based upon violating theprohibitions rebrted to either submgtlng/wrging specNcatlons or pnnfding assistance to an einployea ofthe 'state of fglnois'by reviewing, drafting, directing, or prbparlng any invitation for bkls, s request forproposal, or request of information, or similar assistance (except'as part of a pubgc request for suchinformation). 30 ILCS 500/50-10.5(e), emended by Pub. Act No. 974895 (August 3, 2012)

'.11

6.12

Vendor certNes that it and its afligetes are not delinquent in the payment of any debt to the State (or if

degnquent has entered into a deferred payment plan to pay the debt), and Vendor erid its affiliatesacknowledge the state may dedare the contract void if this certNcadon Is false or if vendor or anafggate later becomes degnquent and has not entered Into a deferred paym'snt plan to pay'off the debt.30 II.CS 500/50-11, 5040.

Vendor. certifies that it snd all aNgates shall collect and remit lginols Use Tax on sli sales of tangiblepersonal property into the State df gllnols In accordance.with pmvisions of the gllnois Use Tax Act sndacknowledges that fagure to comply may result fn the contract being declared void. 30 ILCS 500/50 12.

vendor cert(Res that it has n'ot been found by a court or the pogution control Board to have committeda wIIIfui or knowing violation of the Environmental Protection Act.eithin the last five years, and is

therefore not barred from being awarded a contracL 30 ILcs 500/50.14.

6.14 Vendor certifies it has neither paid any money or valuable thing to induce sny pdrson'to refrain frombidding on a State contract, nor accepted any money or other valuable thing, or acted upon the promiseof same, for not bidding on a State contract. 30 ILC5.500/50-25.

6.15 Vendor certifies it Is not in violation of the "Revolving Door" provisions'of the Illinois Procurement Code30 ILCS 500/50 30.

vendor certNes that 'It has not retained a person or entity to attempt to influence the outcome of aprocurement decision for compensation contingent in whole or'in part upon 'Oe decision orprocurement. 30 ILCS 500/50-38.

6.11 vendor ceitifies that if it iws hired a person,required to register under the Lobbyist Registration Act toassist in obtaining any State contract, that,none of the lobbyist's costs, fees, compensation,reimbursements, or ot'her remuneradon were billed to'the state. 30 Itcs 500L50-38.

sons of sllnoa IFS

canssrt: Qandeid cerens5onsV. ss.s

6.18 'Vendor csrtifies it will report to the illinois Attorney Oeneral and the Chief Procurement Officer anysuspected collusion or other ariti-«ompetltive practice among sny bidders, offerbr, contractom,proposars, or employees of the state. 30 ILcs 500/50<0, SMS, 50-50.

620

Vendor certlfies steel products 'used or supplied in the performance of a contract for public works shallbe manufactured or produced in the United States, unless the executive head of the procurlugAgency/University grants an exception. 30 ILCS 565.

Drug. Free Workplace

6.20,1 If Vendor employs 25 or more employees and this contract is worth mora than 55,000, Vendorcertifies it will provide s drug free workplace pursuant to the Drug Free Workplace Act,

6.20 2 If vendor Is an Individual and this contract is worth more than $5000,'vendor certifles it shallnot engage in the unlawful manufacture, distribution, glsperisatlon, possession; or.use of acontrolled substance during the parformanc'e of the contract. 30 ILCS 580,

6.21 Vendor certifies that neither Vendor nor sny sub'stantially owned affiliate is partkipating orshall'articipateiri an international boycott in violation of the U.S. Export Administration Act of 1979 or the

applicable reguladons of the United States, Deparunent of Commeics. 30 ILCS 582.

'endorcsrtlfies it has not been convicted of the offense of bid rigging or bid rotaflng or any similaroffense ofany state or of the United States. 720 ILCS 5/33 E-3, EA.

6.24

Vendor certlfies it compiles with the illinois Department of Human Rights Act and rules applicable topublic contracts, which include providing equal employment opportunity, refraining from unlawfuldiscrimination, and having written sexual harassment policies. 775 ILCS 5/2-105,

Vendor certifies it doss not pay dues to or reimburse or subsidize pay'ments by Its employees for anydues or fees to any "discriminatory club." 775 ILCS 25/2.

6.25 vendor Eertifies that no foreign-made equipment, materials, or supplies furnished to.the state under'he contract have been or will be'produced in whole or In part by feiesd labor or Inderituretl labor underpenal sanction. 30 ILCS 583.

vendor certifies that no foreign-made equipment, materials, or supplies furnished to the State underthe contract haye been produced in whole or in part by the labor of any child under the age of 12, 30ILCS

584..'endor

certifies that any vlolatiori of'tha Lead Poisoning Prevention Act, ss it applies to owners ofresidential buildings, has been mitigated. 410 ILCS 45..

6.28 " Vendor warrants and certifies that it and, to the best of its knowledge, its subcontractors have and willcomply with Execugve order Iso. 1 (2007). Th'e order generally prohibits vendors and subcontrartorsfrom hiiing the then-serving Governor's family members to lobby pmcuremant activities of the state, orany.other unit of goyernmbnt In lllinofs including local governments if that procurement may result In aconcract valued at over $85,000. This prbhlbition also applies to hiring for that same purpose any .former State employee who had procurement authority at any time during the one-year periodpre'ceding the procurement lobbying activity.

vendor csolfies that infor'mation technology, Indmgng electmnic inbrmgtlon, software, systems andequipment, developed or provided under this contract comply with the applicable requirements of theIllinois information Technology Accessibility Act Standards as published at (www.dhs.state.ll.m/Ilwsl.ILCS 587.

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6.30 Vendor certifies that lt has read, understands, snd is in compliance with the registration requirements oythe Elections code (10 ILcs 5/0-35) and the restrictions on maldng political contributloris and related.requirements of the ggnols Procurement Code. 30 ILCS 500/20 160and 50 37, Vendoi will not make a

. pogtlcsl contribution that wgl violate these requirements.

~ ln accordance with section 20-160of the Ilgnois procurement Code, vendor certifies as applicable:

C3 Vendor is not required to register as a business entity with the State Board of Elecgons.

oi'l

vendor has mglstered with the state Bo'ard of Elections,. As a registered business entity; veridoracknowiedpks a continuing duty to update the mglstration as rsquimd by the Act.

6.31 vendor certifies that lf It Is awarded a contract through tha uss of the preference required by theProcurement of Domektlc products Act, then It shag provide products pursuant to the contfgct or i .subcontract that are manufactured in the United States. 50 ILCS 517.

6.32 A person (other than an individual acting as a sole proprietor) must be a duly constituted legal entity and'uthorizedto do business in Illinois prior to submitting a bid or offer. 30 ILcS 500/2043. If you do not

meet these criteria, then your bid or offer will be disqualified.

Vendor must make one of the fullowkig four cerbfications by cheddng the appropriate box. If C or D Is'hecked,then Vendor must attach to this form the requested documentation.

A. vendor certifies It b an individual acting as a sole proprietor snd is therefore nut subject to therequl'rements of s'ection 2IH3 of.the procurement Code.

B. Vendor certiTiss that it is a legal entity, and wss authorized to do business in glinois ss of thedate for submitting this bkf or offer. The state may require vendor to provide evideitce 'of

conipgance before sward,

vehdor certifies lt Is s legal entity, and is a fomign corporafion performing act@ties that do not

,constitute transacting business In Illinois as deflhed by gllnois Buslneis Corporations Act (80s.ILCS S/13.75). A vendor claiming exemption under the Act must include a detailed explanation.

of.the legal basis for the daim with its bid or.offer and must pmvide additional detail upon

request. IfVendor faili to provide the mandatory documentation with the bi'd or offer, or doesnot provide addit)onal detag upon request within the tlrnsframe specified in said request, 'then

the.state may deem the vendor as being.nomesponsive or not responsible and may disqualify

the Vendor..

Vendor oartifies it is a heal entity, and is an entity otherwiss recognized under illinois law aseggible for a specific form of exemption similar to those found in the glinols Business

Corporation Act (805 ILCS 5/23.75). A vendor claiming s'x'emption under a spsdfic lsw must

Provide a detailed explanafion of the legal basis for the claim with its bid or offer snd must

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provide additional detail upon request. If vendor falls to pmvlde the mandatory documentation .with the bid or oPer, or does not provide additiona( detail 'upon request within the timeframespecilled in said request, then the State may deem tha Vendor as being'non-responsive or not'responsible and may disqualify the Vendor.

naia of ssnols Ifscontract: standard cartHkauonaV. ss.s

FINANCAL DISCLOSIIES ANI) CQNFLICTS OF INTEREST

Tha Financial Disclosures and conflicts of Interest form ("form") must be accsretely completed dnd submitted bythe vendor, parent entity(ies), and subcoritractors. There are nina steps to this form. arel each must becompleted as instructed in the step heading and within'he step. A bid, offer, or proposal that does not include

this form shag be cortsMered non-responsive, The Agency/University will consider this form when evaluating,

the bid, offer, or proposal or awarding the contract.

The requirement of dischsure of Rnandal Interests and confiicts of internet is a continuing obligation.

circumstances change and the disclosure h no longer accurate, then disclosiag entities must provide an updated

ferns.

I

I

separate forms are required for thg vendor, parent entity(ias), and subcontractors.

This dhclosure is submitted fort

g Vendor

Q vendor's Parent Entity(ias) (100N ownership)

Q Subcontractor(s) >S50,000

Q Subcontractor's Pareht Entity(ies) (1$%own'ership) >$60,000

I

I

pro)ect Name

lginois Procurement Bulletin

Number

Conti act Number

Vendor Name

IDoing Business As (DBA)

I Disclosing Entity

Disclosing Entity's Parent

Entity

Subcontractor

Temporary Stafgng Services Region I,

Nos 79776

CMS479776

Anchor Staignih Inc.

N/A

Anchor StafgnL Inc.

hl/A

None

Instrument of Ownership orBeneficial Interest

corporate stodl (C-corporation, Morporation, professional corporadon, service

COrPPratlun) D If yeu SeleCted Othel's Pleaae deSCrlbe N/A

Stats ol Sanols IFS

contott: Flnnndns wsstssnrns and conaass ol lsnsnnst

V. sas

You rhust select'bna of. tha six options below and select the documentation you sm'submgting. You'must.provide the „'documentagon tha appgcable secgon riquires with this form,

Q Option 1-Publidy Traded Entities.

lA.Q Complete step 2,. option A for each qualilying individual or entity balding arty ownerslilp or,dlstrlbu'tive income ihsra'in excess of Nii or an amount granter than 60)(($206&7,20) of thiannual salary of the Governor,

OR

1.6.0 Attach a copy of the Federal 10-K, and skip to Step 3.

0 Option 2- Privately Held Entities with more thah 200 Shareholders

2A C3 complete step 2. option A for each qualil'y'ing individual or entity holding any ownership or'istribIItive Income share In excess of 5% or an amount greater than 60fl ($106,447.20).oftheannual salary of the Governor.

OR

2.B.Q Complete Step 2, Option A for each quagfying Individual or en'tR'y holdipg any ownershl'p shareIn axcesi of 5% and attach the Infoimation Federal 10-K repo'rtlng companies are required toreport under 17CFR 229A01.

'

Option 3-Ag other Privately Held Entities, not including Sole Proprietorships

SA,5 Complete Step 2f Option'A for each quagfying Individual or entity holding any ownership drdistributive income share lri excess of Sf( or an amoplR greater thsh.BGBI (5106.447.20)of theannual salary of the Governor.

C3 option 4- Foreign Entgies

- 4.A. C] complete step 2, option A for each quafdy)ng individual or 'entity holding any ownership ordistributive.income share In excess of Sfs or an amount greater'hon 60yt (6106,447.20) of the

. annual Sal'ary Of tha Governor.

OR.

4.B,Q Attach a copy of the sacurMe's Exchange commission Form 20 F or 40-p and skip to step 3.

Q Opgon 5-.Not.for-Progt Enthles

Q complete Step 2, Option B.

C3 Option 6 -Sole Proprietorships

1 [7 Skip to Step 3.

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'NIEB P

u 6 6 INN 8 6 1 NI I I 8 Ã 8 I:f'. Bit 1 1 ls6 I tl ss8 N h' 8 N I 8 6 8 6 ' 6 s

~I ~ S MRSSIIS S SIR RIIS SIIS I I IRII «nl SRI II ~I RIR I Sl R SR I MR ~

SSSRI Sl R Sl SI IS I«I IS IS II IS«l I«I«I SSRI RMel ~ IR«l

"Complete eltlier Option A {forall entitles othe'r than not-ior-profhs) or Option 8 {hrnot-Ibwpmflts)l Add@onallinwal

may be insatthdinto the tables aran'attachment may be prcwlded N needed,

oWION AR okvnershlp slmre and Dlstrlbuthiu Incofne

:, ownership sliara If,you selected option 1.A„2A,218„8;A.,'r4.A. In step 1, pnwlde the name aml address of each."hidlvlduil oi'htity 'and their parentage of ownefxhIIP If chid percentage, exceeds'5%; or the dollar value of their

ownership if said dollar value exceeds 5106~2.20.

Q Check here if Including an attachment with mquestad informadon in a format substantlagy simgar to the formac

below.

TABLE-X

Name Percentage of'Ownership SYalue of Ownership

ioyce Iohnton

N/A

N/A

N/A

8/A

50845.Evans, Chicago 60619IS/A

'N/A

'/A'll/A .

100SS

N/A

N/A

H/A

N/A

N/A

N/A.

N/A"

N/A'/R

Oistribotlve Income - If you selected Option 1A 2.R« S,A« or 4A. In Step 1, pmndde the name and address of each .

indivklual ocentity"knd their percentage of the'disdosing vendor's total distributha income if said percentage exceeds

SSL of the total distributive Income of the disclosing entity, or the doNar value'f their.distributive Income lf said dollar

value exceeds S106/LS7.20l

0 Check here 'if including an attachment with requested information in a format substantially Nmgar to the format

below.

TABLE-y

Idame' of Obtributiva hwpdw SValue of.9lthribudve Incorhe

stfA

It{/R

N/A

'N/A

'/AN/A

N/A

. N/A

N

N/A

N/A'/A

N/A

H/A

N/A

N/A

N/A

'/A'/A

/A

«Anchor shdllng, Inc. does not imue distrlbugvo{ncome, therefore there are no kugtdduah Bated In the table above.

stntn sf stnm eac«ntlrm an«nunc oven«tnt nns cnnaxtn «f IntenseV. 1ss

Please certify that the following stateme'nts are true.

I have disclosed all indlsdduals or entitles that hold an ownership interest of greater than SN or greater tha'n

S106sae7.20.

@yes@No

I have dbclosed ag Individuals or entities that'were entided to receive distributive income in an amountgreater'haii

SMga4720 or greater than S%of the total distributhe income of ths disclosing entity.

g Yea Q No

'N/A

N/A

N/A

N/A

N/A.

, N/A:.N/A

Il

OfrfiON B-'.blsdosure of Board of Directors(Not-¹r-profits)

If you selected Option 5 in Step 1; list members of your board of directors. Please include an attachment if necessary.,

O'ABI.E ~ Z

N/A

N/A

N/A

N/A

N/A

'i Ig'.:S I'nnli I ~ I' I I 11 I I!Ill

Q Yes H bio.'s your company represerited by or do you eritploy a lobbyist reqltlred to registeruiider the Lobbyist

Registration A'ct (lobbyist must be mgistereg pufsiiant to the Act with, the seweisry of state) or other agi.nt who is notidentifie through step 2, opuorI A above and who has communicated, is communicating, or may communicate with any .state/Public University ofRear or employee concerning the bid or dtfer? If y'est .please Identify. each lobbyist arid agent,Including the n'arne and address belOw.

If you have a lobbyist that does'imt meet the criteda, then you do not have to disdain the lobbyist's information

i Name

l N/A

I Address

I N/A'

Relagoeshlp te Discleaing Endty

1 N/A .

Describe ail «ostr/fees/compensatitin/reimbursements related to the assistance provided by each representativelobbyist or other agent to obtain this Agency/University contract:- N/A

Qntn of Islnols Irsrnnttoct: Flnsnttol tthtnnoot ond consituof InterestV. 1s.s

'g ill'

nng'6 5 Ill gw ylj ill I 6 I ISII

II step 4 must be corn pletid for each person disdosed in step 2, Dpgon A and for bob proprietors Identif(ed in step 1,:

opjtfon 6 a(xnja. gliase proved'e tfte name o'f tha person for whidi risponsas am provided: Joyce Johnson

3 Ate you or are you the spouse or minor chgd of an officer or employee of the CapitalDevelopment Board or the illinois Toll Highway Authority? .

Have you, your spouse, or an Immediate famgy member who lives In your resklencecurl ently or who lived in your residence wkhin the last 12 months been appokatad as amember of a board; commission, authority, or task force aitthorixed or created by State lawor'by,exec(itive order of the Governor?

5. If yiu answered yes to any question In 1<above, please answer the followlag: Do you, yourSPOuaa; Or mlnOi thgd IeueiVe fram the VendOr mere than 7.5aN Of the VendOCS tOt'al.

d(strlbdtable licome or an amount of distributable income ln excess of the salary of theGovernor ($177,412.00J?

6l If you answered yes to any question In 2< above, please answer the following: Is there acombined interest of self with spouse or minor child more than 15%(53542I24.00) In theaggregate of the vendor's distributable Ihc'oiiie or'ah griibjitif DTdlstrlbutable income in .

, excbss of two times the sakaty of the Governor?

4

1. Do you hold or are you the spouse orininor child who holds an elective offhein the State oflf gllnois oihold a seat lathe General Assembly)

I- 2..Have you, your spouae; or minor child be'en appointed to or empioysd In any affiche oragattckts ofstate government and receive compensation for such employment In exciss of60Na (S106.447a20(of the salary of the Go'vemor'?

Qyesg No

CjyesHNo

OvesZNo

C3 yes HNo

QyesHNo

QyesHNo

lj il ll 'I 'll 'I 3 I, 2 aii I tjf j; ..''Ill r,lt',,ll,'' I QI

I

I

I

I

please provide the name of the'person for whkh responses im provided: Joyce Johnion

Do you currently have, or ln the Previous 3 years have you had State emPlayment, including Q yes 3Nocontractual employment of services?

Has'your spouie, father, mother, son, or daughter, had state employment, includingcontractual employment for services, In the previous 2 years?

QyesHNo

Stean et Slfnnia IFScentrani: Financial txactnanaaa and cnnsiuii et neereai

sti.p 5 must be completed for each person disdosed in step 2,'option A'nd for sole proprietors identified in. step 1,.Option 6 above.

Do you hold curmritly or.have you held in the previous 8 years elective oNce of the State oflignokf„ the govirnment of the United States; or any unit of!Ocal government authorized bY

the Const!tot)on of the State of lginois or the statutes of the State of illlnois7

IS

Do you have a relationship to anyone fspousef father, mother, son, or daughter) holdingelect!ve off!ce cunently or in the previous 2 years?

Do you hold or have you held In the previous 3 years any appolntlye gov'arnment office ofthe state of gllnois, the United states of America, or any unit of local Bove!riment authorizedby the Const!Iutlon of the State of illinois or the statutes of the State of lglneis, which ofgceant!des the holder to compensation in excess of ehpenses iiicurred ln tbe dbcharge of that?

6. Do you have a'relationship te anyone fspouse, father, mother, son, or daughfer) holding

Iappoint!ve. oNce currently or In the prey!ous 2 yaara7

7. Do you curre'ntly hive or in the previous 8 years had emphsyment as or by any registeredlobbyist of the State government'?

I 8. Do you currently have or ln the previous 2 years had a relationship to anyone (spouse,father, mother, son, or daughter) that Is or was a registered lobbyist'

IB. Do You currently hive or In the previous 8 years had compensated employment by any

registered election or rewlect!on committee reglste'red with the Secretaty of State or anycounty chirk In tile state of lginois, or any pogticil 'action cbmmittee registered with either

Ithe Secretary of State or the Federal Board of Elections?.

10. Do you currently have or in the previous 2'eirs had a relationship to anyone (spouse,

Ifather, mother, son,.or 'daughter) who is or was a compensated employee of any registeredelect)op or reelection committee registered with the Secretary of State or ariy county clerk in

the State of illinois, or any'political ictlon tsmtmittee registered with either the Secretary ofState or the Federal Boanf of. Elections?

I

0 yes ZNO

Oyez ZNo

Q Yes H No

Q Yes H No

Qyesg Ho

0Yes HNo

Dyes@ No

P YesENO

'"I!l I

''I !!' I 8 !lip i

11f'f

you answered 'Yes" in step 4 or step 8, please prov!tie on an add!Banal page a detaged esplanation that includes, but!snot limited to the name, salary, State agency or unhlerslty, end position title of each indlviduak

state of ssnols IFSconvent: Flnanda1 oosooono ano canalos of Interestv. zs.s

1gg air

tl 1!, rs 'Illllill!Ill I, Sl il I Sr

I ! I fr II I I Ir IB 2 I's! IIIIIII I 'fa

This stip must be completed for.each person disclosed ln step 2, option A, step. 2, and for each entity nnd soleproprietor dtsdosed In Step 1.

please provide the riame of the person or entity for which responses are provided: Ioyce Iohnson

1. within,the previous ten years, havi you had debarment from contracting with any PyesgNogovernniental entity?

2, within the previous ten years, have you had any professional gcensure disdpline? C3 Yes 3No

g. 'ithin the previous ten years, have you had any bankruptcies? OyesENo

Within the previous ten years, have you had any adverse civil judgments and administrative 0Yes 3Nb

finding??

within the previous ten years, have you had any criminal felony convictions? Cj Yes [g No

Ifyou answered "Yes",please'prwide a detaged explanation that Indudes, but is net limited to the nwne, state agency'or univeriity, and positiori title ofeach individual. N/A

i ggii!gg ig %1 g i!i iong Wg i ~ 2!I ill 5 'II) ~

If you selected'option.2, 2, 3, 4, or 6 In step 1, do you hive any contracts, pending contiicts', bids, proposals,subcontracts, kmses or other ongoing procumment relationships with units of state of illinois government? .

Q yes g No.

If "Yes",pleasi specify below. Attach an additional page in the same format as provided below, if dedlnd.

N/A N/A

Agency/tfnlvals1ty, 'roject Title

N/A

Vtfue ContractRefaseacafp.O./lginsdsPtoctnarmant Bugbgn N

N/A N/A

Please explain the procurement relationship: N/A

'ate

of Slfnols IFS

cnntwct: Flnsndal oadnnrras and conflntsof InterestV. 1s.s

This disdosure is signed, and made under penalty of perjury fior afi for-profit entities, 'by an authorized officer oremployee on behalf of the bidder or offeror pursuant to Sections 50-13 and 50-35 of the illinois Pwcumment code, Thisdisclosure information Is submitted on behalf of:

Name of Disclosing Entity; Anchor staffing, Inc.

