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2011-01RESOLUTION 2011 - 1 A RESOLUTION AUTHORIZING APPROVAL OF THE SPECIALTY CROP GRANT AGREEMENT BETWEEN THE ILLINOIS DEPARTMENT OF AGRICULATURE AND THE VILLAGE OF BUFFALO GROVE Buffalo Grove Farmers Market Promotional Campaign WHEREAS, the mission of the Illinois Department of Agriculture (the "Department ") is to advocate for Illinois' agricultural industry and provide the necessary regulatory functions to benefit consumers, agricultural industry, and natural resources by promoting agri- business in Illinois and throughout the world; and WHEREAS, the Village of Buffalo Grove (the "Village ") coordinated a Farmers Market in 2010 and plans to continue with a Farmers Market in year 2011; and WHEREAS, the Village applied for a grant as part of the Illinois Department of Agriculture Specialty Crop Block Grant Program — Farm Bill to enhance competitiveness of Illinois Specialty Crops; and WHERAS, the Village was awarded a grant in the amount of $9984 to be used for the purposes indicated in the proposal packet and referenced within the Specialty Crop Grant Agreement between the Department and the Village attached hereto as Exhibit A (the "Agreement "); and WHEREAS, the Village intends to implement an advertising campaign in order to teach people about the nutritional benefits associated with Illinois grown vegetables, to encourage them to change their eating habits, and to develop a positive perception associated with the consumption of locally grown vegetables; NOW, THEREFORE, BE IT RESOLVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF THE VILLAGE OF BUFFALO GROVE, COOK AND LAKE COUNTIES, ILLINOIS: Section 1. That the Village Manager or designee is authorized to execute and file the Specialty Crop Grant Agreement between the Illinois Department of Agriculture and the Village of Buffalo Grove. Section 2. That the Village Manager or designee is authorized to file the necessary reports in accordance with the requirements of the Agreement, and