ISignatures M~ 6'AJfm A~ Octa:, November 19,2013

IJ'rintedNsmet Joyce Johnson

Title: President/CEO

Phone Number: (773) 8814530

Emag Address: jjohnsongpanchorstsffing.corn

sate of trinal IFS

Geeract: Finsnde Dinsuuwr and conllku of susraatv. sL5

REQUEST FOR PLACEMENT FORMTEhtFORARY STAFFING SERVICES

Contract Number:

ALL REGDESTS FOR TENNFORARY STAFF WILL SE ARRANGED WITH THEVENDOR THROUGH THE USER AGENCY CONTACT FE880bl ONLY

(That gffgdon /g for VegyASgngyege en/y)

Regbn Number.

Yendor Norns;

Vendtw Ttgbphone Nod

Dele Vendor wsh nOtlted:Time Vendor wss noetstbAgency Job Rslerence Nod

User Agency'N NameeureaulUnitCounty:Contact Pefgtgrs Name:.

Email:

Telephone No.:Fag Nod

USER AIAENCY'S INFORMATION

New Request

Renewal cf Current Temporary Worker

Request Change in Current Order

Number of temporaty agency employeesrettueeted for this Job order: '-gdsNMI swyhstlsw wwpsmry Imrtwr n espswhl loni nlrb! bs slbedwld lw sodr wlewt

Requested Start Date: Angra pated End Dsgttnffas Yemir wsds W stereo nr ssnlst S Shot dhs, as Vendor nest nosy gw Ussr Agemr Ooiest Prnww IMMEDIATELY by orssh yfw Ussr Agency thnlsw screw orl noisy aegsmfor to shoes w bwwwls gw ssswh lor nsndhtww. IfUser Agemg Aisw Ihe nshnesled swd edp Ihe User Agsnoyssmsw pwwn wN rosy Ihe Yhwtw by snob

check one, Twlnoorndo swtwnwo wsn'nlcwsw wla work(ohwwngastsnsy)i,

Pgrt Time ~dnday Tuesday Wednesday Thuledsy 'ddhy Satuldt(y Sunday

Fuii Time

Dally Work Houym lmm;

TOtet huum Pet day: . LunCh Hcur(W shoe,); 'I Hduf Or It Hour

tsehord pdw sppnwsf bool gls Usw Agwroy owens pelssrl do vwnhsweaatybephubr Ihe bwwrnohdnhwo rwrwswyntywoy ospwysen we gl(ttwr psw wr lwsfsls by Ihe

Ussr woomp.

Address where temporary worker(a) witt reptnt to work

gism of Ognols

nwnrnrorro n wrnrrrrr mr olrrrrrrrre e ~

Temporary Agency tempfoyee'a SupervteoVe Informationrene wares llserbsua be veekA priests acne el eeniser Ibr puynws er 0'mpamu epswy ~'ew clr mem ctnm nmporay cyst

equatesbee ahnsc

eeetptttsnL clef

Supervisor of Temporary Agency Employee;.Supervisor's phone number:

Supervise/e email,

Signature of Supervisor:

Name cf alternate:

Alternate's phone number:

Alternate's emal:

Slgrrature of allemate.

please entet any ape@et requlrernente and Information pi.sh preintenks equinxt, spaN'c scewars

program(sf ~stair will usa, srtmilic background nquiremsnfs, abife 5 hendla conkenfasy snd ssnNwt inlbnnakn,

sic,)r

etue er uahanhtthtttmhht h Rl hllect fht elhthltlt ht ehhh

The following Iob classifications lku Nw avallsbls Nues with minimal tsralNcscons In whbh a temporary senrics worker may berequested by Ihe User Agency, please «stem one Nde from the job dassNcatlcns Nsl Ihst wig meet the needs of your request fcr atsmpomry worker; The Vendor must test temporary nokers and meet the quaggcatlons requested by the User Agency prior to bringplaced Into the posNcn.

Job Classlgc«gona

Basic Osrlctri: Provide a variety of base/general clerical duties that do nct require special knowledge or skgls,Dugek incfuds stuffing, cog«ting, affixing labels, opening and addreising moil, scrilng mail, filing, copying, fmdng,and tdtreddlng. Ability tofogow oral and writbm instructlons I«expected.

Accoungng Asststinb Support fug-kme accounting employees through journal entries, ledger posbng, sndhantigng accounts receivable/payable, Additional duties Irxdude reconcglng bank statements, abigty to make rapkl

and accurate arlthmsgc calculagons «Nter manually or by machine, and operation of addlrlg machine.Undemtandlng of bookkeeping principles and accounting techniques is required.

Accoungng Lead; Exhibits knowledge of general account systems wgh supervbion from a full@me accountant.Assists wgh accounting audits and is famgiar with lax filings. Working krewlsdge of methods and proceduresincluding rules of law and regulations relagng to state and non-state entitles. Duties may iritriuds preparation ofauditing kwolcss, documents and ledgers for cotriracbt, or reconcglatlon of INvisbn.account, rtxods for the

User'gency.'nowledgeshould be equivalent to four years college In business adrninistraf ion courses or accounting,

Tslspitone Operator: Abggy to ariswsr and operate muN-Nne telephones and transfer cage wghin an agency.Rscepdon duties also may include greegng the pubgc and scheduling sppolnlmsnts In wrNan day planners.Addi«coal tasks may iridude basic clerical work such as flgng, opening/addressing rnsg, copying or faxing, and useof a ctdculator «nd/or. adding rnachlhe. Abgily to fogthv ural and wrltteh Instructions Is mandatory.

Data Entry h Worker must have the abigly. Io use data entry machines and personal computers bt enter data and

accurately input 4,000 keystrokes per hour. Position.requinss'Nte ability to fdlmir oral and writte instructions, and'erformhighly repetitive work under somegmes-noisy condigons,

Data Entry II: Worker must have at least one~sr prior experience in data enlry. Required experisncs wgl en'able

this worker to operate,dale entry machines and pembnal computers'to atosamly 'enter daut at a rate of 8,0ksystrokie per hour. AdcNionagy, abgityto record, Identify, and correct dataenkysrrors is expected. Must be ableto follow oral and written instructions, and perform highly repegtlve work under sometimes.noisy conditions. Basicsrlthmsgc calculations, egher manually or usktg a calculator, may be required.

Data Erttry Itk Worker'must have at least tworireare prior experfence in dele snky. Requimd experience wgl

enable this worker to opeiate data entry machines a'nd personal computers to accurately enter data at a rateoi',600

keystrokes per hour. AddNionagy, abgty to record, kfentlfy and correct dale entry errors is expected. MustbeaNe fo'oNow oral and wrigen instru@icns and perfofm hlgMy repetitive welk under sornedrneiHxrisy conditionLAritchmsgc calculation egher manually or using a calculator, may be required,

Lead Worker:. R«sponsible for tmfnlng and coordinagng other temporary workes on duties assigned ln Nerical,

...data «ntry, and tefephone opemtor posNonL Must'have lmowfedge equivalent to one year experience as atsmponuy employee. Ability to tof low and Nlver oral and wrgten instructions isnucessary.

Light Industnal: Basic unskilled manual work induding moving office equipmenl, furniture and baKes. Duties may

also Indude organizing, Ndying, and packing of gcxxfs to be shipped.. Abglty 5 folkw oral and wrigen instrucltons ls

mandatory,

slam of feno4

Additional Mdg ykmulmmsnts; The following will be provided at an adrNNonal cost to ths user agency. If addifional skglsare required, pimme specgy which am needed;

SendlnfyLifgng Nglbs; May mquire squatling, dlmbing, bsndktg, rrianding for long pedods of Nms and lggng up to50 lbs.

Srmtgngfkggng 75lbs: May mqulrs squatgng, ckmbing, bendkqi, alen<ting for long periods of lime and NMng up to50 lbs.

Diving: Fully Ncensed class D driver, quaqliedlo drive any slight vshble wgh a GNWII 16,000 pounds or less that lsnot dwigned to transpor 15or mom people. Must be insured in ttm Stale of Ngnols.

Hend Truck: Must be able to operate a twcwheel and four-wheel hand truck

Hotaty Pubgc: cunant Notary pubgc appointee wghln egher the skde of NNnols or a bordering state.

High gbhool DlplomafGED: coinpletion ofhigh school or GED. Musl be able to prove complshon if necessary.

Mlcrofgm 0fmrsgon; Abyriyto operate a rnbiolkm machine tc sccdss and print recwds.

Ksybosngng (55 wpm): Completing ongne forms, alphanumeric dale entry with opeon to complete short sentencestiuclure documents

Keylmarding (50 wpm): Touch-typing skills to type alphanumeric correspondence, word processor documents, andaddifional paragraph struduisd documents

Sign btnguage sklfle; Abkky to communbste iluently in sign language, Ireludlng ecfng as an interpreter and mustbe rsgkrtsmd wRh the Ngnols Deaf and Hard of Hearing Commistricn

Sgingual suency: Ability to communicate Nusrriiy (reading, wrigng, and speaking) in a second language, most oftenSpanlslt; User Agency may mquirs additional kmguages, which can be specgied at SeNme of order.

, Ccmputsr Software Skglm Bbsb knowledge and famglarity wNh word processor pmgmrm (MS Word, WordPsrfect,or other as approved by lbs.Uimr Agency), spreadsheet progmms (Excel, Lulus, Qeagm pro, or other as approvedby the User Agency), database software (MS Access, or other 'as approved by Ihe UmrAgency), snd smug softwareprograms; General computer know how, with abkky to research via Nre Internet. The User Agency wkl specNy at sneof older what specific sokwhm programs wiqbe used by the temporary worker on the sstrignmsnt,Indicate Nrespecikc type/s of software experience you are requesgng:.

Advanced Computer )Sefbveee SMgm P cgcfency with word processor programk(MS Woni, WonlPerfsct, or other asapproved by ths Ussr Again) with an abkiqr topsrtorm mall meme Sss Nnd create tables, spmadsheet,picgiams (Excel,Lotus, QuaNro Pro, or olhsr as approved by the Ussr Agency) wNh an aMi(y to cmals funcgons, charts, and data sorts,database soltware (MS Access, or'other as sppmvsd by ths USer Agency) elh.sn abgty to create mperis, queries, andtables, kml email sohwam pmgrams. Advanced computer know4ow, with an ability to msearch vie ths Internet. The UserAgency w'ig spedfyat time of order what sprogcsogwere pmgrams wNI be used by Ihs temporary worker on the assignmsnt.Indicate the speclgc typsfs ofsolhvare experience you are rsquesgng:

xwle ef xllnols

JUSTIFICATION flobe oomplsbttrbyuaetAsmtoy)

please Include Ne answers to these questions in an attached document, if needed

t. Describe the need for the temporary worker, induding specific details about what skNs have been requested and whythey are needed to fill this posfgrm. Please be suits to rationalize Ne need for any sd5tional addm sldlls.

2. Describe Ihe Impact, lf any, on Ihe User Agency should this. temporary poslgon not be approved, Is it pos'sible to delaythis work under this requisigcn to be completed at a later date by either a current temporary agency employee or a full,time State employee? What are the repercussions of this, if any?

will the tempomry agency employee(s) be funded Nrough a program oNer then the area they are assfgneibYes No

Please Specify:

APPROVAL SIQNATURES;

SignaturePrinted Name:

Date

Butsau Chief making request

SignaturePrinted Name:

Date

Diviion Administrator

SignaturePrinted Name:

Date

Ussr Agency Contact Person

SgnaturePrinted Nam'e:

Date

AddIcnal Authdriiatkmby User Agency

Stale of tflmol ~

Hourly Rats Appmved:

Dates oi service Approved: Fmm

Funding Soume: Unit.

lF OR THE USER AGENCY CONTACTS USE ONLY):

Dbtlpatlon Amount. Approvert Denied:

To

Appmvalppenlsl Oats.

Total 0'bilgstlon Amosra Approvetr. r

Coet Center Nona

Tetttporaty AgencyEmployee's Name

Start Date End Date tteptacemeat Date Itt time request toreq'd (Y/N) replace Yves made to Vendor"

Stale of i¹isse4lla'1etnt 1 sMrsofn vrsramwt cr rw

Regisbatlon No. $3842

Anchor Staftlng Inc.9901 S.Western Ave Suite206

Chicago IL 60843

Information for this business last updated on:

Friday, November 13, 2009

t

Cettlioata ptodtcad on Wednesday, Novornbar 28, 2N2 at&;04PM

I pat

STATE OF ILUNOIS

TAXPAYER IDENTIFICATION NUMBERATTACHMENT OO

I certify that the number shown on this form is my correct taxpayer klentification number (or I sm waidng for a number

to be issued to me), and I am not subject to backup withholding because: (a) I sm exempt from backup withholding, or.(b) I have not been notlged by the Internal Revenue service (IRs) that I sm sub)ect to backup withholdkig as a resu/t of scfailure to report all interest or dividends, or (c) the. IRs has notified me that I sm no longer 'sub)ect to backup

'ith'h'olding.

I certify that I sm a U S.person (including a U S. recedent alienk

~. if you sre sn individual, then enter your name and Social Securhy Number (SSN) ss it appears on your Sochil;Secwity Card,

if you ere a sole proprietor, then enter the owner's name on the name gnehllowed by the name of the businessand the owner's SSN or Employer Identification Number (EIN).

~ If you sre a single-member LLC that b disregarded as an enthy'eparate from Its owner, then enter the owner'sname on the name line and the D/6/A on the business name line snd enter the owner's sshf or EIN.

If the LLC is s corporation or partnership, then enter the entity's business name and EIN and for, corporations,'ttachIRs acceptsncslsiter (cP261orcP277).

n . FOr Sll Other entitieS, enter the name Of the entity SSuSed tO apply fOr the entity'S EiN Snd the EIN.

Name: Jsytm Johmon

Business Name: Anchor Sslling, Inc

Taxpayer Identification Number

Social Security Number, N/A

Or

Employer Idbntification Number. 73-1630737

Legal Status (check ohe)Governmental

Nonreddsnt allen

Esptte or trustPharmacy (Non.Corp.)

Indhddual

. Sole Proptfetor

PartnershipLegal Services Corporation

Q Tax~emptQ Corporation providing or billing

medkal and/or health cern se

Q Pharmacy/Funeral Home/Cemetery (Corp.}

Q Limited Usbility Company

(select appgcdble tax clsssigcstion)rvlces

E) Corporation NOT providing or bgling 0 m disregarded entity

medical and/or health care services C b cur pomtion

P ='artnership .

Signature of Authorised Representative~V

Date: Tuesday, November 29, 2013

Sate or Saaolc IFS

nuacbmant lo: taunertublentlllcetlon Number

V.tss

Contract No. 1585-14678

EXHIB1Y 1

CooL County Requkretnents

AG-3

Contract No. 1585-14678

Cook Countv Reauirements

Anchor Staffing Inc. shall furnN temporary staffing employee's for Cook County'Department ofBuilding and Zoning, all in accordance with the Contract Documents, Specification and Proposal

herein.

Department of Building and Zoning is requesting two (2) Data Entry II teinporary employees.

AG-4

EXHIBIT 2

Contract No. 1585-14678

Cook Countv Pltce PlonosalThis 08reement will enable an overall value that will not exceed $28869.60.

4/1/2016

ytru

Job ClasaificaSon 3/31/2018

4/1/2018thru

331/201 7

Baiic Clerical

Acwuntlno Asokrism

Acocunyno Lead

Telephone Opeaaor

Data Entnr I

$ 10.85

$ 11.47$ 10.94

$ 11,56

$ 11.66 $ 11,75

$ 10.97 '$11.06$ 1023 $ 10.31

Dale Entnr 0

Dale Entnr 01

Lead Worker

Uoht Induolrial

$ 11.16

$ 11.41

$ 11.78

$ 11.16

$ '11.25

$ 11.50

$ 11.88

$ 11.16

Additional SMfla hourly rsls wla ha aided Io tbs JohDhrsslawdon hours bn rrdw

shaw'DDmoHALSSLLS

BendlnolUlyno 60 Ibo

BendlnollJBna 76 fho

DIMno

Hand Tmck

Hotanr Publm

Hioh School / SEDMicroslm Owrasana

Icrnrboardlnu f66 womt

Kouboanyno (60 worn)

Skm Lallolraoe

Bylnoual PlumerComputer SoaomeAdvanced Conmuler Software

AG-6

Vendors Mousy

SSI Rate

6 0.066 OAO

66 0.10666 0,106 0,666 0.1066 0.75

1.25

Contract No. 1585-14678

EXHIBIT 3

State of Illinois Coatract (Contract No. CM&P9774A)

AG-7

Cook County General Conditions

AG-8

CONTRACT NO. 1585-14878

GENERAL CONDITIONS

INDEX

Section

GC-01

GC4I3

GC-04

GC-05

GC-07

GC-08

GC 08

GC-10

GC-11

Subcontracting or Assignment of Contract or Contract Funds

Indemnification

Inspection and Respondbilily

Payment

Prepaid Fees

Taxes

'rice Reduction

Contractor Credits

Disputes

Contract Amendments

Default

~pe

GC-1

GC-1

GC-1

GC-1/2'C-2

GC-2

GC-2

GC-3

GC-3/4

GC.12

GC-13

GC-14

GC-15

GC.18

GC.17

GC-18

GC-tg

GC-20

GC-21

GC-22

GC-23

GC-24

County's Remedies

Contractor's Remedies

Delays

Insurance Requirements

Pabmts, Copyrights and Licenses

Compliance with Laws

Delivery

MBE/WBE Cook County Ordinance

Material Safely Dale Sheet

Conduct of the Contramor

Accident Reports

Use of Premises

General Notice

GC-4

GC-4

GC4I

GC-7

GC-7

GC-7/11

GC-12

GC-12

GC-12

GC-12

GC-13

CONTRACT NO. 1685-14878

GENERAL CONDITKNI8

INDEX

8ectlon

GC-25

GC-27

GC-28

GC-29

GCOO

GC-31

GC-32

GC.S3

GC.34

GOD

GC-38

GC.37

GC-38

GC-39

Termination for Convenience

Guarantees and Warranties

Standard of Contract Goods

Con8dentlality and Ownership of Documents

Quantities

Audit; Examination of Reconls

Governing Law

Cooperation with Inspector General

Waiver

Entire Agreement

Force Majeure

Governmental Joint Purchasing Agreement

Comparable Government Procurement

Federal Clauses

Contract Interpretadon

GC-13

GC-13

GC-1S

GC-13

GC-14

GC-14

GC-14

GC-14

GC-14

GC-15

GC-15

GC-15

GO-15

GC-18/23

GC-24

CONTRACT NO. 1585-'I4678

GENERAL CONDITIONS

GC4II SUBCONTRACTING OR ASSIGNMHST OFCORITRACTOR CONTRACTFUNDS

Once awwdsd, this Conbwct shall not be subcontraoted or any part thereof wwlgnsd without the express wrNten

appmval of the county chkrf Pmcurement DBcsr ("chief Procurement olflcsP). In no case, howuwr, shsN suchappnwal mSeve the Contractor from his obNgsgons or change- the terms of Nw Contract, The onlraokr shall nottransfer or assign any Conbact funds or claims due or to become due without the sdwmcs writtsn appuwsl of the ChiefProcuremsnt OfNcer. Ths unauthorized subccnlraotlng or asskpsnsnt of the Conlnwt, in whole or in part, or theunauthodzed transfer or awsgnment cf sny conbsct funds, either bt whole or In pwt, or any interest owreln, which shellbe due or are to become due Ow Contractor shaS have no effect on Ihe County and ms null and void.

The Conhsclor shall idengfy any and az conlrsckrs and subccnbsctors it intends Io uss in the perloimance of thecontract by completing the Iden55cation cf subcontractor/suppliswsubconsuRant Farm ("IsP). AN such persons shallbe subject to the prior appnnml of the County. The Contractor wB only subcontmt with competent and responsibleSubcontractom Ths Chief Pmouremsnt OINosr may require in hkr or her sole dlscmScn, that the Ccntrsokr provideooplss of eN contracts wbh subcontractom.

The ~r and its employees, contractors, subcontractors, agents and repr~ ars, for aS purposes ariNngout of Nis Contract, independent contractors snd are not employees of ths Ccunly. R is expressly understood andagreed Swt Ihe Contractor snd its employees, contractors, su contrsckrs, agents snd representatives shall in no eventas a result ol a contract be enSSsd to any berudtt to which County employees ars enlRbd, including, but not Nmlted to,overNme, resranent benegts, worker's compensason benslzs and Injury have or other lssvs bensfjts,

GC-02 INDEMNIFICATION

The Contractor covenants and agrees to Indemnify and save harmless the County and its commiwdcners, officials,employees, agents and representatives, and their respective heirs, successors and assigns, from and against anyand aN costs, expenses, attorney's fess, losses, damages and NsbNltles Incurred or suffered directly or indlreotly fromor attrlbulsbls to any claims arising out of or incident to the performance or nonperformance of the Contract by theContractor. or ths acts or omkwions of the oNcers, agents, employees, contractors, subcontractors. Ncensees orinvitees of the Contractor. The Contractor expressly understands and agrees that any Perfoimancs Bond orinsurance protection requiml of ths Contractor, or otherwise provided by the Contractor, shall in no way limit thsrssponsibiBy to indemnify Ihe County as hsminabove provided.

GC4B INSPECTION AND RESPONSIBILITY

The County shall have a dght to Inspect and approve any conuact goods, equicnwnl, supplies or sswkes used In

carrying out Ibis Contract and shall approve the quality and standards of aN materiab or completed work furnished under .this Contreck Contract goods, equlpmsnt, wqrpzes or services not complying hwswith may be rejsdsd by the Chief.Procurement Oificer and/or ths Director snd shall be replaced and/or regerformed by the Contractor at no cost to theCounty. Any Commct goods, equipment or suppNes rejected shall be removed wzhk a mascnable tkne from thepremises of Sts County at ths entlm expense of the Contractor, after notice hss been given by the County to thsContractor that such Contract goctls, equipment or suppNss have been rejected.

GC4N PAYMENT TO CONTRACTORS ANO SUBCONTRACTOIlS

AR invoices submitted by ths Contractor shall be in accordance with the cost provkrkns contained in the ContractDooumwss and shsN contsih a detaNsd descdptlon of ths Degverables (I.e.,ths gexb, equipment, suppNes or services)Including the quantity cf the DeNvsrablss, for whkh payment is requested. AN Invoices for services shall Indude Itemizedentries lruNcaSng the date or Snw period in wlgch ths sewlces were provided, the wnount of time spent performing Ihesen/icos, and a details'd derxulpgon of the sewices provided dudng Ow psriod of the bwoice. AN invoices shall rellect thsamounts invaked by and the amounts paid to Ow Contractor as of the date of the irwolce. Invokes for nsw chargesshall not indude "past due" amounts, if sny, which amounts must be set forth on a separate invoke. Contractor shallnot be snSNed to InvoIce the County for any lais fees or other penaRles;

GC.1 S/2016

CONTRACT NO. 1585-14678

GENERAL CONDITIONS

GC4Q PAY8IENT TO CONTRACTORS AND SUBCONTRACTORS /eon't,i

In accordance vrilh Section 34-177 of ths Cook County Procurement Code, the Ccunly shall have a right to set off and

subtract from any invoice(s) or Contract prim a sum equal to any gnes and psnagss, including interest, for any tax or

fee delinquency and any debt or obligation owed by the Contractor to the County.

The CcrNractor acknowleGFrs Its duty to ensum Ihe accuracy of ag Invoices submlled to the County fcr payment. By

submltgng the Invoices, the Contractor certlges get all Itemized ankles setTcrth In Ihe invoices are true and cornet. Ths

Contractor acknowledges gmt by submlging gre invoices, it csrtRes ihat it hes dellvemd the Dellverables, la., the goods,supplies or equipment set forth in the Contract to the Using Agency, or that it has fvctreriy performed ihe senrices setforth in the Contract. The krvrrics musl also mgect the dates and amount of time arprmded in the prcvkrkm of services

under the Contract. Ths Contractor aclmowledges that any irmccurats ~ or negligent or intentional

misrepmsenlations In the kwrricss shall result in ths Couth/ exemkring all remedies available to it in law and equity

including, but not limited to, a delay In payment or non-payment to the Conlmotor, and mportlng the rnatter to the Cook

County ONce of ths independent Inspector Genmal.

When a Contractor rsceirnm any payment fnxn the County for any supplies, equ'prsenl, goods, or services, it hasprovided to Ihe County punmant to Its Contract, the Contractor must make payment to Its subcorriractors within 15days ager receipt of payment from ths County, provided that such subcontrsckrr has satisfactorily provided ths

supplies, equipment, goods or services in accordance with ths Contract ind prtwlded the Contractor with ail of thedocuments and Information mqulred of ths Contractor. The Contractor may delay or postpone payment to asubcontmctor when ths subcontractor's suppSes, equipment, goods, or services dc not comply with the requlremsrris

of the Contram, the Contrackx is acting in good faith, and not in rsialiation for a subcontractor exercising legal or

contractual rights.

GC4XI PREPAID FEES

In the event this Contract ls terminated by either party, for cause or othrirwlse, esd ths Couniy has prepaid for any

goods, equtpmsnt, supplies or services to be prwlded pursuant to Ibis Contract, Contractor shall refund to the County,

on a pnmried basis to the elfectlve date of termination, all amounts prepaid for such goods, equipment, supplies or

services not actually provided as a result of gm termination. The refund shall bs made within fourteen (14) days of thseffective date of termirmgcn.

GC48 TAXES

Federal Excise Tax does not apply to materials pumhesed by the County by virtue cf Exemption CeriNcale No. 36-75-

0038K. Iibxris Retailers'ccupation Tax, Use Tax and Municiprri Retailers'ccupstkin Tax do not apply to materials or

ssn/ress pumhased by the County by virtue of statute. The price or prices quoted iwmin shall include sny and all other

federal amor state, direct and/or Indirect taxes whbh apply to this Contract. The County's Stets of ISnols Sales TaxExemption Identification No. Is E4I928-201347.

GC4IT PRICE REDUCllON

If at any Gne alter the Conlmct award, Contractor makes a general price reduction Ingre price of any geode, equipment,

supplies or. servioes covwed by the Contract, the equivalent price reduckon based on similar quenGiss and/or

consldemgons shall be apptkrd to this Contnxri for the term of gm Conlraot. Such price reductions shel be effective atthe same Nms and In the same manner as the reduction In the price to ouelomers generally.

GC-08 CONTRACTOR CREDflS

To the mriant the Contractor gives credits toward(uture purchases from iis financial kesntives, discounts, value points or

other beneGs based on the purchase of the goods, equipment, supplies or services provided for under this Ccnkact,

such oredils belong to the county and not any specific Using Agency. contractor shall report any such credits to the

Chief Prccummsnt Officer.

GC-2 3/20'15

CONTRACT NO. 1585.14678

GENERAL CONDlllONS

GC4M DIBPUTEBAny dispute arising under the contract between lhe counIy and ccntiacmr shall be dedded by the Chief Pmcuremsnt

ONcsr. The complaining party shall sublnit a wiitum slstement chlaslng the dlsprds snd soeclfvlno the soacSN mlevant

Contract orcvtsicn(si to the Chief procurement Ofgcer. Upon mquest of the Chief Procurement OMcsr, the parly

complained against shall respond to the compIalni in writing wShkr Sve days of such mquest. The CNef Pmcurement

Officer wSI mducs his deciskm to wdgng and mail or otherwise fumkrh a copy thereof to the Contractor and Director..

Dispute wxxsutlon as prcvNed herein shag be s condition precedent to any ether action at hw or in equity.

Notwlthskuxsng a dispute, Contractor shall continue to discharge as ils obsgasons, degas and rssponslbgiifes set forth In

the Contract during any dispute resolution proceetgng unless cthelwkre agreed to by Ste County In wrlgng.

GC-10 CONTRACT AMENDMBNTB

Ths purges'may during the tenn of the Contraot make amendments to the Contract but only as provided inthis'ection,

Such amendmsnts shall only be made by mutual agreement in writing.

In the csee of Contracts nol approved by the Bcanl, the Chief Pmcursment Officer may amend a conkact provided

that any such amendment does not extend the Contract by more Sian one (1)year, and further provided that the total

cost of ag such amendments does not increase Sre total amount of the Contract beyond $150,000. Such action may

only be made with the advance wyitlen approval ol the Chief procuiemsnt Oificer. If Ihe amendment erdends the

Contract biyond one (1)year or Increases the total award amount beyond $160,000, gwn Board spprowu wgl berequired.

No Using Agency or employee thereof hss aulhority to make any amendments to Sw Contract. Any modifications or

amsndmenls to the Contract made without the express wditten approval of the Chiel Pmcurement Ogicsr Is void and

unenfomeable.

Contractor is hereby notified that, sxospt for amendments which are made In accordance with this GC-10

Modifications and Amendments, no Using Agency or employee thereof has authority to make any modlgcatlon oramendment to the ContracL

GC-11 DEFAULT

Contrsctcr shall be In default hereunder In the event of a material breach by Conksctor of any term or condition of this

Contract where Contractor hss faged to cure such breach wghln ten (10) days sitar wdtten notice of bmach ls given to

Contractor by the County, setSng forth the nature oi such breach.

A material breach of the contract by ths Conkactor Includes but is nct limited to the fogcwlng:

1. Failure to begin perfonnance under ths Contract within the specified time;

2. Fasure to perform under ths contnus wsh sufsolent personnel, equipment,ormatsrlals to ensure completion

of said performance within the specgied time or fagure to assign quaSSed personnel to ensure completion

wghln the specified Sme;

3. Perfonnance of the Contract in an unsagsfactory m'armer;

4. Refusal to perform services deemed to be defeotivs or unsuitable;

5. Discontinuance cf performance ol Contractods obggeSons under ths Contract or the Impairment or thenmsonable progress of performance

6, Becoming insolvent, being declan'ankrupt or commining any act of bankruptcy or insolvency;

7, Any assignment of Ihe Contract for Ihe benefit of oredilong

GC-3 3/201 5

CONTRACT NO. 1685-14878

GENERAL CONDITIONS

GC 11 DEFAULT IcoiVL)

8. Any cause whatsoever which Im pairs pertormancs In an acceptable manner or

9. Any other material bmach of any term or condition of the Contract.

County shaH be in default hemunder if any makmal breach of Hre Contract by the County occurs whhh ls not cured by

. the Counly within fmty-five (46) days after wrigen notice of breach has been.given by Contractor to the County, sstgngforth the nature of such breach.

GC-12 COUNTtnS REMEDIES

If the Contractor falls to remedy a material breech during the ten (10)day cure period pumuant to Genwal Condition GC-11, Default, the County shall have the right to terminate the Conlraol provided, howeVer, that ths County shag giveContractor prior, written nolioe of Its intent to termktats. Fogmring notice of breach to Contracter, ths Couniy mesrvee

the right to withhold payments owed to Contractor unffl such Hms as Contmctor has cured ths breach which le thasubject mailer of the notice: In addition, ths Courriy shall have the right to pursue el remedies in law or equity.

GC-13 CONTRACTOR'8 REMEDIES

If the County hae been noSied of breach and falls to remedy Hre breach during Hre forty five (46) day cure periodpursuant to General Condkkm GC.11, Default, the Contractor shall have the right tc terminate this Contract providing,however, that Contractor ehsH give ths Counqr thiriy (30) days prkx written notice ct tcnnlnatlon.

Contra@or shall have the dght to pursue sH remedies availabls in ktw or equity. Ia sg cases the Contrachr's damagesshall be Sess provable damages not to exceed the value of the Contract as averred by the Cook County Board of

Commlaakmers or ths Chief Pmcurement OScer.

. GC 14 DELATS

Conliactcr agrees that no chmges or claims for damages shall be made by Contractor for any delays or hindrances from

any cause whatsoever related to the performanoe of the ContracL

GC-16 INSURANCE REQUSIEMENTS

Waiver cfSubrneatlon

AH insurance policies shall contain a Waiver rri Subrogation Endorsement in favorrri Cook County.

Insurance Rsouimmente of the Contractor

No later Hmn the effectiv date of this Contract, ths Contraoior, at Its cost. shall secure and maintah at ag times,unless speciged othenviae, untg completion of the term of this Contract ths insurance specified below.

GC4 3/2016

CONTRACT NO. 1585-14578

GENERAL CONDITIONS

SC 16 SISURANCE REQUIREMENTS roon't.l

Nothing contained In these insurance requirements is to be construed as limigng the extent of the Contractor's

responsgrility for payment of damages resumng from its perlonnance of this Contract The insurance purchased and

maintained by the Contractor shall be primary and not excess or pro rata to any dher Insurance Issued to the County.

Ccntracmr shall require ag subcontractors to provide ths Insdrance required h tfds Contract, or Contractor msy

pmvlde the coverages for the subcontractom. Ag subcontractors are subject to the same Insurance requirements asContractor except paragraph (d) Excess Liabgty or unless spec%ed othenvlss. The Cook County Department of Risk

Msnsgmnent maintains the right to modify, dekris, alter or change these requiremenla

Caverages

(a) Workers Comoenssllon Inmaance

Workers'ompensation shall be in acoord ance with the laws cl ths State of lllinokr or any other

ap plicatrie jurisdiction.

The Workers Compensagon policy shall also include the followhg pmvisions:

Employers'iability coverage with a limit of

3500,000 each Accment

5500,000 each Employee8500.000 Policy Umit for Disease

(b) Commevclst General Liehgltv Insurance

The Commemisl General Liabglty shall be on an occurrence fosn basis to cOver bod gy inJury andproperty damage including hss of uss.

The Gsneml Liability limits shall not be less gmn 31 000 000 per occurrence and 82 000 000aggregate combined single limit for bodily injury and property damage. The General Uabllity policy

shall Indude; without llmltagon the following coveragssr-

(1) Ag premises and operations;

(2) Contractual Liability;

(3) .Products/Completed Operations;

(4) Sev'smbglty of interest/sepsragon of insureds clause,

(c) Automobge Liabilitv Insmance

When eny vehides are used in the performance of the Contrad, Contractor shall secure

Automobge Uabigty Insumnce to cover ag owned, non-owned sndhlred autcmobges, trucks snd

trallem. The gmlts of liability shall not be less than the following:

(1) Uability - All Autos: Bodily InJury 6 Property Damage -S1,000,000psr Occunence

(2) Uninsured/Motorlskx Per illinois Requirements

GC-5 3/2015

CONTRACT NO. I555-14578

GENERAL CONDITIONS

60-16 INSURANCE REDlEREMSNTS Icon't.l

(d) Umbrage/Excess Uebgltv Insurance

In addgon to the coverages and limits speciTied above, Contractor shall secure and maintain a limitof liabiliiy no less than $1,000,000each occurmnce for ag liabigy.

2. Additional mqufmmtmts

(a) Addklonal Insured

Cook County, its officials, employees and agents shall be named as additional insumds under theCommercial General LiabiSy policy and Aukxnobge Liability polky. Contractor's insurance shall beprimary and non.contributory with any Insurance maintained by Cook County. Any insuranoe orself.insurance maintained by Cook County shag be excess of dw Contractor's Insurance and shagnot contribute with it. The full policy limits and scope of protsc5on shall apply to Cook County as anaddlhonal insured even il they exceed the minimum insurance limits specified above.

(b) Qualiflcsrion of Insurere

All Insumncs companies Pmvldlng coverage shall be Ihsnsed or aPProved by the Depariment offnsurance, Stats of gllnols, and shall have a gnanclal rating no kxrer than (A) Vll es listed In AM.Best's Key Rating Guide, ament edition or Irrisrim report. Companies with ratings lower than (A-)VII will be acceptable only upon wriuen consent of the Cook County Department of Rkri<

ManagemenL

(c) Insurance Notices

All Polldes ol insuranos whkh may be requlmd under tenne oftNs Contract shall be endorsed toprovide gmt the insurance company shall nogfy the Cook CouniyOflice of the Chief ProcuremsntOificer, 118North Clark Sheet, Room 1018,Chicago, illinois 00502 at least 30 days prior to theeffective date of any cancellalion or modlffcadon of such policies. Prior to ths date on whichContractor commences performance of its pmt of the work, Contractor shall furnish to the Countycenglcakm of insurance maintained by Contraolor.

In no avant shall any failure of ths County to receive Cerllgcates cf Insurance requked hereof or todemand receipt of such CerbTicates of Insurance be construed as a waiver of Contmmor'sobligations to obtain insurance pursuant to these insurance rsquimrssnts.

GC-16 PATENlS. COPYRIGHTS AND LICENBES

Contractor agrees to hokl harmless and indemnify the County, its ofgclals, agents, employees and sggales fmm anddefend, as permitted by gsmis law, at its own 'expense (including masonable ~,accountantrr and

consukanls'ees),

any suit or proceeding brought against County based upon a dam that the ownership and/or use of equipment,hardware and software or any part thereof uEixed in performing Contractor's senricss oonsEutes an infringement of anypatent,.copyright or license or any other intelleckml property right

In the evsrri ths use of any equipment, hardware or softwam or any Part thenwf b en)oined, Contractor with allreasonable speed and dus diligence shall prcvkfe or otherwlss cecum for Couniy, el the Contractor's slscgon, cns of thefallowing': dm right to condnue 'use of the equipment, hardware or scftwam; sn equivalent syrrism having theSpecificsgons as provided in this Contract; or to modily the syrrism or its compcnsrri paris so that 6 becomes non-infringing whgs performing in a substantially similar manner to the original system, rneegng the Specgicsgons of thisContract.

GC-8 3/2015

CONTRACT NO. 1565-14678

GENERALCONDITIONS

GC-17 IXNNPLIANCEWITHLAWS

The Contractor shall observe and comply vSh the laws, ordinances, rsgulagons and codes ol the Federal, Stats, Countyand cdrer local government agencies which may in any manner agect ths perionruwce of ths ContracL including but notlimited to those County Ongnances set forth in ths CeWflcatione, Affidavits or EDS attached hereto and incorporatedherein. Assurance of compliance with this mquhemsnt by the Contractor'4 emptcyrum, agents or subcontractors shaNbe the msponsibilily of the Contractor.

The Contractor shall secure and pay for aN federal, slate and best Ncensse, psrmhs and fess requlmd In order toperform ttris Contract.

GC 18 DELIVERY

All Conhact goods, equiPment or suPPlies shiPPsri to the County shall bs shlPPsd F.O.Bo DESTINATK)N, FREIGHTPREPAID. Arrangemente shag be made in advance by the Contractor In order that gw County may arrange for receipt ofthe materials.

Truck degverles will be accepted before 390 P.M. on weekdays only. No deliverie will be accepted on Saturdays,Sundays or County Holidaya The County kt nol responsible for delivery delays due to waiting Nmes for loading.andunloading al delivery lccefiana

The quanGy of Contract goods, equipment or supplies based on weight that am degvwsd by truck wg be ascertainedfmm a weight certificate issued by a duly Nomsed publb Wslght4hster. In ths cess ol degvery by.rsg, weight wig beascertained from bill of lading from originating Nne, but the Cowriy reserves ths riglrito m-weigh at the nearest availableraNroad scale.

The County reserves the right Io add new defvsry localions or delete previously feted dsfvery locagons as requiredduring the Contract period. The only rsstrictkn regangng the County's right to add new degvsry locagons shag be thatany new or additional locagon shall be within the gecgmphbal boundaries of the County ol Cook.

GC'10 MINORITY AND WOMEN BUSINESS ENTERPRISESCOOK COUNTY ORDINANCE CHAPTER 34. DIVISION 8 SECTION 34-260 to SECTION SW00

I. POUCY AND GOALS

It Is ths pogcy,of the County of Cook to prevent discrimination In ths awanf of or psrilrripsNon In CountyContracts and to eliminate arbitrary bamers for participation in such ccntrarm by local businesses certigedas a Minority Bushess Enterprise (MBE) and Womervuwned Business Estsrprise (WBE) as both prime andsubcontractors. In furtherance of this policy, the Cook County Board cf Commisslonms has adopted ahgnority- and Wcmen~wned Business Enterpris'e Owgnance (ths oOnlhanceo) which mriablishes annualgoals for friBE and WBE parNN patioh as outgned below:

Goods and Senrices

Construction

Pmfesslonat Services

GoalsMBE

25yo

24%36% Ovsrag

WBEIOYo

to%%uo

GC-7 3/2015

CONTRACT NO. 1585.14878

GENERAL CONDITIONS

OC-18 MINORITY AND WOMEN BUSINESS ENTERPRISESCOOK COUNTY ORDINANCE CHAPTER $4. DIVISION 8 SECTION $4 $88 ta SECTION $4888 icon'Ll

The County shag set co'nhwct specltlc goals, based on the availability of IEBEsand WBEs that am cerSlad toProvide commodities or sendcee specified fn this sollcllatlan document. The MBE/WBE pstttelpetiongoals for this eontrset are 0% MBEIWBE overall psrtieipstion.

B, A Sd, Quotation, or proposal shall be re)ected if the caunty deatrmines that it falls to oomply with thisGeneral Condition in any way, Including but not gmlted to: (I) failing to sts» sn snfomeable commitment toachieve for ibis contract thb Idenggsd MBEIWBE Contnmt goals; or (5) falling to Include a petltlan for .Reduction/Waiver, which states that ths goals for MBBWBE partidpssm are not affrrinable despite thsBidder or Proposer Good Faith Eflorls, and explains why. It a Bid, QurxNon, or Proposal is ref»ted, then anew Bid, Quotation, or Proposal may be solicited if the pubgc interest is sewed thereby.

C, To the exlsnt that a Sd, Quotation, or pmpasal Includes a Pegtlon fir RsducgonlWalvsr that ls approved by5» Cfffcs of Corrirad Compliance, the contract specigc MBE snd WBE psrgdpatlon goals may be achievedby the proposed Bidder or ProposeVs status as an MBE or WBE; by the Sdder or Proposer's enforceableioint-venture agreement with one or more MBEs andior WBEs; by the ttddsr or Proposer entering into oneor more enforceatNe subcontracting ag»ements with one or more MBE snd WBE; by the Sdder or Proposerestablishing and carrying out an enioroeable mentor/protdgd agreemsrs with one or mors MBE and WBE;by the Bidder or Praposer actively engagbrg the Indlreot Fargo/pagan ol ciw ar mars MBE and WBE in otheraspects of Its business; or by, any cambtntrilon of the foregoing, so long ss ths Utglzagan Plan evidences acommitment'to meet the MBE snd WBE Contract goals sst farth in (B)shove, as approvsdby the Office ofContract Compliance.

D. A single Person, ae defined in ths Procurement Code, may nat be utilized as both an MBE and a WBE onihs same Contracb whe! her as a contractor, subcontractor or supplier.

E. Unless specifically waived in the Bid or Proposal Documents, this General Condition, GC-1$; the Ordinance;snd the policies and procedures promulgated thereunder shall govern. If ihere is s conllict bah»en this GC-18 snd ths Ordinance or the policies and procedures, the Ordinance shall ccnlrol.

A CantractoVs fagure to cany aut Its commitment regarclng MBE and WSE participation In Ihs course of thecantract'4 Pertormance may aanstltuls a material breach of ths contract. If such breach ls not appropriatelycured, It may result in withholding d payments under the Contract, cantneaml penalties, dlaluagffcatlan andany other remedy provided for in Divishn 4 of the Procumment Cods at hw or in equity.

II. REQUIRED BID OR PROPOSAL SUBMITTALS

A Bidder or Pmposer shat document Its'camnNmem to msegng the Contract specffic MBE and WBE participation

goals by submitting a Utiltzagon Plan with 5» BM or Proposal. The Utglzatlon Ptm sh'sll Include (1) one or momLetter(s) af Ilrtent from the rsfsvant MBE and WBE firms; and (2) current Loiters al Csrsfication as an MBE ar WBE.Alternatively, the Bidder or proposer shall submh (1) a written peggon for Rsducricnhvslvsr with the Bid, Quotagon orProposal which documsnfs ils preceding Good Faith Effort and an explanation d its inability to meet the goals forMBE and WBE participation. The Utilization Plan shall be submitted at the gme that the bid or proposal is due.Faffure to Inoluds a Utglaagon Plan wgl render S» submission not Responsive and shall be cause for theCPO to »)sot the Bid or Praposaf.,

GC-8 3/2015

CONTRACT NO. 1585-14878

GENERAL CONDITIONS

DC.18 SSINOftllY AND WOMEN BUSINESS ENTERPRISESCOOK COUNTY ORDINANCE CHAPTER 84. MIISION 8 SECTION 84888 to SECTION $4.888 /con't.l

II/IBE/WBE UtSlzsdon Plan

Each Bid or Proposal shall include s complete USSzatkm plan, as sel forth on Form 1 of the M/WBECmnpllance Forma The Utglzatlon Plan shall Include the, name(s), mailing address, smsg address, sndtelephone number of the principal contact person ol the relevant MBE and wBE firms. If the Bidder orProposer submits e SSd or Proposal, snd any of their subcontractors, suppgsrs or consuganls. are cergfledSIIBE or WBE firms, they shall be identEed as an MBE or WBE within the USlizstion Plan.

1. Letter/sl of Intent

Except as eet forth below, a Bid or proposal shall include, as, part cl ths Utf ization Plan, one or morsLeger(s) of Intent, as set forth on Form 2 of ths M/WBE Compgance Forms, exeoutsd by each MBE andWBE and the Bidder or Proposer. The Letter(s) cf Intent will be used to confirm that each MBE and WBEshag ps/form work as a subcontractor; supplier, joint venture, or consusanl on the ContracL Each Letter ofIntent shall indicate whether and the'degree to which gm MBE or WBE will provide goods or san/ress directlyor indirectly during gm term of the Contract. The box for direct parliclpaiicn shall be marked if the proposedMBE or WBE wgl provide goods or sendcee directly related to the scope cfSts Contract. The box for Indlmm

participation shag be mar(md If the proposed MBE or WBE wgl not be cgrscfy Involved in ths Contract butwgl bs utglzed by the Bidder or Proposer for other ssrvhes not related to ths Contract. Indksct Participationshall nct be counted toward the pargdpation goal. Each Letter of Intent shag accurately detail grs work to beperformed by ths mlevarit MBE or WBE firm, the agreed dollar amount, the psmentsge of work, snd thelerms cf payment.

Failure to Include Letlsr(s) of Intent will mnder the submission ncl Responsive and shall bs oavesfor the CPO to nsject the Bid or Proposal.

As Bids snd Proposzss must conform to the commitmsnts made in the corresponding Laser(s) of Intent, asmay be srnsndedthrough change onlms.

The Contract Complkrncs Director may St any Sme request supplemental infcrrnagon rsgardktg Letter(s) olIntent, and such information shall be furnished It the consspcndlng Sd or Proposal is to be deem'ed

responsive.

2. Letter/si of Certification

Only current l.stlsr(s) cf Csdlficagcn from one of the fogowlng sntEes may bs accepted as proof ofcerElcation for MBE/WBE status; provided that Cook County's requlmmsnts for csrgf ication are met:

~ County of Cook

~ City of Chicago

Persons thai are currently oertif led by ths City of Chicago in any area olhsr than Construction/Pubgc WorksshsS also complain and submit a MBE/WBE Reciprocal Cergfloatlon ASkfsvk along wgh a currant letter ofcerNicstton from gm City of Clucsgo. This Affidavit form can be downloaded fromwww.cookcountvil.oov/contrsctcomosance.

The Contract Complkmcs Director may reject the cergffcatkm of any MBE or WBE on Ihe gmund that It doesnot meet the rsquimments of the Ordinance, or ths pogckxr and rules pronwlgstsd themunder.

Gc-g. 3/2015

CONTRACT NO. I585-14670

. GENERAL CONDmONS

GC 10 MINORITY ANO WOMEN BUSINESS ENTERPRISESCOOK COUNTY ORDINANCS CHAPTER arL OIVISION 0 SECTION 3%%00 to 00CTION 3~00 fconSA

3. Joint Versure Affidavit

In the event a Bid or Proposal achieves MBE and/or WBE parilcipatlon through e Joint Venture, the Bid orProposal shall krclude the requlnid Joint Venture Affidavit, wNch can be dcwnloaded fromwww.ccokcountvg.cov/contractconuilhsnce. Ths Joint Venture Affidavit shall be submitted with the Bid or

Proposal; along with ourrent Letter(s) cf Certglcatlon.

S. Pemicn for Reduclon/Waiver

In ths event a Bid or Proposal dose nct meet the Contract specific goalsfor MBE and WBE participation, theBid cr proposal shall include a peslkm for Redutsion/waiver, as sel forth on Form 3. Ths petition for

Reduction/Waiver shall be sup porled by suiflclent evidence and documentation to demonstrate the Bidder orProposer's Good Fabh Efforts In attempting to achieve the applicable MBE and WBE goals, and its Inabglty

to do ao despite gs Good Faith Efforts

Failure to include Petition for Reduogon/Waiver wig render the submhurion not Responsive and shallbe cause for the CPO to reject the Sid or Proposal.

SI. REDUCTION/WAIVER OF MBE/WBE GOALS

Grsntinc or Denvinc e Reduction/Waiver Recuest.

1. The adequacy ol the Good Fabh Egorte to utilize MBE and WBE Ifnns in a Bid or Proposal wig beevaluated by the CCD under such conditions as are set forth In the Ordlnanoe, the pogdes and rules

promulgated thereunder, and in Ihe "Petition for Rsduolion/Waiver of MSE/WBE Pargdpation Goals'—Form 3 of the M/WBE Compliance Fcmis.

2. With respect to a Petition for Reduction/Waiver, gts sufficiency or inscBdency of a Bidder or Proposer'sGood Faith Egorls shall be evaluated by the CCB as of the date open which the corresponding Bid crProposal was due.

3. The Contract Compliance Director or his or her duly authorized Waiver Committee may grant or denythe Petition for Reduction/Waiver based upon fackus including but ma limited tc: (a) whether sufficient

qualified MBE snd WBE firms ms unavailable despite good faith slforis on the perl of the Bidder or

Proposer; (b) gm degree to which specifications and Ihe reasonabh and necessary requirements for

psrlcmtlng. ths Contract make 0 impossible or sconomlcsgy Infeasible to divide the contract Into

sufficiently smog tasks or qusntiges so as to enable the Bidder or Propoatr to utilize MBE and WBEtlrms In accordance with the appgcable goals; (c) gts degree to which the prices or pricss required by

any potengal MBE cr WBE srs more that 10%above competitive krveh; and (d) such other factors asare determineri relevant by the tkmtract Compliance Director or the duly authorized Wahnu Committee.

4. If the Contmct Compliance Director or ths duly authorized Waiver Committee determines that thsBidder or Proposer hss not demonstrated sufficient Good Faith Egcrls tc meet the apfScable MSE

and'BE

goals, Ihe Contract Compliance Director or the duly authorbsd Waiver Committee may deny aPetition for Rerknrilon/Waiver, declare the Bid or Proposal non-respwsive, and recommend re)ection ofthe Bid. Quctabon, or Proposal.

GC-10 3/2015

CONTRACT NO. 1585-14678

, GENERAL CONDITIONS

GC"18 MINORITY AND WOMEN SUSINESS ENTERPRISESCOOK COUNTY ORDINANCE CHAPTER 84: DIVISION 8 SECTION 84 250 to SECTION 84800 loon%.t

IV. CHANGES IN CONTRACTOR'8 UTILIZATION PLAN

A Contractor, during its perfermsnce of the Contract, may not change the origlnal MBE or WBEcommNments specBed in ths relevant Utlllzagon Plan, including but nol limited to, terminating a MBE orWBE Contract, reducing ths scope ol the wcrk to be perlemed by a MBEIWBE, or decreasing the price to 4MBEIWBE, except as otherwise pnwlded by the Czgnsnos snd sccoagng to the policies and procedurespmmulgated thereunder.

Where a Person gated under the Conbact was previously considered tobe a MBE or WBE bul is later foundnot to be, or work is found not to be creditable toward the MBE or WBE goals as stated in Ihe Utilization

plan, the Contractor shag seek to tgscharge the disquaNlsd enterprise, upon proper wrNen notigcagon.toths Contlaoi Compganos Director, and make every egori to identify and engage a qual lflbd MBE or WBE ashs replacement. Fagure to obtain an MBE or WBE replacement wlthlo 30 business days of the ContractCompliance Dtrectoys written appmvsl of the removal of a purported MBE or WBE may result in thetmmination of the Contract or the imposition of such needy authorized by the Ordinance, urriess a writtenPeNtion for ReducNorVWaiver is grarrisd allowing the Contractor to awsnl Nw work to a Person that is notcerNfied as an MBE or WBE.

V. NONCOMPLIANCE

It the CCD determines that Em Contractor has failed to comply with its contractual commilments or any portion of theOrdinance, the policies and pmcedures promulgated thereunder, or this GC-19, ihe Contract Compgance Directorshall no5fy the Contractor of such determination and may take any and all sppmprlate actions as set forth In theOrdinance or ths pogcles and procedures promulgated thereunder which Includes but ls not Nmlted to disqualghatlon,pensltiss. withholding of paynwnts or other remerges in law or squky.

Vl. IIEPORTING/RECORD-KEEPING REGUIREMENTS

The conbsctor shag,cornpfy with the reporting and record4eepktg requirements in ths manner and Nme estabgshedby the Orcgnancs, the pogckm and procedure promulgated thereunder, and Nw Contract Compgance Dlrsotor.Fagure to oomply with such reporting and reccrcHweplng riqulrements may result in a declaraNon of Contract default,Upon award of a Contract, a Contractor shall acquire and utilize ag Cook County rspmting and record-keeping fonnaand methods which are made avagable by the Cgics of Contract Compliance. MBE and WBE firms shall be requiredtc verify'payments made by and received from the prime contractor.

VE. EOUAL EMPLOYMENT OPPORTUNITY

Compliance with MBE and WBE requirements will not diminish or supplant other legal Equal Employment Opportunityand Civg Rights requirements that relate to conbactor and subconbactor obligations

Any quesgons regarding that section should be dkscted to:

Contract Compliance DirectorCook County118Norih Cbuk Street, Room 1020Chicago, Nlinois 60602(312) 6084EI02

GC-11 3/2015

CONTRACT NO. 1585-14675

GENERAL CONDITIONS

G040 MATERIAL DATA SAFETY SHEET

Where rsqulmd under the Ngnob 4Taxlc Substance Disclosure to Employees Act", Ninols Complied Stakrtes, 820 ILC8

255/1, Contractor shall submN with each dsbmry of Contract goods, equipmsnt ar supplies a Matsrird Safety Dale

Sheet.

0041 CONDUCT OF THE CONTRACTOR

The Conbactor agmss to biform the County on a timely basis oi ag ol the Contrsctorb interests, If any, which are orwhich the Contractor reasonably believes may be incompatible with any interest cf the County. Ths Contractor shall

take nagcs af and comply ttSh the Cook County Lobbyist Rsgkrtmgan Ordinance, Section 2421 et aL. Cook CountyCode. The Contractor shaN nat use for personal gain or make agrer improper uss af priVileged infannalion which is

acquired in connscfion with Ihe Cantract.

GC42 ACCIDENT REPORTS

Ths Chief Procurement Ogicer and Dirsclor shall bs given wriNsn notificauon wilhin twsntyqour (24) hours of any

occurrence, on the site or aSwwise, which pertains in any way la Ihe performance ot this Contract and Involves theContracte's personnel, or tholm of any of his subcontractors or agrers whether said accurrsnce be in Ihe nature of bodily

Injury to enqrtoyess or third parqes or property damage.

The report shall Include the name af person(s) br)urer, name of his employer, date, time and locatkn oi occurrence,extent af injury and/or damage, name(s) af syswNnesses, and who treated ths person(s) far Injuries sustained, and suchother information as may be nrtsvant. The Canbactor shall nofgy the local police cf any occunencs mquiMing an official

police rsconL lhe accident report should indhats whether ths police were notified and, if so, the number of the policeruper.

G043 USE OF PREMISES

Contractor shall confer with the Director to ascerlain fug knowhdge of ag rules and regulations of the County faciliuss

relative to this Contract and shel(comply thetswhh. The Contraclor shall confine Nm operations of ils empkryses to the

limits indicated by laws, mdinances, permgs antyor direction af Nm Director and shag not encumber Nm premises with

materials or debris. The Conbactor shall not load or permit any part of ths struckss to be loaded with a weight that wql

endanger its structural Integrky.

The Cauniy reswves the 'right to prohibit any psmcn from entering any Caunty fadqty for any reason. AN

subconlmctam, agents and employees of the Contractor shall be accountable tc Nm Director wivle an any County

property and shall abide by aN security regulsgans imposed by the County.

GC44 GENERAL NOTICE

AN notloes mqulrsd punmant to this Contract shall be in wriung and addressed to the purges st their respeogveaddresses set forih below. AN such notices shall be deemed duly given if hand dstversd or if deposked ln the United

States maN, registered or cerbTied, return receipt requested. Nobce as provided herein does nct waive service of

summons ar pmcess.

TO THE COUNTY:

Chief Pmcurement OMcer

County of CackRoom 1018 County Buu ding

118North Clark SkeetChicago, NNnols 60802

(Refsmnce County Conbacl Number)

GC-12 3/2015

CONTRACT NO. 1585-14678

GENERAL CONDITIONS

GC44 GENERAL NOTICE Caen't.l

TO THE CONTRACTOR:

At address provided In its bid document or as oNsrwiss indicated in wrEng to County.

GOD TERNNNATION FOR CONVENIENCE

The Counly may terminate this Contract, or any portion, at sny Nme by notice in writing from ths County to theContractor. Unless othsnrise stated in ths noNoe, the affective dale of such tennivrikrn shall be thms business daysafter the date the notice of twmination is malsd by the County. If.the County elects to terminate the Contract in full,

unless ogwwise specified in Ihe nothe of termination, the Cnbaolor shall immedisbriy cease pefcnnance and shsN

prompgy tender to the County aN work products, reviews, recommendations, reports, documents and analyses, whether

completed or In process. N the County sleds to terminate Ihe Contract in part, unless otherwise spsclgsd ki the sages of

Partial tennkxriion, the ontractor shag Immediately cease performance of those Forgone of the Contract which arsterminated snd shall promptly tender to the Courriy 88 work products, mvlews, recommendegons, reports, documenis

and analyses rslaUng to said porlions cf ths Contract, whether completed or in pmcess. Contractor shall refrain fram

lncumng any further costs wNh respect to porrions of the Contract which are termlnslsd except as spcilicagy approved

by ths Chkri Procurement Ollicer. The Contrarrior shall not Invoirxs the County for any goods, equipmsnt, supplies or

serrices pmw'ded after the effective date of termination.

GC 28 GUARANTEES AND WARRANTIES

Unless cNstwise stated herein, aN guarantees and warrantlss required shall be furnished by the Contreokx and shall bsdelivered to Ihs Director befom final payment on the Contract is issued. The Contnxaor agrees that ths Contract goods,equipmsm, supplies or senrices to be furnished shall be covered by the most favorable commensal warranties the

Contractor gives to any customer for the same or substsrgaly simgar Contract goods, equipment, supplies cr services

and thai the rights and remedies so pnwided sre in addition to and do not Nmlt eny dghls afforded to County.

GC-2T STANDARD OF CONTRACT GOOmL EOUIPMENT Oit SUPPLIES

Only new, oikilnaNy manufadumd Contract goods, equipment or supplies will be accepted by the County. The County

will not accept any Contact goods, equipment or supplies that have been refurbished, rebuilt, restored or renovated in

sny manner. In addition, expsrimental mataritris wNI'ntri be acceptable. Contract goods, equipment or supplies nct

produced by regular producrion methods andrcr which have not been offered for sale tO the public through acceptedIndustry trade channels for a masonable period of time prior to the offering of the proposal, wlN be considered

experimentrri.

GC-28 MNFIDENTIALITY AND OWNERSHIP OF DOCUMENTS

Contractor acknowledges and agrees that Inkmnatlon regarding this Contraot ls conNdenNal and shag not be disclosed,

dlracNy, Indkactly or by impNcaNon, or bs used by Contractor In any way, whether dwing ths term of this Contract or at

any fime Nrsmafter, except solely as required in Nre course of Conbactoys psrlormance of the ContracL Contractor shall

comply wNh lhe appgcabls privacy laws and regulations affecting the County and will not disclose any of Couniy's

rsrxrrds, material, or other data to any third psriy. contractor shaN not have the right to compile and rgstribute statistical

analyses and mpor!s utiliiing data derived fmm information or dskt obtained fram County without Nrs prior written

approval of County. In the event suoh approvtri ls given, any such reports pubgehed and distributed by Contraotor shall

be furnished to County without charge.

AN documerris, data, studies, reports, work product or product created as a result of Nw perfonnance of this Coreactshall be the properly of the County of Cook. It shel be a breach cf gris Contract fcr Nte Contracter to repnxlucs or use,

any descents, data, studies, mpori, work product or product obtained from the County of Cook or crerried hereby for Ns

own purposes or to be copied and used by any third party. During ths perfonnance of the services hsrtrin provided for,

the conbactor shall be esponsNris of any loss or damage to the county'8 documwls whge they am in the conlractoys

possssrrion, and any such document lost or damaged shag be restoad at the expense el the Ccntractor.

GC-13 3/2015

CONTRACT NO. 1585-14878

GENERAL CONOmCNS

GC~ GIIANTITIES

. Ths qusngges of materials rersdred for ths perlonnance of the Conlmct are estimates for the purpose ol determining anapprrzdnuds total Contract amount and may nct bs ths actual rprenliTies required durtng the term cf Nre Contract TheCouniy niservss the rtght to increase or decnmse ths quantities at the Contract prbe, to correspond to ihe actual needsof the County. The County wE be obligated lo ader and pay ior onfy such quantifes as are from time lo time ordered,degvererL and accepted on fxschase orders Issued by ths Chief Pmcummsnt Officer.

GC40 AIIOITr'EONINATION OP REOOROS

The Conbaclor agrees that Nre Cook Couniy Audkor or any of ils duly authorized reprswmtsgves shaN, unbl expiration of

three (3)yama alter the final payment under Nre Contract, have access and ths right to examine any boobs, documents,

pspsm, canceled checks, bank statemsnls, purveyor's and other invoices, and nrconfs of the Contractor misted to the

Contract, or to Contractcrb compganoe wsh any term, condEon or prcivislon Nrereof. The ontrador shall beresponsible for eslabgshlng end mainta)ning records sufflolsnt to document ths cosh associated with performanrs under

ths terms of gris Contract.

The Ccnbrurtor further agrees that it shag Indude In aN of Its subcontracts hereunder a provision to the effect that the

subconbachr agmes that Nrs Cock County Aurffor or any of its duly authorized representatives shag, unE expiration of

three (3) yearn after final payment under the subcontract, have access and the right lo examine any books, document,papers, canceled checks, bank statements, purvsyorb and other Invoices and recozls of such su conractor involving

tianssolkms misting to ths subcontract, or to such subcontractoi's compfancs wgh sny tenn, condbbn oi'rovlelonthereunder or under ths Conbact.

In the evsrit lhs Contractor receives payment under the Contract, mlmbumsment for which is later dissgowed by ths

County, Ihe Contractor shaN pmmptly refund ths disallowed amourrt lo the County on mquest, or at Ihe County's option,

the Counly may credit the amount disagowsd bum the next payment dus or to became dus to the Contrador under any

contract with lhe County.

G~f GOVERNING LAW

This Conbact shall be goveswd by and construed under ths laws of the State of INinois. The Contnurtor irrevocably

agrees that, subject to'the county's sole and absohts election, any'actioh or proceeding in any way, marirter or rsipectaria)ng out of ths Contract, or srtslng from any dispute or controversy In connedlon wNh or related to the Contract, shall

be Nggaled.only in courts wbhtn the Cimult Court of Cook Counly, Stats cf Ngnob, snd the Conirackw consents and

submits to fhe jurbdlction Nremoi. In accordance with these provbions, Contractdrwaives any right it may have totransfer or change ths venue of any litigation hought agsinsl il by gre County pursuant to this Contraot.

GCul2 COOPERATION WITH INSPECTOR GENERAL

Contraotom, suboontractors, Ncensees, grentees or persons or busInesses who have a County contract, grant, Noense,

or csrNNcallon cf eligibility for County contracts shall abide by sg of the sppgcable provisions of Nte Office of Ihs

Independenl Inspector Geneml Ordinance (SeNon 2-281 et. seq. of the Cook County.Code of Ordinances). Failure tocooperate as required may msult in monetaiy andror other psnalgwz

GC~ WAIVER

No tenn or provision of this contract shall be deemed waived and no breach consented to unless such waiver orconsent shag be in writing and signed by the party claimed to have waived or consented. The waivxv of any such

provision shaN be strictly limited to the Identified tenn or provision.

GC-14 3/2015

CONTRACT NO. 1585-14878

GENERAL CONDlllONS

GOas ENllRE coNTRADT

It ls expressly agreed that Ihe provisions sel fonh in this Contract consEute ag the understandings and agresmsnlsbetween gm pariles. Any prior agreements, pmrnisss, negogagons, or repsenkricrnw not expressly set forlh in this

Contract we of no force and egect.

GC46 FORCE MAJEURE

Nekher Conkaotor nor County shall bs gable for faEng to fulgll any obggatlon undergris Contract If such fallum ls oaused

by an event beyond such peri)/e reasonable conbol and which kr not caused by such party's fault or negligence. Suchevents shaN be limited to acts of God, acts of war, gree, lightning, goods, epidemics, cr riots.

GC46 GOVERNMENTAL JOINT PURCHASING AGREEMENT

Pursuant to Secgon 4 cf Ihe gllnols Govwnmental Joint Pumhaslng Aot (30ILCS 525) and the Joint PurchaseAgm'ament eppnwed by the Cook County Board of Commissioners (Aprg 9, 1955), other units of government maypurchase goods, supplies, equipment or senrices under this Cantmct.

In the event that other agencies pamcipate in a joint procurement, the County reserves the right to mnegogiate theprice to accommodate the larger vOlume.

GOAT COMPARABLE GOVERNMENT PROCURENIENT

As permEsd by the County of Cook, other government entitiss, ii authorized by hw, may wish to also purchase Me

goods, supplies, services or equipment under the same terms and conditions contained In grkr Contract (Le.,companririe government procuremsnt). Each entity wishing to reference this Ccnkact must have pfior authorization

from ths County of Cook and the Contractor. 5 such participation is authorized. ag purchase ordem v/lg be issueddirectly fmm and shipped direcgy to the entity requiring the goods, sup pges, equlpmsnt or senricwL The County shall

not be hekl responsible for any orders placed, degvsries made or payment for 5re goods, suppges, equipment orservices ordered by these entities. Each enNy reserves the. right to determkre the amount cf goods, supplies,equipment or senrices it wishes to purchase under this ContracL

GCGB FEDERAL CLAUSES

The folkrwlng provisions apply to ag Contracts whhh ars funded In whole or In pwt with federal funds.

1. Interest of Membem of or Delecates to the United Stains Conoress

in accordance with 41 U.S.C.5 22, the Contractor agmes that it will not admit any member of or delegate tothe United States Congress to any share or pari of the Contract or any benefit derived themirom.

2. False cr Fraudulent Statements and Claims

(a) The contramor recognizes that the requirements of the Prognsn Freud civil Remedies Act of 1988,as amended, 49 U.S.C. Sg 3081 et seq and U.S. DOT regulations, "Program Fraud Civil

Remergws," 49 C.F.R. Part 31, apply to its acgons pertaining to the ContracL Accordingly, by

signing the Contract, the Contractor certiges or affirms the tmririulness and accuracy of anystatemeht It has made, Il makes, or It may make Pertaining lo the Contract, including without

gmltatlon any Invoice for ks services. In addigon to other psnsEss that may be applicable, the'ohtfimtor akm acknowledges that It it makes a false, ficgtkxs, or fraudulerit'krfm,"sfetement,

'ubmission,or certification, the Federal Government reserves the right to impose ths penalties ofthe Program Fraud Civil Remedies Act of 1988.as amended, cn the Contractor to the extent theFederal Government deems appropriate.

GC-15 3/2015

CONTRACT NO. 1585-14678

GENERAL CONDmONS

GC4$ FEDERAL CLAUSES foon't.l

(b) The Contractor also acknowledges that if it makes a false, flcSlcus, or fraudulent clean, statement,submiMon, or certification to the County or Federal Government In connection wgh an urbanized

area formula project financed with Fedeml assistance authorized by 49 US.C. 5 5307, lhe

Government reserves the right to Impose on gm Contractor the penalties of 18 U.S.C. 5 1001 and

48 U.8.C.56307(n)(1),

touche

extent the Fedwal Government deems appropriate.

3, Federal Interest in Patents

(a) General., If any invention, improvement, or discovery of the Conlracor is concehard or first actually

reduced lo practice in the course of or under the Contract, acd that invention, improvement, ordiscovery ls patentable under the laws of grs Unites States ol America or any fomign country, thsContractor agrees to notgy County Immediately and pmvlds a detailed report.

Federal Rights. Unless the Federal Government later makes s contrary detenninagon In writing,

the rights and responsibiliges of ths County, Contractor, and the Federal Government pertaining tothat invengon, improvement, or discovery wig be determined in accordance with applicable Federal

laws and regulations, inckugng any waiver thereof. Unless the Federal Government later makes acontrary determination In wrigng, ths Contractor agrees that, irnuqxrctive of ils surkm or the statusof any subcontractor at any tier (e.g., a large buelneis, smog business, nonrttrcfg organization,

Instltugcn cf higher eduoatkm, individual), the Contractor agrees It wgl transmit lo the FederalGovernment those rights due the Federal Government in any invsngon resulting fmm the contract.

Federal Interest in Data and Convnohts

(a) Dsflnl5on. Ths term "subject data'sed In this sscgon mesne recorded Information, whether or not

copyrighted, that is delivered or specged to be degvemd under the Contract, Examples Include,but srs not limited, trz computer software, engineering drawings and associated lists,

speciTrcagons, standards, process sheets, manuals, technical reports, catalog item identifications,

and rebdsd information. The term "subject rkds'oes not Inckrde financial reports, cost analyses,and similar information Incidental to Contract administration.

(b)

(c)

Federal Restriotlons. The fogowlng restdcgons apply to ag subJect data first produced In the

performance of ths Contract Except as provided in the Contract and except for ils own Internal

uee, the Contractor may not publish or publhly reproduce subject data In whole or in part, or in any

manner or form, nor may gm Contractor authorize others to do so, without the wrigsn consent of

the County and the Federal Government, until such time as ge Federal Government may haveeither released or approved the release of such data to ths publb.

Federal Rights in Data snd Copyrights. In acoordance with subparts 34 and 36 of the Common

Rule, the County and the Federal Government reserve a royalty-free. nonexclusive andirrevocable license to reproduce, publish, or otherwise use, asd to authodze ogrsm to use, for

County or Federal Government purposes, the types of subject data described bekxe. Without the

ccpyrtght ownerts conssnL gts County and Federal Government may not extend their license toother'urges.

(I) Any subJect data developed under the oontract or subagresment financed by a federal

Grant Agreement or Cooperative Agmernent, whegwr or n'ot a copyright has beenobtained; and

(2) Any rights of copyright whloh gm Contractor pumhases ownership with Federal

assistance.

GC-I 8 3/2015

CONTRACT NO. 1585-14678

GENERAL CONDmONS

GC4IS FEDERAL CLAUSSS fcon't.)

(d) Special Federal Rights for Pktnning Research and Development Pmjects. When the FederalGovsmmenl provides financial assistance for a pktnning, research, development, or demonstration

projecL ffs general intention is to Increase public knowledge, rsffrsr than limit ffm benefits of the

project lo participants in lhs project. Thmefore, unless the Federal Government determines

othsrwlss, ths Contraojor on a planning, research, dsvelopmenl, or dsmonstraffcn project agreesthat, in addfflon to ths rights In data and copyrights set fcdh above, ths County ol'ederalGovernment may make avsffable to any third party'ither a ffcense In the copyright to the subjectdata or a copy of ths subject data. If the pmject is not complekrd for any reason whatsoever, aff

data devekped under the project will become subject data andmff be delivered as the county orFederal Government may direct. This subsection, however, does nol apply lo adaptions cfsutomaffc data processing equipment or previously exlsgng sckwsre programs for the County'e usswhose costs ars financed wffh Federal transportsgon funds for capital projects.

(s) Hold Harmless. Unless prohibited by stats lsw, upon reqwsa by ths County or ths Federal

Government, the Contractor agrees to indemnify, save, and Md harmless the County and theFederal Government and ffmir officers, agmds, and smployws acgng within the scope of their

official duffes against any gablllty, including costs and expenses, resufflng from any willful orintentional violation by the Contraolor of propdetary dghts, copfdgMs, or dght of pdvacy, arising oul

of the pubgcatlon, translation, mproductlcn, delivery, use, or dbpcsffion of any data furnished under

ths Contract. Ths Contractor wgl not be required to Indemnify the County or Federal Goveminent

for any such liability arising out of the wrongful acts of employees or agents cl the County orFederal Government.

(I) Restrictions on Acoess to Patent Rights. Nothing contained in this section on dgMs In data wffl

'mply a ffcense to the County or Federal Government under any patent or be conslrued as affectIng

ths scope of any license or other right otherwise granted to Ihe County or Fedsml Government'nder any patent.

6.

(g) Appffcagon on Materials Incorporated into project. The requirwnents of Subsecffons 2, 3, and 4 of

this Secffon do not apply to materiel furnished by the County sad krcorpcrated Into ffm work.

Records end Audas

Contractor wgl degvsr or cause to be delivered ell documents (including bul not limited to aff Dslivsrables

and supporting data, records, graphs, charts snd notes) prepared by cr for ths County under the terms of.IMs Agreement to ffw County prompgy In accordance with the time ffnds prescribed in this Contract, and 5no ffme ffmlt ls specified, then upon masonable demand therefor or upon termination or completion ol thsServices hsfsunder. In the event of the failure by the Contractdr to make such delivery, then and In that

event, the Contractor will pey to County reasonable damages the County.may suslain by reason themof,

The County and the Federal Government will have the right to audit el payments made to ffrs Contractor

under this Agreement. Any payments to the Contractor which exceed the amount to which the Contractor is

enfftlsd under the terms o'I this Agmement will be subject to setwff.

The Contractor will keep and retain records relating to IMs Agmement snd will make such records available

to representatives of ths Couniy snd the Federal Government, includbg s5hout llmltaffcn the sponsodng

federal agency, cgmr participating agencies, and the Comptroller General of the United States, atnmsonable times dudng the performance of this Agmmnent and for at Isssl five years affsr termination ofthis Agreement for purposes of audit, inspection, copyktg, transcribing and abstracting.

No provision In Ibis Agmement grengng the County or the Federal Government a right of access to rsconlsis intended to impair, ffmlt or affect any right of access to such records which the County or the Federal

Government would have had in the absence of such prrnrisions.

GC-17 3/2016

CONTRACT NO. 1685-14878

GENERAL CONDITIONS

GC~ FEDERAL CLAUSES fccn't.'I

Environmental Rsoulmmsnts

The Contractor recognizes that many Federal snd stats laws imposing environmental and resourceconservation requimments may apply. Io the Contract Some, but not all, of the major Federal Laws that

mey affsct the Contmct includm the Ns5onal Environmental Policy Act cl 1969, as amended, 42 U.S.C.554321 et seq 4 the Clean Air Act, as amended, 42 U.S.C.()5 7401 et seq. acd ecattemd secgons of 29 U.S.C4the Clean Water Act, as amended, scattered sections of SS U,S.C. acd 12 U.S.CJ the ResourceConservation and Rsrevery Act, as amended, 42 UJ'.C. 55 6901 st eeqc and the ComprehensiveEnvimnrnental Response, Compensagcn, and Liability acct, as amendst( 42 U.S.C.55 9N1 et seq. TheContractor also nmognizes that U.S. EPA, U.S. DOT and other agericies cf the Federal Government haveIssued and ars expected in the futum lo issue rsgulaticns, guidelines, ruscdards, orders, dimcffves, or otherrequirements that may affect ths conuact. Thus, the contractor agrees to adhere to, and hspose on itssubcontractors, sny such Federal requirements as the Federal Government may now or in the futurepmmulgate.. Listed below ars rsqulremerits of particular concern.

The Contractor schnoudedges that ibis list doss not consltuts the Contractor's entire obffgsffcn to meet all

Federal environmental and reeoume coneervauon. mquirsmsnts. The Contractor will include theseprmfslons In aff Subcontracts.

(a) Environmental protscffon. The Ccniraotor agrees to comply with ths applicable requirements ol theNational Environmental Poffcy Act of 1969, as amended, 42 UB.C 55 4321 et seq. bt accordancewith Execugvs Order No. 12898, "Federal Achons to Address Environmental Jusffce in Minortty

Populations and Low-Income Populations," 59 Fed. Reg. 7629, Feb. 16, 1994; U:S. DOT statutory

requirements cn envimnmentsl matters at 49 U.S.C, 5 6324(b); Council on Environmental Quality

rsgplatlons on compliance wffh the National Environmental poky Act of 1969, as amended, 40C,F.R. Part 1600 st eeq.; and U.S. DOT regulations, "Environmental Impact snd RelatedProcedures," 23 C.F.R.Part 771 and ml C.F.R.Pert 622.

(b) Air Qualiiy. The Contractor agrees to comply with all applicable shmdsrds, orders, or mgulations

issued pumusnt to the Clean Air Act, as amended, 42 U.S.C. 55 7401 et seq. 'pecifically, theContractor agrees to comply wffh applicable requirements of U.S. EPA regulations, 'Conformity toStats of Federal lmplementeffon Plane of Trsnsporlatlon Plans, Programs, and Projecls Developed,Funded or Approved Under Tigs 23 'U 8 C. or the Federal Transit Act," 40 C F R. Part 51, Sub pariT; and 'Determining Confonnffy of Federal Actions to State or Federal Implemenlaffon Plans," 40C.F.R.Pari tut. The Contractor further agrees to report and require each subcontractor at any tier

to report any violation of these requirements rssulffng from any Contract implemenlaffon activity tothe County and the appropriate U.S. EPA Regional Office.

(c) Clean Water, The Contractor agrees to comply with ag appllcstue stendartis, orders, or regulationsissued pumuant to the FederalWater Pollution Control Aot, as emended, 33 USC. 551251 et seq.The Contractor further agmes to report and require each subccnhactcr at any ger tc report anyviolation cf these requiremmus resulting fram any Contract Imphrmentation activgy to ths County

and ths appropriate U.S. EPA Regional'Office.

(d) List of Violating Facilities. The Contractor agrees that any facility to be used In the performance of

the Contract or to benefit from the Contract wlff not be listed on ths U.S, EPA IJst of Violating

Facilitiss ("List"), and the Contractor will prompffy notify the County If the Contractor receives anycommunics6on from ths U.S. EPA that such a facility is under consideration for indusion on theList.

GC-18 3f2015

CONTRACT NO. 1585-14875

GENERAL CONDITIONS

GC4tg FEDERAL CLAUSES loon't.)

(e) Preference tor Recycled products. To the extent practicable snd econombally feasible snd to theextent gmt it does not reduos or impair the quality of the wark, the'ontractor agrees to userecycled products in perfonnance of the Cordract pursuant to U9. Environment Prutscgon Agency(U.S. EPA) guidelines at 40 C.F.R.Parts 24M53, which implement section 8002 cf the ResourceConssrvagon and Recovery Acl, as amended, 42 U.S.C.8 5952.

7, No Excluslonarvor Dlscrlmlnstorv Soscigcatlons

Apart from inconshdsnt requirsmerds imposed by Federal statute or regulsgocs, the Contractor agrees that it

will comply with the requirements ol 49 U.S.C.8 6323(h)(2) by refraining fmm using any Federal assistanceto support suboontraols prooured wdng exclusionary or discriminatory spsdgcstions.

8. Garou Preference - Uss oi Unhsd States Fisc Vessels

The Contractor agrees to comply with U.S. Maritime Administration rsguligcns, "Cargo-Pret'srence —U.S.Rag Vessels," 49 C.F.R. Part 381, and to include the dauses required by those regulations, modified asnecessary to identify the affected purges, in each subcontract or subagresmsnt involving equipment,

materials, or commodl gee suitable for transport by ocean vessel.

9. Flv Arnsrloa

Seclion 14.c of the Master Agreement states that if ths contract cr subcontracts may involve theInternational transportation of goods, equipment, or personnel by air, ths contract must require Contractorsand subcontractors al every tier to use U.s.-flag air carriers, to the sdenl service by these carriers ls

availabls. 49 U.S.C.40115 and 4 C.F.R.Part 62.

10. No Federal Government Obgoatlons to Third Panisc

The Contractor agrees that, absenl the Federal Government's express written consent, the Federal

Government will not be subject to any obggatlons or lisbgties to any oslractor or any other person not aparty to the Grant Agreement or Cooperative Agreement between the County and the Fedend Government

whioh ls a'ource of 'funds for this Contrae. Notwlgwlandlng any ccncurrencs provided by ths FsdiralGovernment ln or approval cf any solidtatlon, agreement, or contmct, ths Federal Government continues tohave no obligations or gabilitles to any party, including ths Contractor.

11. Agowsbls Costs

Notwithstanding any compensation pmvlslon to the conlraqr, ths Ccntrador's compenssgon under this

Corltrsdf will be llmhsd to those amounts whhh ars alkrwable and allocable to the Contmct in accordance

wilh OMB Circular A4)7 and ths regulations in 49 C.F.R.Part 18. To the extent that an aurgt mveals that theConlractor has recehsd payment in excess of such amounls, the County may offset such excess paymsnls

against any future payments dus to the Contractor and, if no future payments are dus or if future payments

ars less than such excess, the Contractor will promptly reland the amcwrt of the excess payments to theCounty.

Trade Rssldodons

Contractor certgies that neither it nor any Subcontractor.

GC-19 3/2015

CONTRACT NO. 1585-14878

GENERAL CONDRlONS

GC.38 FEDERAL CLAUS95I leon't.l

(a) ls owned or controlled by ons or more citizens ol a foreign couslry Included In the Iht of oountrlssthat discriminate against U.S. firms published by the Ogice of ths Unllsd States TradeRspressnlagvs (USTR);

(b) has knowingly entered into any contract or subcontract with a person that ls a cigzen or national ofa foreign country on said NsL nor is owned or controlled directly or indirectly by ons or mors citizensor nationale of a foreign counuy on said list;

(o) will procure, subcontract for, or recommend any product that is produced in a fmsign country onsaid lisL

Un)ass the restficgons of this clause ars waived by the Secretary of Transportation in acoonkmce with 49CFR 30.17, no Nogce-to Proceed will bs issued to an entity who ls unable to csrlify to ths above. If

Contraolor knowingly procures or subcontracts for ths supply of any product or service ol a 4orelgn countryon said list for use on the project, the USDOT may direct, through the County, csncellagon of the Contract atno cost to the Government.

Further, Contractor agrees that it will incorporate this pmvision for cert(ifszgcn without modification in eachsubcontract. Ccntmctor may rely on the certification of a prospeotlve Subcontractor unless It has knowledgethat the osrtiflomion is erroneous. contractor wgl pmvide immediate wrbten notice to the county If It learnsthat Its certification or that of a Subcontractor was enoneous when submitted or has beoome erroneous bymason of changed cboumstsnces. Each Subcontractor must agree to pnwids written noRe to Contractor if

at any time it teams that its certTicagon was erroneous by reason d changed circumskmcss. Nothing

contained in the fcmgoing will be construed to require sslsblishment of a System of records in order tomnder, In good faith, the certification required by this prmfistcn.

The knowledge and information of dts Contractor ls not mquired to exceed that which is normally possessedby a prudent person in the ordinary course of business dealings.

Ibis csrtlfication concerns s matter within the jurisdicgon of an agency ol the United States ol Amefica andIhe making of a fatso, fictitious, or fraudulent certificalion may render the maker subject to pmsecution underTfgs 18, United Statas Code, Section 100.

13. Contract Work Hours snd Safstv Standards Act

If applicable according to their terms, the Contractor agrees to comply snd assures complianoe with sections102 and 107 of ths Contract Work Hours and Safety Sbmdsrds Act, as amended, 40 U.S.C.5(j 327 through

333, and implementing U.S. DOL regulations, "Labor Standards Pnsdsions Applicable to Contracts

Governing Federally Financed and Assisted construcgon (also Labor Standards provlskms Applkrable toNonconsfructlon Conbacts Sub)eel to the Contraot Work Hours and Safety Standards Act); 29 C.F.R.Fart5; and U.S. DOL regulations, "Safety and Health Regrfiatfons for Construcfion," 29 C.F,R. Part 1928. In

addition to other mquirsmsnts that may apply:

(a) In accordance with section of the Contract Work Hours and Safety Standards Act, as anendsd, 40U.s.c.55 327 through 332, gm contraotor agrees and assures Ihat, for the contrsot, the wages ofevery mechanlo and laborer wig be computed on the basis of a standard'work week of 40 hours,and that each worker will be compensated for work exceeding.lke alandard work week at a rats ofnot less than 1.5times the basic rats of pay for az hours worked in excess of 40 bourn in the workweek. The Contractor agmes that detenninagions pertaining to Sess requirements will bs made in

accordance with applicatfie U.S. DOL rsgukdkms, "Labor Standards Provisions Applicable toContracts Governing Federally Financed and Assisted Cansbuction (also Labor Standardsprovisions Appllcsbls to Nonconstruotlon Contracts Subject tc lhe Contract Work Hours and SafetyStandanls Act)," 29 C.F.R.Part 5.

GC-20 3/2015

CONTRACT NO. 1585-14678

GENERAL CONDITIONS

GC48 FEDERAL CLAUSES leon't.l(b) In accordance with secgcn 107 of the Contmot Work Ho'um and Safety Standards Act, as

amended, 40 U.s.c.5 333, the contractor agrees and assures that nc laborer or mechanic workingon a consbuctlon contract will bs required to wmk in surrount3ngs or under working conditions thatars unsan8ary, hazardous, or dangerous to his or her hea8h and safety, as determined Inaccordance with U.S. DOL mgulations, "Safety snd Health Regulagons for Con~," 29 C.F.R.Part 1928.

14. Veteran's Preference

In the employment of labor (except in executive, adminkrimtive, and supeniiscry positions), preference will

be given to vielnammra veterans snd disabled vstwans. However, this preference may be given onlywhere individurris are available and qualified to perform Ihs work to which employment relsterL

15. Coovrioht Ownmshio

Consultant and the County intend gmt, to ths extent permitted by law, Ihs Deliverables to be produced byConsuhent at the County's instance and expense pursuant to this Agammsnt are conclusively deemed'works made for him'ithin the meaning and puniiew of Section 101 of 8m United States Copyriight Act, 17U.s.c.3101 st seq. (Ihe "copyright Acy), and that the county will be the copyright owner d the Delivsrablesand of all aspects, elements and components of them in which copyrlghl can subsist.

To the extent that any Dellvsrabls doss riot qualify as a 'work made for hire,'onsultant irrevocably grants,conveys, bargains, seNs. assigns, transfers and delivers Io the County, Its successors and assigns, ag right,Title and interest in and to ths copyrights and ag'IJB. and foreign copyright regisbalions, copyrightappgcations and copyright renewals for them, and olher intangible, iriegectual property embodied in orpertaining to the Dellverables prepared for the County under this Agreement, free and dear of any liens,clalmi or alber encumbrances, to the fullesl extent permitted by law. Consultant will execute all docuinenlsand perform all acts that the County may reasonably request In order to assist the Counly in peAeting Itsrights in and to gm copyrights relating to.the Deliverables, at the sole expense of the County.

Consultant warrarris to County, its successors and ass'gns, that on the date of transfer Consultant Is thelawful owner of good and marketatris title in and to the copyrights for gm Deliverables end has the legalrights tc tully assign them. Consultant furihsr warrants that It hae not wwigned any copyrights nor grantedany licenses, sxdusive or nonexclusive, to any other party, and that It le not a party to any other agreementsor subject to any other restrictions w8h respect to ths Deliverables. Consuhant warrants and represents thatthe Dellverables ms complete and comprehensive, and th's Dslivsrables we a work ot original authorship.

Accessibiiitv Comoliancs

If this Agreement involves design tor construcgcn, Ihe Consultant wwrants that all design documentsproduced or utilized under this Agreement and sg construction or sllsratlonb undertaken under thisAgmemsnt will comply with all federal, state and local laws and regulaticrw regarding accrxxrihlity standardsfcr.persons with disabilities or environmentally limited persons including, but not limited to, the following: theAmericans with Dkmbillties Act of 1990, 42 U.S.C. g 12101 et seq. and'lm Americans with Disabilities ActAccessibility Guide8nss for Buildings and Facilitiee ("ADAAG"); the Arofulscturat Barriem Act, Pub. L. 90880(1968), snd the Ungem Federal Accsssibgily standards ("UFAB'); and Ihe illinois Environmental BarriersAot. 410 ILCS 25/1 et ssq., and ag regulations promulgated thereunder, see illinois Adminishatlve Cods,TiNe 71, Chapter 1, section 400.110. It the above standards am inconrristent, the consulhnt must complywith the standard pnwiding the gretrimri accessibility. Also, the Consulhnl must, prior to construction,

review the plans and specifications te insure ccmp8ance with the abave referenced skmdards. If theConsultant fails to comply with the fcmgolng standmds, the Consultant must perform again, at no expense,ag services requlmd to bs rsrixtrformed as a dlreot or Indirect result of such failure.

GC-21 3/2015

CONTRACT NO„1585-14678

GENERAL CONDlllONS

GC88 FEDERAL CLAUSES (con't.i

17. Visual Filahts Aat Wakrer

The Consultant/Cantractor waives any and all rights gmt may be grmusd or conferred under Section 106A

and Seckan 113at the United States Copyright Act, (17 U.S.C.8 101 et ssq.) (the "Copydght Act") in any

work of visual art lhat may bs pmvlded pursuam to this Agreement. Also, the Consulhnt/Contractor

mprssenta and wansnte that the consuthnt/contractor has obtained a waiver of Section 108A and seotlon

118of the Copyright Aal as necsssruy 1/om any employees and subconusatam, If any.

18. Eaual Emclavment Ooaortunitv

All contracts shag contain a pmvhian requiring compliance with EO. 11246, 'Equal Employment

Opportunity," as amended by E.O. 11876, "Amending Executive Order 11246 Relating to Equal Employment

Opporlunlty," and as supplemented by regulations st 41 CFR pelt 60,, "Office ol Federal Contract

nt of Labor."Cmnpllancs Progmns, Equal Employmsnt Opportunity. DePartme

19. Cooeland "Anti-Kickback" Act (18U.S.C.874 snd 40 U.S.C.276c)

'Ag contracts and subgrante in excess of $2000 for construction or repair awarded by mclpients and

subreclplents shaN Include a pravhkm for aompllancs with the copehnd "Ang-KhkbacK Aat (18 U.s;c.874), as supplemented by DePartment of Labor regulations (29 OFR pari 8, "contractors snd

Subcontractors on Public Building or Public Work Financed In Whole or in Pert by Loans or Grants from the

Unged States" ).The Act provides gist each contractor or subreclpient rtmg be prohibited kam Inducing, by

eny means, any person employed in the construction, completion, or mpair of public work, to give up any

part of the compensation to which he is otherwiss entitled. The recipient shall report.all suspected or

reported violations to the Federal awsngng agency.

20, Davis-Bacon Act. as amended (40 U.S.C.278a to a-7I

When required by Federal program legislation, all construction contrsch awarded by the recipients and

srdrrecipisnts of more than $2000 shall include a pmvliion for compliance with the Davh4)econ Act (40U.S.C. 276a to a-7) and as supplemented by Department of Labor mguhtlons (29 CFR pmt 5, "Labor

Standards Provisions Applicable to contracts Goverrtlng Federally Financed snd Assisted.construction").

Under this Act, conbactors shall be required to pay wages to laborers snd mechanics at a rale not less than

the minimum wages specified in a wage dsterminagon made by tks.Secretary of Labor. In addition,

connectors shall be required to pay wages not lese than once a week. The mdpient shall place a copy of ths

cunent prevailing wage detenninagon kwued by the Department of Labw in each solicitalan snd the award

af a contract shell be conditioned upon the acceptance af ths wage detwminstian. The rerdpiant shall report

all suspealed or reported vlolsgons io gre Federal awarding agency.

GC-22 8/2015

CONTRACT NX 1585.14678

GENERAL CONDITIONS

Secs FEDERAL CLAUSES (non't.'I

21, Contract Work Houm end Sefetv Standards Act (40 UN.C. 327<33)

22.

Where applicable, ag contracts awanfsd by recipients in excess of $2000 for construction contracts and In

excess of $2500 for other contracts that involve the employment of mechanics or laborers shall include aprovision for compliance wSh Secgons 102 and 107 ol the Contraot Work Hours and Saf(riy 8tandards Act

(40 U.s.c.327 333), as supplemented by Dspartment of Labor rsgulatlocs (29 DFR part 5). Under section102 of the Act, each contmctor shall bs mqulmd to oornpute the wages cf every meohanic and laborer on

5(e basis of a standard work week of 40 hours. Work in excess of the standard work week ls permissible

provided that the worker is compensated at a rate of not less than 1 grgmss the basic nrie of pay for all

hours worked in excess of 40 houm in the work week. Section 107 of gw Act is applicable lo conslruction

work and provides thai no laborer or mechanlo shall be required to wwkk( surroundings or under woridng

conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the

pumhases of supptkrs or materials or artloles ordlnargy avagable on lke open market, or contracts for

transportation or transmission of inte5igence.

Riohts to Inventions Made Under a Conuact or Aorssment

Contrada or agreements for ths performance of experimental, develapmentel, or resauch work shall

pmvlde for ths rights of ths Federal Government and the iedplent In any re(rutting Inven5on in accordancewith 37 CFR part 401, "Rights to Invsn5ons Made by Nonprogt Orgacbsgcns and Sma5 Business FirmsUnder Government Grants, Contracts and Cooperagvs Agreements," snd any implementing regulations

krsued by ths awangng agency.

23. Clean Air Act (42 U.S.C.7401 et seo.l and the Federal Water Pollution Ccnuol Act (33 U.S.C. 1251 st eso.l.as emended

Contracts and subgnmts of amounts in excess of $100,000 shall ocntsin a provision gmt requires therecipient to agree to comply with all applicable standards, orders or reguls5ons issued pursuant to the Clean

Air Act (42 U.S.C.7401 et seq.) and the Federal Water Pollution Ccntrd Act as amended (33 U.S.C. 1251 et

seq.). Violagons shall be reported to ths Federal awarding agency and the Regional 05ice of theEnvironmentpl pnriecgon Agenoy (EPA).

Svrri Anti-Lobbvlno Amendmsnt (31 U.S.C.1352'I

Contractors who apply or bid for an award of $100,000 or mors shall fib ths required cs tifics5on. Each tier

certifies to the 5er above that it will not and has not used Federal appmprialed funds to pay any person or

organization for in5uencing or attempting to influence an oflicer or empkryee of any agency, a member of

Congress, ogber or employee of Congmss, or an emplayee of a member cf Congress In connection with

obtaining any Federal contract, grant or any other sward covered by 31 U.S.O. 1362. Each 5er shall alsodkrckxre any lobbying with non-Federal funds that takes place In connec5cn with obtaining any Federal

award. Such disclosures are forwarded from tier to 5er up to ths recipienL

25. Debarment and Susnension (E.O.s 12549 snd 12689I

No contract shall be made to parlies gslsd on the General Services Administmtlon's List of parges Excluded

from Federal Procuremsnt or Nonprocurement Programs In aocordence with E.O.s 12649 and 12889,'Debarment and Suspension." This 5st contains the names of parties debarred, suspended, or othenvles

sxrriudsd by agencies, and contractors declared inslig5rie under statutory or regulatory aug(orby other than

EO. 12549. Conbactom with awards that exceed the small purchase 5veekold shall provide the required

cer55ca5on regardhg Its exclusion skrius and that of ks principa emplopxw.

GC-23 3/2015

CONTRACT NO. 1585-14878

GENERAL CONOlllONS

GO<a CONTRACT INTRRPRETATION

Whenever the singular is used herein, the masculine, feminine and neuter gender shall be deemed to Indude the others.The handles of articles, paragraphs and sscgone in this Conbact are included for convenience only and shall not beconsidered by either parly in construing the msanbrg of this ContrarA If any provhkn or clause of thhr Contract shall beheld to be invalid, such provhrhn or clause shag bs deleted from grs Contract and srs Contract shall be construed to giveeffect to the remaining porgons thereof.

This Contract shall be Inhnpreted and conslnnxl based upon gte following order of prscsdenoe ol component parteSuch order of precedence shall govern to resolve all cases of conRct, ambiguity or inconsistency.

t. Addenda, if any.

2. Spechrl Conditions

3. SpecRcagon.

4. Genend Conditions.

END OF SECTION

GC-24 3/2015

CONTRACT NO. 1666-14678

Cook CountyOffice of the Chief Procuremerrt Officer

IdentiBcaBon of Subcontractor/Suppffsrl8ubconsulbmt Form

OCPO ONLY'Diccucliliaatlch

C1 Check Gamhler

The Bidder/Pmpaesr/Respondent ("Ihs conhaatcr") will fully complete and execute and submit an hfsntifiaatlon ofSubcontractor/Supplier/Subconsuitant Form ("ISF")with each Bkl, Request for Pmpcwal, and Request forQualITicagon. The Contractor must coni phds the ISF for each Subcontractor, Supplier or Subconsultant whichshall be used on the Contraet. In ths event that there are any changes in ths utgzation of Su contrscmm.Suppliers or Subconsultanls, the Contractor must file an updstrid ISF.

six lieDate:Bid/RFP/RFQ No.:

Total fhd or Proposal Amount:r

Contract Title:

Subcantractor/Supphz/Subconsultsnt to beadded or eubsthuts:Audicrlzed Contact for

Subcontractor/Suppler/Bubconsuitant:Email Address

«(Subcontractor):

Campany Address(Subcontractor):

Oily, State and Zip(Subcontractor):Telephone and Fax(Subcontractor)Esgmatsd Start sndCamphtion Dates(Subcontractor)

Estimated Start andCompletion Dates(Contractor)

48Abd ~in)4 ..2NdAuthorized Contactlor Contractor. Jy)/ QbJSOitJ

(Contractor): I Id/kiL'SHAW~Sid/d

Company Address

997I 5.LrJZS$Ril keWEFCity, Stats andZic (Canhactor): 8/fA4fh,& l44&ATelephone and F(Contractor) Ply'hf l 855D

~/ri

~/~~/a

~/~4/A

e/s

/(I///e

Note: Upon request, a copy al all wdtten subcontractor agreements must be praviried to the OGPO

Descrictlon of Sarvtass or Suaoliss

/eeRyzeey'~

Tarsi Price ofSubcontract for

.harv@as ar Suaallse

The subcontract documenls will Incorporate all requirements of gm Contract awarded to the Contractor as applicabls.The subcontract will in no way hinder ths Subcontractor/SuppliedSubconsultant hcm maintaining ite pmgress on anyother commct on which It is either a Subcontnmtor/Supplier/Subconsultant or principal ccntraclor. This disclosure ismade with the understsncgng that the Contractor is not under any clrcumctsrees 'regevetl of ils abilities, andobligations, and is msporwible for the organizagon, pehonnance, and qualhy of work. This form does not ep'proveany proposed changes, rwvhdons or modllhallons to the contraot approved MBE/WBB Utllhstfon plan. Anychanges to ths contmct's approved MBNWBE/Utilization Plan must be submitted to the Office of thsContract Compliance.

Cont~ k4HQL 5rAFF(&/MC

JOSCk 4p)p)SOW

~ever/WoPrime Conbaclor Signatum

~/PJ aim'Date

ISF-1 3/2016

CONTRACT NO. 1585-14878

OFFICE OF THE COOK COUNTY COMPTROLIERELECTRONIC PAYABLES PROGRAM I"5-PAYABLES"I

FOR INFORMATION PURPOSES ONLYTbi's document describes the INErm ot the Coofr Countv Comotroitsr's Electronic PsvaMes Proorsm I"&Psvebles "LEsou mteh lo ssrsiofosle In E-Rmieblea olsese oorrbmt tlm Cootr Ceuntv Comotrutbyb OIÃca Accounte psvabls. 118N. CtsrtrStmst. Room Ntaz Chicsco. IL 85552

DESCRIPTIONTo increase payment sfflclsnoy snd tlmegneee, we have introduced E-payables progmm, s new payment InWatlve to our accounispayable model. This new initiative ulWzes a Visa pumhasing card and operates through Nm Visa payment network. This is Cmmty'spreferred method of payment and your participation in our Visa pumhasing card program wig provide muiual benefits boih to youroqlanizabon end oum.

As a vendor, you may ezperlsncs the following benegts by accepting this new payment qevz~ Imprmmd cash flow and accelerated payment~ Reduced paperwork and a more etreamgned accounts receivable processa Ellmlnegon of stop payment krsueso Reduced payment delayse Reduced costs for handling paper checks~ Paymsnls setded dlrecNy lo your merchant account

There are two op5ons within this inWaNve:

N. DedfoatM Credit Cmd-"PULL" SsMmaentFor this option, you will have an amigned dedicated credit card to be used for each payment You will prmride a point of conmct withinyour organization who will keep crmW card information on file. Each Nims s payment is rmds, you wzl receive a remittance advkm viaemail detailing Nm irwdces being paid. Each time you receive a remittance advice, you wig process payments in Nre same manner youprocess credit cmd transactions today.

* One-Time Uee Cmdit Card -"BUDA"SetdementFor this option, you wili p'rovlde a point of contact wWNn your olganlzazon 'who will receive an email nctigcsgon aulhorlzing you topmcess paymsrds in the same manner you process credit card transacbons today. Each bme payment is made, you will receive ammittance advice, via smail, detaWng the invoices being paid. Also, each tens you receive a remittance advhs, you will receive a nsw,unique credit card number. This opgon is ideal for suppzsrs who are unable to keep credit cant account information on file.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

ACH-I 3/2015

CONTRACT NO. 1585-146T8

VETERAN'S PREFERENCE FOR VBE AND SDVSE

INSTRUCTIONS

In accordance with ssotlon 84-236(b) of the cook county Procurement code, the chlst Procumment otllcer ("OPQ") shall give apmiersnoe of five neroent ot the amount nf the Contmot to a Responsible and Responshe Veterans Owned Business Enterprise(vBE) and senrice Disabled veterans Business Enterprise (sDYBE) requesgng a preference for Bids. Air tzktdsm who arerasusatlnc this amfbrence must omaolete the form. snd attach s onnv of ite certfffosgan. Frfor to anafvrina the ffve nemewtarsfbrzmce. the CpD must rscefvs amuwvsl fncm the Contract ComaNzncs Dimeter ICCD) that the Bidder ta a auefffled II'BEorgQVV,

DEFINITIONS

. ybteran owned Business Enterpnse(vBE) means a small business (I) sat N at least 51 percent owned, conbulled and managed byone or more Eligible Veterans or in gm case of a corporagon, at feast 51 Foment or more cf ihe stock of which fs awned, controged andmanaged by one or more Eligible Vefemns; (li) that hss hs horne oflice In INnols, as certifiedby the Contract Compliance Director

(CCD) under policies and procedures promulgated by the CCD.

Eifg2rie veteran means a person'ho 8) has been either a member of the armed fcmes ct the United states or, while a citizen cf theUnited States,, was a member of the mmed fomes of allies of the United States In time ot hostlINss with a foreign country and (il) hasserved under one or mom cf the folkwring conditions: (a) the veteran served a total of at least 6 months; (b) gm veteran sewed for theduration of hostilities regardless of the kmglh of the engagement; (c) the veteran was dlschargzd on the basis cf hardship; or (d) theveteran was released from active duly because of a smvics connected disability and was discharged under honorable conditions.

Armed forces of ffre United Steers means ths United Sbries Army, Nrivy, Air Force, Marine Corps, Coast Guard or service in negus dutyas deffned under 88 U.S.C.Section 101.Senrice In ths Merchant Marine that constitutes acrivs duly under Seogon 401 cf tederal publicAot 88-202 shall also be considered senrics In ths armed forces for purposes of this Division.

Service-Disabled Veteran-owned Business Enterprise (SDVBE) means a small business (r) that is at least 51 percent owned,contmlled, and managed by one or mors qualified senrice disabled veterans or in the case cf a corporation, at least 51 percent or morect the stock of which is owned, contmlled and managed by one or mom Senrics Disabled Veterans; (il) that has ris home offic in

lgincis, as cergfisd by the CCD under policies and procedures promulgated by the CCD.

Service.Disabled Veteran means an Fjlgibls Veteran who has been found to have 10percent or more service connected dlsablNy bythe United States Department of Veterans Aflalm or 8te United States Department of Defense.

Servfce~nnecfeddwabilify means a disability incurred in ths line of duty in the aciivs military, naval or air ssnrice as described in 38U.S.C. 101(16).

Smell.Business means a small business as defined by ths U.S. Smell Business Admlnlstralhn, pursuant to the business size standardsfound In 18 OFA part 121,as related to the nature of the work the person seeks to pirfonn on Contracw. A Person ls not an eligiblesmall.business enteqirlse In any calendar fiscal year kt which Its gross receipts, averaged over the Person's previous five fiscal yarns,szcssd the Nze standards of 13CFR Part 121.

REQUEST FOR PREFERENCE

Sdder is requssgng to receive a prefemnce as a vBE. By requesting this preference, Bidder certgles that it meetsthe definition of a VBE, as set forth above and has Inrriuded a copy of lie cwtlfication.

Bidder Is requesgng Io receive a preference as a SDVBE. By requesting this pmfsrence, Sdder certifies that 3 meetsThs definition of a SDVBE, as set forth above and has imriuded a copy cf ils certification.

Bidder (please prinl or type)

Signature

E-mail address Phone Number

Subacribed to and sworn before msibis day of 20~XNohey Public Signature

V-1

My commission ezpirsrc

Nobwy Seal3/2015

CONTRACT NO. 1585-14678

AFFIDAVITVETERAN'8 WORKPLACE PREFERENCE PUBLIC WORKS CONTRACTS

INSTRUCTIONS

ln accordance with Section 34-238(a) ol the Cook County Procurement Code, the Chief Pmcurement ONcer ("CPCF) shall gtvs apwlersnce of ons sersent of the asmunt ol the Conhact to a Responshle and Respondve Contractor for a Public Works Conbactwhen such Contnurior has commiffed by affidavit to uffffzs Eligible Veterans for at least Nve percent of ths hours worked under suchContract. Failure to utilize Eligible Veterans in ascendance with the aflavit will result in breach of contnuri. All Sfdiasrs wbo arefwuussifno lais arwftuwnce must conrukrfs this Allffrafuk

DEFINITIONS

FJgibls Veteran means a person who (I) has been either a member of ths armed forces ol the United States or, whNe a citizen of thsUnited States, was a member ol the armed forces of allies of the United Sates in time of kosNNtiss with a foreign country and gij hasserved under one or m're of the foffcwing conditions: (a) the veteran served a total of at least 6 months; (b) the veteran served for theduration of hosfiffffss regardless of the length of the engagement; (c) the veteran was disduwged on the bsskr cf hardship; or (d) theveteran was released from aotlve duly because of a swvtce connected dlssbfflty and was discharged under horimable condltionL

Aimed forces of ffrs IPrffed Slsfss means the Uriltsd sbdss Army, Navy, Air Force, Marine Corps, Coast Guard or ssnrics in acffve dutyas defined under 38 U.S.C.Section.1 01.Service in ths Merchant Marine that constitutes acffve duty under Secffon 401 of federal PublicAct 95-202 shall akm be considered service ln the armed kucss for purposes of this Division.

Pubfrb Works means aff fixed works constructed or demoffshed by the County, or paid for wholly or in part out of public fundsadministered by ths Couniy. "Pubffc Works" as definsd herein includes aN pro)sots financed In whole or in pert with bonds, grants,loans, or other funds made avaffsble by or through federal or Btsts government, or the County. "Public Works'oes not,lnolude projectsundertaken by the owner at an owner~upled single-fwnlly resldenoe or st an owner~ unit of a mulNwnffy residence, 'publhWodcs" includes any maintenance, mpalr, assembly, or dkuuwembly work performed on equlpmsnt whether awned, leased, or nmtstL

, being first duly sworn, do depose snd slats as fokwrz

1. I am the authorized rsprssentsffve and I have Nw authority to matw this

Affidavit

for

an onbehaff of the Bidder.

2. The Bidder is requesting the CPO grant a preference of one percent of the amount of ths Contract In accordance with Secffon34-235(a) of lhe Cook Procurement Code, ss set forth above.

3. In accordance with the Cook County Procurement Code, the Bidder shall comiit to utilize Eligible Veterans for at least fivepercent of ths hours worked under the Contmck The Effglbls Veterans must bs ssqrkrysd directly by the Bidder.

4. Ths Bidder shall be solely msponslbls for mqussffng aff persons to provide Bidder wllh appropriate dccumentsffon to ensurethat such person(s) ls an'ligible Veteran, as defined above. Sdder certifies, that by seeking this pmfemnce, It shall maintain

spproprkds documentation. kaludlng payroN records, which shaw the number of hours worked by Eggffrie Veterans.

5. The Bidder certifies, affirms and acknowledges that ths failure to uffiize Eligible Veterans in accordance with this Affidav'a will

result in a twsach ol contract, which will allow Nrs County to seek aff rights and mmediss as set forth in the Contract snd anyother appropriate remedies available in equity or at law.

Biddef (please pikrt of type) Tiffs

Signature

E-mag address Phone Number

Subscribed to and sworn before msibis day of ~ 20

My commission ruphes:

XNotary Pubgo Signature Nobuy Seal

V-2 3/2015

COOK COUNTYECONOSEC DISCLOSURE STATEISENT

AND EXECUTION DOCUMENTINDEX, .

Descrtotien Partes

In~ for Complehon of EDS EDS I- ii

Certifica5oos

Economic and Oher Disclosures, Afhdavlt of childSupport Obligagons and Dhrckururs of Ownership

Interest

'ontractand EDS Execugon Page

Cook County. Signature Page

EDS 1-2

EDS3-12

EDS 13-16

'DS1B

SECTION 1INSTRUCIINS FOR CONIPLETION OF

ECONOMC DISCLOSURE STATEMENT AND EXECUTION DOCUMENT

This Economic Disclosure Stahrnent and Exeoutlon Dooument ("EDS")is hbe completed and executedby every Sdder on a County contract, ev«y Proposer responding to a Request for Proposah; and everyRespondent responding h a Request for Quafigcsgons, and others as rsqubed by the Chief ProcurementOgicer. The exscu5on of the EDS shall saNe as the execu5m'of a contract awarded by the County. TheChief Pmcursment Ogicsr reserves the dght to request that the Bidder or Proposer, or Respondentprovide an. updated EDS on an annual bash.

Dsflnltkms. Tenne used in this EDS snd not othelwlss dsgned herein shall have the. meanings givin to .such terms In.ihs lnsbucgons to Bldd«s, General GcndWons, Rdquek for Proposals; Request for ..Qualilicsgons, as applicaNe .

. A515sh means a person that direcgy or indirectly guough one or more Intermediaries, Controls isGordrolfsd by, or h under common Control with the Person specified;

App/hantinesns a.person who executes this EDS,

BINsr means any person who submgs a Bid.

Gcde means the Code of Ordinances, Cook Counly, glinols available on rnunicods.corn.

Gonfract shag indude any wrilten document to make.Prccurements by or on behalf ofCook County,

Conbachr or Ccntrsoffng Psrly means a person that entire'nto a Contract with theCounty.

Control means Ihe unfettered ardhority tc dirscgy.or indirectly rcanage governance,administragcn, work, and ag other aspects of a business.

EDS means this complete Economh Disclosure shtament and Eotcuuon Document,including ag secdons gshd In the Index and any sgachrnsnts.

Joint Venture means an sssociagon cf two or more Persons pmposing to perform s fcr-prolit business «darprise. Joint Ventures must have an agreemsnt in wrNng specgyinggis terms and ccndlgons of the rebdhnship between the p«tners and their.relsthnshipand mspechvs rssponsib55y for ths Contract

Lobby oI lobbying means to; for compensation, ittempt to ingu«es a Counter olgchl orCounty emphyee with reipect to any County magsr,

Lobbyist mesne any person who hbbhs.

Rnon or Persona means any individual, corporagon, perh«ship, Joint Venture, trust,assooistlon, Llmihd uabgity Company, sole proprhiorship or olher hgal entity:

PefxbNsd Acts means any of the acgons or occurrences wNch form. the basis for,dfiiqua55cagcn under the Code, or under the CertNcagons hsreinslter set hrth.

Ftupossl means a response to an RFP

Fmpossr means a person submiMng a Proposal.

Response means response to sn RFQ

denfmeansa ersonre 'in toanRFQ.Rsspon p spon g

RFP means a Request for Proposah issued pursuant to this Proc«ament Coda

RFQ means a Request for Qusggcagons issued h obhin lhs quaMcsthns of Intsrsshd partisb.

EDSJ 4)2015

INSTRUCTIONS FOR COMPLETION OFECONOINIC DISCLOSURE STATEMENT AND EXECUTION DOCUII6ENT

Section 1:Instmcgons. Sscgon 1 sets forth ths instrucgons fcr completing snd sxecugng thbr EDS.Section 2:Cerggoagons. Section 2'sets forth cer55ca5ons gmt are requlmd 5x contracting pargss underthe Cods and other app6catds laws. Execugon of.this EDS oonstitutes a wsrmnty that ag the statementsand csr66cagone contained, and all ihs facts shted, in ths Csrtigcatlons ais Irus, correct and complete asof the date of axscugon.

Sscgon 3: Economic and Oth»r Dlsclpsums Statement Section 3 ls gts County's mrtutred Economicand 06wr Disclkaumi Statement form. Execution of this EDS consgkdss a wananty that ag theinformabon provided in gm EDS is true, conect and comphta as of ihe date of execution, and binds theApplicant to the wsnanges,'presentatlona, agreements snd acknowledgemenls contained thsmin.

Requimd Updates. The Appljoant ls raqubed to keep all informsgcn prozded In this EDS Current andaceumt». In the event of any change In the information'rovtdsd, Including but not gmlted to any changewhich would mndsr inaccumte or Inccmpleh any csrMcagon or'ta'tement made In this EDS, the"Applicant shag supplement this EDS up fo the time the County takes segno, by filing an amended EDS orsuch other documentsbon as is mquired.

AddMousl Information. The County's Governmental Ethics and Campaign Financing Ordinanceslmpcsecsrtatn du5es and obligations on persons ofen55»» ~king county contracts, work, business, ortmniscgcns, and ths Applicant ls'expected to comply fully wgh these ordinances. Fcr further Informationplease contact ths Dlretdor cf Egilcs at (312) 8034304 (Sg W. Washington.St. Suits 3040, Chicago, IL60802) orv'i»it the web~ at cookccuntyg.ipnrlsthics-boar<4k

Authortzsd Signsm of .Contract and EDS Execution Page. If the Applkxrnt is a corporation, thePresident and Secretary must execute the EDS. In the event that this EDS b executed by someone otherthari ths President, attach hereto a cer55»d copy cf that section of the Corporate By@awe or otherztuthorlzsgon by the corporsgon, sag»factory to ths Courity that psfm6» Ihe psmon to execute EDS foisaid corpdna&n. If the corpor»5on ls rlt registered in the Rate of illinois, a copy of the Certificate ofGood Sanding from the state of incorporsgon must be submitted with this Signature Page.

If. ths. Applic'ant is a, partnership or joint venture, ag parbuus or joint ventsrs must execute the EDS,unless one partrier or joint.venture hes been authorized to Mgn for ths partnership or joint venture, inwhich csee,:the partnsrehip agreement, rssokr5on oi evidence of such aulhcrgy esgshrctoiy to ths ofgcsof the Chief Pmcumment OMcarmust be submitted with'this Slgnatum Page

If ths. Applkxtnt Is a membsr-managed LLC ag members must ex»cour the EDS, unless cthenvissprovided in the operating agreement, iesokdion or other corpcmts documents. If the Appgcsnt is amanager-managed LLC,.ths manager(s) must execute fhe EDS. The Applicant must agach either acertified copy of ths operagng agre»ment, msolutlon or ogter authorizagos, satisfactory to 1he County,damon»bedog such person has the augvx5y to execute the EDS oh behalf of ths LLC.. If ths LLC.ls notiiglrdsr»d'in thi Stab of Itgnois, a oopy'of a curmnt Certigcate of Good Standfng from the stets ofIncorpcmgon must be submtged with this Sgnaturs Page.

If the Applicant is a Sole I?roprietomhip, the Sole proprietor must execute ths EDS;

A "Psrinemhip" "Joint Ventum'r "Sole Proprietorship" operaiing under an Assumed Name mmg bsrsglstemd wgh the 66nois county in which it is located, ss pmvided in 806 ILCS 406 (2012), anddocumerilsbon evidencing registration must be submlitsd with the EDS.

ED&i 42016

SECTION 2

CERTIFICATIONS

THE FOLLOWING CERTIFICATIONS ARE MADE PURSUANT TO STATE IAW AND THE CODE. THE APPUCANT IS CAUTIONIPD'TO.CAREFULLY'READ THESE CERTIF'ICATIONS PRIOR TO SIGNING THE SIGNATURE PAGE. SIGNING THE SIGNATI3PAGE SHALL CONSTITUTE A WARRANTY BY.THE APPLICANT THAT ALL THE STATEMENTS, CERTIFICATIO'NS AFIDINFORMATION 6ET FORTH WITHIN THESE CERTIFICATIONS ARE TRUE, COMPLETE AND CORRECT AS OF THE DATE THESIGNATURE PAGE IS SIGNED. THE APPLICANT 8 NOTIFIED THAT IF THE COUNTY LEARNS THAT ANY OF TFJEFOL+WING CERTIRCATIONS WERE FALSELY MADE, THAT ANY CONTRACT ENTERED INTO WITH THE APPUCANT SHAj,LBE'SUBJECT TO TERMINATION.

PERSONS AND ENTITIES SULIECT TO DISQUAUFICATION

No'person or bublnese erdfiy shat., be awbrded a contract or sutnconlracL for a pericd of tve '(5) yarns from the date ofconvidion or enny of a plea or admission of gi, dvll or criminal, iftari person or badness engty:

1) Has been convlchd af an act commBed, wNhln the stela ai Ngnals,;of brbmy or stsmptng to bribe an oitcsr..sremployee of a unN,of slate, federal or hxmi government or school dlstrhtin ths Stats 'of IBnols In that aBcei7s, orempbyaris otldal capscty;

2) Hss been convlded by federal, state or hxxd government of sn act of bfiHIgghg or attemptng to rig bids ae defoein the Sherman Ant-Trust Act and Clayton Act. Act. 15UB.C.Secton 1 etmq.;

3) Has'been convichrd afbid rigging ore(tamping to rig bids under the laws affederel, stats or bcal government;.

4) Has been convicted of sn act cammtted; wfihln the SWe, of price-1bdng oratemptlng to Nx prices is dstned by thsShaman Ant-Trust Act and ths Clayhm Act. 16 U.S.C.Seclon 1, ef eeq.;

5) Hss been coniricfed of price-'fixing oretemptlng to tx prlaes under the lswstm Sale;

6) Has been convided of.defrauding or aNempfing to defraud any unit of sbria or local government or school itstnvctwNhln the Sate of Nlinois;

7) Has made sn admhxdan of gutt of such conduct as setfiirih In fiubsectkmv (1)through (6) abave whiaft adin(srrian lsa mater of record, whether or not such person or business snSy wm sub)ect to prosecuton for ths offenart orogenses admitted to; or

8) Has entered e plea af nato confendem to charge of bribery, price-fixing, bid.rigging, or fiaud; as set forth in sub-paregrephs (1)thmugh (6) above.

In the case of bribery or attemptng to bribe, a badness entily may nat be awarded s canhact if an aBchl, agent or. empfcyeeof such busbwhs snSy..commNted the pmhlbted Aat.on behalf of,the business.antty.and ptisuant to ths dlmcson.drauthorinNon of sn oBcer, rfimdcr or other responsible otldal of the business ensy, and such Piahlbted Aat occurred wrihlnthree yeard prior B the swsnl af tie:oontmaL In addBon, s badness enNty dut be dhclusglied if an.owner,,phrlnsr orshamhoMer. conbcging, directy or indirscty, 20% or more of the business enNy, or an oBcer of ths badness ently'as

'erl'onned any Prohibited Act ivthin Nvs yearn prior to the'award af Ihe ContracL

; THE APPUCAHT HEIIEBYCER77RES THAl: The Applicant has read the provhfans af Secton A, Penmns snd EnticeSub/cot hi Disquailtcaton, tmt tm Applicant has not cammited sny Pmhlbltsd Ad eet forth In Section'A, and that award ofthe Contact to-the Apptcant would nat violate ths provisions of such.Section or of tw Code,

B.. BID-RIGCNNG OR BID ROTATING

78E APPLIOAHY HERESY CERllRES THAl.'n ecconience with 720 ILCN 589 E-11, neiihar Be Applicant nar hnyAigiieied Ehtfy is baaed fram aweni of this Cunhact as e msug af e convlrriion for gre vtolagon of Safe isws prohIMng bid-rigging or hid miefng.

C. DRUG'FREE WORKPLACEACT

THEAPPIJCAHT HEREBYCBRTIRES 7HAl'. Ttw Appfiixmt will pnwlde a drug fiebwarirplace, as nxp'dred by (30 ILCS 5806).

OEUNQUENCY IN PAYMENT OF TAXES

THE APFUCAHT HEREBY CERTIFIES THAT: Tie Applicant Iu net en owner or e peuy nrsponstbbi for 5m payment of arrtrfruror fee udmfiduhmd by Cook County, by a local munkdpe/I(Y, or by gm IEnolu Depenuunt of Revenue, wMch evcb tai or Sru Iedelinquent uuab suburewsnt ofa canliaot or~ct pvmuenth Eur Code, Chapter 84, Seotlan 84-171.

HUMAN IESHTB ORD!NANCE

lqo psucotdm m s purhrh e coiiimct vrilh cookcourlty ("eau~ shel engage in unhuuful discriminsfian orsmmsl ha stdvihritagainst any indhridual in the hrms or conditions af employment, cnugk public accommoda5ons, houslrqh or provldian of CautdyRwlEm, ssvioes or pmgmms (Code Chapter 42, Sealon 4240 et sag.).

ILUNOIS HU55AN IEOHTS ACT

THE APPUCA147 HERESY CERTIFIES THAT: 5 is In compliance wlb tbe Iignaiu Human Rights Act (775 ILCS

SI2-fate,.fur

agrees to sbfih by Ru ruq~ of the Act su pwt sfits conbschal obygsgonur

INSPECTOR GENERAL(COOK COUNTY CODE, CHAPTER 84, SECfION 84-174smi Seadon 845SS)

The Applhsnt he's not wlllhlly hlled to ccoperels h an i~ by the cack cowly Independent inspector General af tdriport h Ihe hulependent Inspector General any'snd all Information con'c'eming sonduct wliloh thief know to involve oonupgrm, orother cdmhal aclvily, by anolmr county employee ar aificisl, which concerns his or her office of emplayment or County'a@abut

The Applicant has ieporled dksaly and wEiout sny undue delay any suspected ar Imawn fiaudulent acfivity in the county sProcurement ptacem to Ihe Oiloe of the Cook County Inspechr Geneial..

'AMPAIGN CONTRIBUTIONS (COOK COUNTY CODE, CHAPTER 2, SECTION 2485)

'THE APPUCANT CERTIFIES THAT:: It hss'ead and shall coiiiply,with the Cook County's Ordinaries concerning campaignconirihuhne, which is codEsg at Chapter 2, Dhdsion 2, SutxlvMon II, Secgon 685, and can be nmd in ih enliuly at

GIFT BAN, (COOK COUNTY CODE, CHAPTER 2, SECTION 2474)

THE APPUCANT CERTIFIES THAT: It has nmd and shill comply wlh 5ie Cook Ccuntys Ordinance concemhg ruceMng andsollcilng gBs and hvam, which is cadEsd at Chaphr 2, Division 2, Subdivision 5, Sedion 574, and csn be nmd in ih engmty'twww.municods.corn.

...UVINB WARE ORDINANCE PREFERENCE (COOK COUNTY CODE;CHAPTER 84, SECTIONl 84455;.

Unless uupnuudy waived by the cook county Bomd of cammisstonem. the Code.equine gist a IMng wage must bs ptdd taIndMdusts'employed by a~.whhh hss.a County Contract and by al su~ of such ~r under a CourdyContract, guaughcut the durathn of such Courdy Contract. The amount of such livhl wage is annuely by ihe Chief FhancialOlicsr of5m County, snd shel be posted on the Chief Pmcuiement OBcm's wsbsils.

The tenn "Conbuct" as used h Seclon 4, I, of thh EDS, specBcaly spdudes contraals nlh the following:

1) l44+ar PmR Oigsnize5ons (delned ss h corporation havhg tax exempt stuhs under Seclon 501(C)(3)of the UnladStsh hhmal Revenue Cade and recogrdsed under the lhuis State nat-far4xugt law)i

2) Communily Development Block Grants;

8) Cook Caunly Works Depadnmnk

4) Shmilfs Work AihmaBm Pmgram; and

5) Department of Commlon inmates.

EDS2

SECTION 5

REQUB5EO DISCLOSURES

DISCLOSURE OF LOBBYISTCONTACTS

Lsd a5 persons that have made lobbying contsds on your behalf with respect to this contract

"rii/~

2. 'OCAL BUSINESS PREFERENCE STATEIBENT (CODE, t)HAFTER 54, SECTION 54450)

Local business means a Person, lndragng a foreign corpmwgon aulhorhed to transact business in ggnols, having a bona gdeeshbtishrnsnt lauded whhln the County at which It ls transacgng business on the date when a Bid is submitted tc 5ra County, and

'

whish emPloys dts majorgy of its regular, fug-5me Nark hmm within the Courdyr A Joint Venkse shall consdtute a Local Business,d oneor hmrw loemons gmt qualify as s "Local Business" hold irderests totaling over 50 percent in 5w Joint Venture, evan if ths Joint Verdure

'oesnot, at ths 5me of the Bid submNal, have such a bona 5ds sstabgshment within the Ccunly.

a), le Applicants "tpad BuslneruF ss dslined above'I

Yew No:

b) Ifyes, gst business ~wghin Cook Counly:,

9gdl d. 4~45@8sure-Id'i~r

K be4Ao) 'oes Appllcsrdsmpktyyhs'lnrdorky of Its'Isgukt'rII)pgmevrbddbnm w'Ithln cock courdyf

T~: No:

5. THE CHILD SUPPORT ENFORCEMENT ORDINANCE (CODE, CHAPTER 34, SECIION 34-1T2)

Eveiy Appgcmlt for a Counly priv)ega shs5 be In 551 compliance wkh eny chgd support order before such Applhsnt is entEed tb mcshre orrmrsw a County Prlvgege. Wheh delinquent chgd support adsts, the Counly shall not issue or renew any County pelage, snd mayrevoke any Couniy Prtvgege.

AB.Applicants ma mquimd to mvjew Brs cook courdy Agldavit of child support obggsgcms attached to tMs EDB (ED') andcomplete the AgldavN, based on the inshuogons in 5m Afgdavlb

REAL ESTATE OWNERSHIP OMCLOSUREIL

The Applicant must kugcats by checking Ihe ap pmpriate provision below and pmvkling all required lnformsgon Ihat eEren

a) The fcllowlcg Is s ccmpkue ht ofall real eskde rnNtsd by the Applicant In Cook Counly.

PERMANENT INDEXMUMBER{S): ~ A'I

{ATTACH SHEET IF NECESSARY TO LIST ADDITIONAL INDEX

NUMBERS)

b) . Ths Applloant owns no nml erdate In Cook Courdy.

6.. EXCEPTIONS TO CERTIFICATIONS OR DISCLOSURES

if the Applicant Is unaSe to certify to any of the'CertEcafions or any other~contained in this EDS and not eplained elsawhene lnthis EDS, the Applkmnt must wrplain bekmr.

8/A

If the lettem, "NA; dm word "None or "No Response'ppeam above, or if the space is lett blank, it will be conmmivsly presumed that theApplicant certged M all CerMcMons and other ststemsnls oonlalned In this EOS.

Oerruuwtvip Interest Declaration:

List the name(s), sddmss, snd percent ownership cf each Person having s legal or bsnetdsl interest gnck/ding ovvnenadp) ofroom than tivp Persent (5%) in the Applicant/Holder.

Address Psrcsnktge Interest In

Jaded JaHAsad A&46 E~.&i~ .Iua4'.

If the intenmt of esy Person Ikded in (1)above ls hekl as an agent oragents, or a ncmkme or nominees, Ibt the carne andaddmss cfths prisdpsl on whose behalf the lntmast is held.

Name cf Agent/bio)nines. Name of Pdndpal Pdndpsfs Addrem

PIIA

Id Ihe Applcant ccnstrucgvely contmlled by another person or Legal Errtity? [ ]Yes [ W ] No

If yes, stale the nsms, sddmss and psmentags of benslldal Interest of such person, and the relationship under which suchoonlml Is being or may be~.;

Percentage of Rekrganship

Bene&el has/sat

Ger)terato Officers, Nembem snd Part'oars lnformagon:

For ak corporations, gst the names, ~,and tenne for all corporate ofllcers. For sll limbed liibllity ocmpsnkm, list tha nanms,.addresses grr all meinbem. For 'all partnmahips and joint ventures, list ths names, addresses, for sech partner or joint venture,

Name Address Title (spedfy gge of Term cfOSceOflice, or whether manager

year/4. &@us I9hNVo .%50surlds 4/tl

Declaration (cbook ths applicable box)

I state under oath that the Applicant has wlthhekl bc disdosurs as to ownership Inlmest In ths Applicant ncr reservedarly infarmagOn, data Or plan aa.tO.SS intended uee Or purpOSe fcr WhiCh the Applkant Seeke Ccunty Bcanl Or Other r~

Agency scgon.

[ ) I stale under oath Sat the Holder has withheld no dlsdosurs as to ownership interest nor reserved any kdormstion requked tobe disdosed.

JoKN'aMsudName of Authortred AppltcauyHolder Representative print or type)

c Z~yiSenagp ( (

'

Jd)Rd 0/$45@0.de'-miffefddmee

SubspriQed to endow'om belbm methis '4h dsyof~,20/5

Mir sur/PEo

""sf/(s'i~)eI-~~ac

Phone Number

My oommbdon sxplree:

Nolary Seel

EDS4 42015 .

COOK COUNIY BOARD OF ETHICS69 W. WASHINGTON STRBBT,SUITE 3040

CIHCAGO, ILLINOIS 60602'12/60343040IBce3I2/984988Fax

FAMILIAL RELATIONSHIP DISCIDSUIRE PROVBRON

Dohg u uigslficiutamouut ofbsshess with tbu'Cauuly requhes that you disa tc the Boud ofEthhs the.exhlence of any~mlathhmhips with any County emphyee cr any person boldhg Active o8lce h tbe Sane of Igbiois, the County; 'or

In'u'ny'unicjpuBty

withm the County. Ilm Ethics Ordinance defines a signtficsm amount of business for the pmpose of this dhsfic's'u're

rerpdreruent as mesa thaa $25,000 in aggregate County hases, contracu, pmebases or sales in sny caltsshr year.

If yau are unsure af whelhcr the hudness you do with ihe County cr a County agency wifi cross this~err on the mde ofcaudon by complegug the crushed fiuafihl dtsdosure fium because, among other patenual psiudths, euy peen fiumd.guifiy, afhilhg ta mshe a tequhu'd dlschmte ar knowingly filhg a hiss, misleadhg, ar inoample!e dhdosurs wig be prohibited fiamdphgany.business with the Caunty fis a psdod ofthree yean. The required dhdouue should be fihd w'llh lhe Board ofRtbhs by J~I af each calendar year in which you sre doing bminess with the County snd again with each bid/proposal/quotation to do buimiiiswdh Cook County. The Board ofEthics may assess a hue filhg fee of9100pcr day aficr an hifial 30-d'ay grace pcrhsL

The person that is doing bcshess with the Caunty must dhclose bis or her fiunfiial relationsbipa Iftbe person cathe County hase, or .contract ar pumhesing fimu or seghg to the County h a bushess cathy, then the bmhess cudty must disolose the fiumrlhl

ps of tbe indhiduals who ssu and, durhqtthe year prior to doing bushess with the Caaaty, wCe

e its board'of directors,~ its ofdccrs,~ its employees ar independent cautractors respossdbh for the geneal adminislratian ofthe cathy,e its agents ~to execute documeuts on behalf of the entity, and

its employees who directly'engage or engaged'in dohg 'warh with the County on behalf afdie entity.

Do not hesitate to contact the Beud of Ethics at (312) 6034304 for assistance in ~g the scope of any rcquhud fiuufilsl

tulip dhchsura

Addtfiaual Definitioam

"Fasriltal relationship" mesa's a person wbo h h spouse, domestlo parlncr or dvfi unhm parlner of a County employee or Slate,County'or munhipal o8hlal, or any person who h related to such an employee ar ofiloial, whadsu by blood, marriage ar~is

0 Paunt0 ChMCl )3wlher0 Sfiser0 Aunt0 UndeCl NieceCI Nephew

0 GrandparentCl GnmdcbBdCl Rather h-law0 Maher-h-hw0 Son-m=laW

'

Daugbtei m-hav0 Brother-in-hw0 Sister-in-hw

0 Stepfiuher

0 Stepmother

0 Steptsm'.~ter

0~'~Cl Half4uaher0 Half~

EDS-9

COOK COUNTY BOARD OR ETHICSRAMILIAL RELATIONSHIP DISCLOSURE FORM

PERSON DOING OR SEEKING TO DO BUSINESS WITH THE COUNTY

Name ofpursm Doing Busbtcss with the Coumy: fbVPS JISAUDOA)

Address ofPerson Doing Butduem with the County: 94D/ 6 lkkfSi5ll k&CkI

Phone umnber ofpctson Dohtg Busktms with SeCounty: A&3ff( iXR)BtuaB sdthess ofPctson Dobtg Business with the County: t iJyk/LrpAl A~IS&kkiN kWIf Pcmtm Doing Business wiS the County is a Business Entity, Provide tbe name, tkle md contact information fcr 5icindividual completing this disclosure ua behalf ofSePerson Doing Businesi with the Cmmty:

..~~L~h~,o~ki.~em. he)ef~DESCRIPTION Oli'USINESS WITH THE COUNTYappend ~pages ar needed tmd for each Cctatry lease, ctnttract, purchase ar sale sought and(ar obtainedduring the tudandar year ofSis tgsclcrure (or rhc proceeding ctdendar year fftgrcfestsu is made cn January I),fdsntfy.

The lease number, contract mnnber, purchase crrhu number, retNest for proposal muuber uudior rcttucst for qua55cafttm-nutnbcr ~with the business you are doing or seeking to do with the County. f555- IMgg

Thc aggregate dollar vsllle ofthe bluhtess pm tuu doing nr seekitlg tc do with the Cotmtyt g Af ~K>48The name, title and contsct mgnmstion for the County of6cial(s) or employee(s) htvolvcd in ueg'otisthR the business yon arodohtg or soddng to do with the County:

,AySrft &a~.~&SVl~ukie~~(3%aSR,S~-Aa (,The name,5ttle su'd contact iuformmon ibr t]pt County oi5cial(s) or employee(s) htvclml ht managhtg the butdness you acedohg or seckmg to do with SeCounty: Irshltav tu) k MB pals It s3A-

Pui.~, &SaASSIS~~ . (Se)@S-()rADISCLQSURR OR FAMR IAL'ELRTIONSHIPS WITH COUNTY EMPLOYEES OR STATK COUNTY QRMUNICIPAL ELECfED OFFICIALS

Check the hcn that applier and provide related tnfcrtnaricn where needed

The Pcrson Doing Business with the Comty is an individual md@ere is no famNsl relatioaship betwtnn Sic individualand any Cook County employee m any person holdhg elective oi5ce lathe State ofBiked, Cook County, or auymuuitdpsEty vtdthtu Cook County.

Cl The PctstmDoing Bushiess whh the County isa basiness entity and thee is no fnnBhd relationship between any memberofdus businem entity s botud ofdirectors, oi5cers, peulons rcsptnuul>le fcr general stbukdstrstion oftbe bllsiness entity,agents~tc execute documents on behalf ofthe business cathy or empioytns dhuctly engaged m~wtukvdth the Ctmaty oa behalf ofthe business cathy, and any Cook Cotmty ctuployee army person holt5eg ehctivc oi5ce latheState ofIllhttds, Cook County, or any municipality wkhht Cook County.

EDS-10

COOK COMIT BOARD OF ETHICSFAMILIAL RELLTIONSHIP DISCLOSURE FORM

0 The Person Dohg Bmiaass wkh the County'n hdlvMual sad there h a famgialrehtlonship between this iudividtudnnd ut hast ona Cook Cmmty employee and/ar a parsaa ar parsons holdhg elaotive oiBce h the State ofmhtoh, CookCounty, and/or my municipality within Cook Cmtnty. The famghl rehtlanshlps are as tbgows:

Name of Iadividmd Dohg Ncaa afRelated County Title cnd Pcsitbm afRelated Nature ofFsmlbalBiuancsa with thc Gcuaty Bsptaym ar Sate, Caacty or County Employee or Sate, County Rcladonrhip

Blccted Oigcial ar Muatclpst Sleeted OBlchl

A/+ A/s ni/~

Ifraore space Sneeded attach «a mfdtttoaal slrest fbllowtrtg ths shove format.

El The Person Doing Business wih the County h shoalness entity and there h a Sunillal relationshipbctwmm at least «n'e':member ofthis business entity's board of iireotam, oiBcers, pmsaas responsible far general admiahttafion oftbe businessentity, agents authorized ta execute do~ an behalf of the basiness entity sndlar employees dbec@y engaged h

work with the County on behalf ofthe business cathy, cathe one hand, snd at least ona Goak County employee.nnd/or a parson holdhg electbro ofhce h the State ofIllhois, Cook County, and/or any muahiptdtty wghht Cook County'; tzrtthe alber. Xhs Stmglal relationships are as fogews:

'ame

ofMcmbcraf BoardofDirector for Bwmmm

Bntity Doug Bashcm withSic County

Name ofRctcud County . Title aad posnicn ofRelated Nature ofFcmgiclBnplcyaa sr State, Caantyar County Employee or State, Couaty

.Rclstiouchlp'uctcipat

Bbatcd Otgcicl ar Municipal Blasted Ofgcicl

ni/~

Name ofOghcr hr BushmsBnttty Doing Bastmm with

Name ofRelied County Title aud position ofRelated Nmme ofFsmilhlEmployee or Seto,'Couugr or County Bmphyee or State, County

Relsdonsblp'uniciPal

Qcctcd Otgcicl . or Muaivdipsl Otgcial

~/e W/Z fh/A .

EDS-11 42015

Name ofPerson Responsible

for the OcnealAdmhistrstion ofdeBusiness Entity DohgBushess with the County

n(h

Name ofRehtcd Cmmty Title and pcsiden ofRelated Nsnue of PsmiTial

Employee or State, County or Coumy Emplcyseor Statn County RelationshipMuatctfud Elected Ofgcial or Municipal Elected Ofgcial

«/»

Name'f Agent AutbothMto Execute Documcsm fhrBusIness Bntity DomgBuainess with the Com@

8/A «/» «/»

Nsmcof Relmed County Title and posigonof Rstatsd Nitufs ofPamlgalBmployoc or Suue, County or Cmuuy Bmpltvtec or state, County ReladonddpMuniYipat Elected OtBcial or Municipal Bheuxl Ofgcial

Name ofBmplcycc cf Name ofRelated County Title and Posldcn ofRelated . Nature ofPamiiislBwrhiss Banty Dhectly Bmployee or Stats, Comuy or County Bmployec cr State, Comuy RcledonstdpEngaged in Doing Bushess, hhmfctysl Bfccmd.OfMst, or Municipal fgectcd OfBcfatwlththa C

«/» «/»

Ifmorc space is needed, attach an additional skeet following the above format.

VERIFICATION: To the bast ofmy kuowhdge, thc'htdbtmsdon I have provided on this dbciennu fhltn is aocurah and ooiuplete; Iacknowledge that an haceurite or ete disclosure is pungtbabie by hw, fuohuhtE bat not Ihnitnd to 6nes and debarment,

W~ 6 5///5S~ofpccfphut /r/t 'ateV

'UBMIT COMPLETED ItQBM TOt Cook County Board ofBhhn69 West Wmibhgnm Stmet, Suite 3040,~Illinois 60602.OIEce (312)603<304-Psx(312)603-9988CcokCountyEtbiicstBcookcountyiLgov

'ye< ~pmgmi, mTfi~~m~~ ddfd, sfbfhg, ~~i~~,mew, ~p~m~ddhfby blood, marriage (Itt h laws'and stop relations) ol adoption.

EDS-12

SECTION 4

CONTRACT AND EDS EXECUTION PAGEPLEASE EXECUTE PAGES 1X 14.S fd

The Appgcsnt he»by osages snd vrenants: that all of g» statamenls, ersÃcalms and wpwssnttgons set forth ln this EDS ars true,complete and coned; theta» Applhentie In full complhrnce and will congnus to be in onpgance thmughout 0» term of the Conbuuort opf

Counly Privllege issued to ths Applh»nt with sll the pogciae snd mquimnerde set forth ln tbb EDS; and thrd sg facts and in/ma'tdjun.

prmdded by ihe Appgcant In this EDS ws true, comphda and correcL The Applicant agrees to irdorm the Chief Pmcurement Otgcar'nvatgng if any of such ~,cerSTicagons, repnx»nlrdbns, facts cr bdormagon becomes or is found to be untrue, incompbrt's'.or

inoorrect during the term of the Ccntmct or Counly Privilege.

Exeougon by Con»radon

<v/r/Sre/ar/r, M Jarr/r/domed W~ r H~~aCorporation's Nwns President's Printed Name snd Signa/

(~~Shel-&SO '(/~kn~W&nekrrfiAfnu,ue

PT uC .J~ / 'rilzli~v

ry ginatum Date

Exeougon by LLC

LLC Name *Member/Mar»ger Printed Meme and Signature

Telephone and Email

ExecuSon by Paknersldp/Joint Ventum

Parlnemhip/Joint Venture Name *Partner/Johrt Venturer Printed Name and Sigruduw

Telephone imd Email

Exacuthm by Sole Pmprislorshlp

Printed Name snd Sgnatuw

Telephone Email

Subsgrlbed and sworn tg befcm me Sdsdayof j'j'e/J,20~

idiu~My commiiiion expires:

Public S~ Notary Seal

I the operating agreement, paitnewhlp agwsment or governing documsrds wquldng arwcugon by multiple members, managers,

partners, or joint venlursrs, please complete snd execute additional Cont»et and EDS Eurcugon Pages.

4/2015

INBE/SVBE (ITtLIZATION PLAN - FORBI 1

BIDDERfpROPOSERHEREBY STATES Sat all MBEIWBE arms incluihd in tms Pien em omlNed MBEslWBEs by at least one of the enNhs listed in the Bmrmru)Condmmrs -Secnm tg.

I. 'IDDEWPRDPOSERNBWWBE STATUS: (check gm sppapl& Ihs)

.~er is a cmillied MBE or WEE Srm. (Ifso, ranch copy d curmnt Lsitsrcf CerlNuNon)X..~er h s Joht Venium acd one or mom Joint Vsntuis parlnem ets outged MSEs or WBEa. (If so, sthdr ouphe of La(hs(a) of~,a copy cf Joht Venture Agrsemsra dearly describing Semis of tim MBEIWSE Bm(s) aiif its oaasmhlp intwsst in Sm Jufnt- yhaum aud a ocupishd Joinl vsniurs ANdsiN-available online et wnwzzzaoounivtzmikosuscrrzzsrthous)

SMddrfpniposer ls sct a csNSsd MBE o'r WEE Bin, nor a'Joht Venuns wgh MBE/WBE psrhem; but zgl uggze MBE snd WBESrms'eiijprr'mcgy

orhdlrudy h the perfemancs of BsConlrsd. (if so, ccmplete Secgons S behw asa Sm Lalier(s) of Inhm-Fram 2).

IL'

lÃsctparlhlnagonofMBEIWBEFlnns '. hdhsctpaigolPatlonofgtBBWBEFfnns

MOTE:,)Rfitam gOala bnue nOt been aChlmred thraugh direct PargCIPaEOn,BiddedPmgcuer ubug hchde duoumenhrgcn Outgnlng Sgfnrtf'r'tnz

hcbhwo tgtnmt padhtpatlan at tbe time of Bldl proposal submission. Indirect padlrdpggon wig only be consldemd alter ag "at)(m'tp',tn

achfevb ttlract partbdpugon have been «ubaustad. only agar wr Eton duohmentatlon of "Eood.pagb "Efftnts'e iscelv'ed will'ru'IPaifiotpstion'be conMdered.

IVIBEs/WBEs that will perform as subconlractorsisupplierslconsultanis Include Ibe following:

MBErWBE Flmt kJDHOC ~IA& s 3AG.

Vol Su3~ A~.&je2'amh

. f iJJAJAJJJA) AAGANd~iWrQOrPJ

Contact Psnen. 30fdf JOARRkl Rronrz CVH)88~Mlar Amouot Farfdpegorz S

PemsrSAmcuniofParhfpsgorz ..IC6%'Lager of Intent aaachsd? Yes'Cummt Lsihrof CeNhaSm siischsdt Yes~

MSEIWBE Firm'i

Adrhnm

Ddhr Amcust Perfdpsgon: S

FumsntAmountof Patdpagrm 4k

'Leger of htsnt agarbsrfi'Cunant Leger of~smcbedk

YesYes

Afhcb malilbcsisheets as needed.

'LeNar(a) at Intent and current Leltera of Certification BBIE(be submNtsd at the Sme of bid.

M/vvBE Utilization Pain - Form 1 Reuhett Otrr2g/2Ota

MBEIWBE LETTER OF INTENT ~ FORM 2

ivyNIBE Frrnx kA]04OIE ~(4f.~ Cergfykrg Agency:

Contact Persorr. JOVE 4&H450A) Cerglkxrgon Explratlas Dater.

Addmse: ~ (IO I 5. IlJHRSRA AUMJS ahnbky, s4drid'J8AI AISLE/dA)

Sty/Slate: . C4l~ . Zip: 4'%48 SdiproposayConkvrctd:. M~ /'@I]('

Phone:%%[[[ SS Fax (1/5%8[ 49 ] FFjNtk 19:-l80l97EmMi: r,dk/]2/u~~Wna,a~

'VVParfcipafion: +Direct [ ] Indi@et

Will Ihe MIWBE finn be subconhao5ng any of the goads or services oflhls contract to anctbru drmf

+No [ ]Yes-Pleasealbrchexptanallon, ProposedSuboantrsrdor(s):

The underdgned MIWBE Is pnipared to provide gmkdaWng CommodssseSs ices for Beabove nained Pro)erdf Contract (rf

more spsseb nseded re I'eliydescribe MWSERim s prcpcsed sccps of rssdirvrdbi peyreent scnsdide, afresh eddBcmd rdrerds)

ZPEI/SP%4/M ~/@AS

indicate grs Diller'Amounk Psmentans, snd the Tenne of Psvmsnt for the above-described Commodltlesl Servbee:

. N8,@f.&0

THE UNDERSGNED PARTIES AGREE grat gds Lager of Intent mll become' binding Subcontract Agreement for the above

work, cundBknrrM upon. (I) Ihe BlddsstpmposaCe receipt of a signed contract from lbs.Couniy of Cack; (2) Undersigned .'ubcontractoriemslnlng campgant wlgr sll rslsvint credarltlale, oodes, ordinances and stahtes requlmd by Contrsohr, Cook

County, end tbe Sais to psrikdprds ss a MBElWBE tkm for Ihe abave broric Ths U errfgnrM Psfgss do rdeocerllfy Ihat'rey:d'taNx their signatures in gfis dccumentundiallmeas under Descdpdon'of Service/Supply and Fee(Cost were comp(stud.

gt[Ir)re(((@ dr'/ . Sgnalurs(prfme S~r)Jedi W&8

Print Name Print Name

4k%8// ~i&Firm Name Firm Name

~k/~

Subacribsd and sworn before me

gd Ldayof . R((sr .20 I+..Nofary Pride ~K:f A~~

Subscdbed and swambshre me

thh day of

Nrdary Public

M/VVBE UtNzstion Plan - Form 2 Revised: 2/29/14

PETITIOIN FOR WAIVER OF MBE/WBE PARTICIPATION - FOINN 3

A. BIDDER/PROPOSER HERESY REQUESTS:

'ULL NBE WAIVER'

FULL WBE WAIVER

g. REDIICTIONPARTIAL INBE and/or WBE PARTICIPATION)

% of Reduction for MBE Partlclpagon

% of Reduc5on for WBE Parlhipagoh

bidder/Pmposer shall check. each item appNcdde to its reason for a waiver mqueat. Additionagy; supporgng

documenhdkm shall be scbngksd vdth this request

(1) Lack.of suNdentqtadNsd MBEs and/or WBEs capable of pmvldlrig the goods or services mquired

by the ccnlracL (Please explain)

(2) The specNcegonsml neceasaqimquirements for performing the contract make it Imposshh orsconcmlcally Inhmsibleto divide the oontmct to ensMe the confracterh'uggzs MBEs and/or WBEs in

accordance with.the applicable pargdpagon. (Pleme «xplsln)

(3) Price(s) quoted by potential MBEs and/or WBEs sm above compebTive laveh and incmase cost of.doing business and would make ccepbmce of such MBE and/or WBE bkl economically impracgcable,

taking into ccnsideagon the psmentage of total ccnhact price represented by such MBE arid/or WBEbid. (Please exphdn)

(4) There am olhermievantfamom nvddng it Impossible e'sconomicagy hfasslble to utgize MBE and/or.

WEE firms. (Please explain)

C. GOOD FAITH EFFORTS TO OBTAIN MBE/WBE PARTICIPATIONI

(1). Madhtlmely wrgten sqliqgatton to khxdNed MBEs and wBEs for u5llztdon of goads and/or services;'nd provided MBEs snd WBEs wNh a timely oppcdunNy'to mvieW had obhfn relevant specNcagons,

Is/ms and ccnddkms of ths propbsal M enabls MBEsand WBEs to pmpaie an informed response to

eolicita5oh. (Athtch of copy wrINen aolicitstions made)

.....(2) Used.the m/vices and asslsbmce of the Gfgcs of Cordract Compliance shill. (Please explain)--

(3) Tknely notNed and used the sera'ces and assishnce of communiiy, 'mmrity snd women)auskiess

orgacizagone. (Athtch of copy wrNtsn sotlcihdlons made)

(4) Fogowsd up oninlgal soiicgagon cfMBEs and WBEs to dstermlhe if Nsas sm Intsmstedh doing

business. (Attach supporting documentatloa)

(5) Engaged MBEs SWBEs for direct/indirect par5cipegon. (Please exphh)

O. OTHER RELEVANT INFORNNATION

Athich any other documsnhtgonmlagve to Goad Fagh Etfods In complying with MBE/WBE partkdpagon.

M/vvaz Utiatatlon plan '- Form a . Revised: 01/29/14

ISETARTMENT os paocuREMENT SERTIcas

CI1I'V OP CHICAGO

APR 15 20)5

Joyce JohnsonAnchor Staffing, Inc.9901 South Western Avenue, Suite 206Chicago, IL 60543-1800

Dear Joyce Johnson:

We are pleased to inform you that Anchor Staffing, Inc. has been recerfified as a INinorityBusiness Enterprise ("55BE")and Women Business Enterprise ("WBE") by the City ofChicago ("City"). This INBE/WBE certification is valid until 07/15/2017; however your firm'scertification must be revalidated annually. In the past the City has provided you with an annualletter confirming your certification; such letters will no longer be issued. As a consequence, werequire you tc be even more diligent in filing your annual No-Change Affidavit 60 days beforeyour annual anniversary date,

It is now your responsibility to check the City's certification directory and verify your certificationstatus. As a condition of continued certification during the five year period stated above, youmust fiki an annual No-Change Affidavit. Your finn's annual No<hange Affidavit is due by07/16/2016. Please remember, you have an, affirmative duty to fils your No-Change Affidavit60 days prior to the date of expiration. Failure to file your annual No-Change Affidavit mayresult in the suspension or rescission of your certiTication.

Your finn's five year certification will expire on 07/15/201 7. You have an affirmative duty to filefor recertification 60 days prior to the date of the five year anniversary date. Therefore, youmust file for recertification by 05/15/201 7.

It is imporlant to note that you also have an ongoing affirmative duty to notify the City of anychanges in ownership or control of your firm, or any other fact affecting your fiirm's eligibility forcertification within 10 days of such change. These changes may include but am not limited toa change of address, change of business structure, change in ownership or .ownershipstructure, change of business. operations, gross receipts and or personal net worth that exceedthe program threshold. Failure to provide the City with timely notice of such changes may

'esult in the suspension or rescission of your certification. In addition, you 'm'ay be liable for civil

penalties under Chapter 1-22, "False Claims", of the Municipal Cods of Chicago,

Please note —you shall be deemed to have had your certification lapse and will be ineligible toparticipate as a. INBE/WBE if you fail to;

~ File your annual No-Change Affidavit within the required time period;

III NORTH LASALLE STREET, ROOM SSR CHICAGO, iLLINOIS 60601

Anchor Staffing, Inc. Page 2 of 2

e Provide financial or other records requested pursuant to an audit within the requiredtime period;

s Notify the City of any changes affecting your firm's certitication within 10 days of suchchange; or

e File your recertiTication within the required time period.

Please be reminded of your contractual obligation to cooperate with the City with respect to anyreviews, audits or investigation of its contracts and affirmative action programs. We stronglyencourage ycu to assist us in maintaining the integrity of oui programs by reporting instana„sor suspicions of fraud or abuse to the City's Inspector General atchicagoinspectorgeneral.org, or 866-IG-TIPLINE (8664484754).

Be advised that if you or your firm is found to be involved in certification, bidding and/orcontractual fraud or abuse, the City will pursue decertification and debarment. In addition toany other penalty imposed by law, any person who knowingly obtains, or knowingly assistsanother in obtaining a contract with the City by falsely representing the individual or entity, orthe individual or entity assisted is guilty of a misdemeanor, punishable by incarceration in thecounty Jail for a period not to exceed six months, or a fine of not less than $5,000 and not morethan 610,000 or both.

Your Hirm's name will be listed in the City's Directory of Minority and Women-Owned BusinessEnterprises in the specialty area(s) ef:

NAICS Code(a):561311- Employment placement agencies or services561320-Temporary employment services

Your firm's participation on City contracts will be credited only toward INlnority BusinessEnterprise and Women Business Enterprise goals in your area(s) specialty. While yourparticipation on City contracts is not limited to your area of specialty, credit toward goals will begiven only for work that is self-performed and providing a commercially useful function that is

done in the approved specialty category.

Thank you for your interest in the City's Minorhy and Women-Owned Business Enterprise

(MBEiWBE) Program.

Sincemly,

erement OfHcer

JLR/sl

Contract No. 1585-14678

EXHIBIT 5

Evidence of Insarmce

AG-9

CERTIFICATE OF LIABILITY INSURANCE~ 3/4/2P15

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, TMBCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AS)END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEIWEEN THE ISSUING INSURER(8), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED; the Pogcy(les) must be endorsed. If SUBROGATION IS WAIVED, sub)sct Iothe terms and conditions of the Do)my, certain policies msy require sn endorsement. A ststantent on th)8 certificate does not confer rights to thscerbficate holder in lieu of such endorsement(s).

PHDDUCBH

BARROW GROUP IrLC I JJJC. Hot: trip) 338-$440

110 E. Crogan Et.

1,000,000100,000

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$11 5987519-82

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Lawrenceville GA 30046 msunaaA tguxich Ame1 ican Insurance CoIMBUHBD ~dsundnnAmerican Guarantee & LiabilityAnchor Staffing Inc. mmmmcGranite State IDBurance Co9901 South Western Avenue INSURER D r

Suite 206 tntnmaa 5 t

Chicago IL 60643 IH8UBBB P:

COVERAGES CERTIFICATE NUMBEILCL14121001294 REV)S)ON NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCL)MENT WITH RESPECT TO Ut)HIGH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

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PMB 5499081-82HC 826-6D-61

PBA 5987519-02Pad 5907519-02

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CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBEO POUCIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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ACORD 25 (2010/05)Imaeasnmrlnnl rlt

R Barrow, Jr./DBB

O 1088-2010 ACORD CORPORATION. Aii riglrts rsserdsd.Yha dhhnh nama nnrt tnnn ara mnlatararl mnrha nd df,hnh

SECTION SCOOK COUNTY SIGNATURE PAGE

PN BEHALF OF THE COUNTY OF COOK, A BODY POLITIC AND CORPORATE OF THE STATE OF ILUNOIS, THIS CONTRACT 16HEREBY EXECUTED BY.,

36~~~ P AM~onr~ gifw 3COOKCOUNlYCHIEF1 ROCUREMENT OFFICER

PATEDAT CHICAGO,ILLINOISTHIS II HL DAYOF N(29I

IN THE CASE OF A RIBPROPOBALIRES~ THE COUNlY HEREBY ACCEPTS

THE FOREGOING BIDIPROPOSAURESPOHSE AS IDENTIFIED IN THE CONTRACT DOCUMENTS FOR CONTRACT NUMBER

ITEM(B), SECTION(S),

PART(S)'OTAL

AMOUNT OF CONTRACT:zs) 5~9 4 0

(DOLLARS AND CENTS)

FUND CHARGEABLE

APPROVED AS TOFQRR

ASSISTANT STATES ATTORNEY

(Requfrn0 an contrnde arnr01,000,000.00)

EDS.16 42D15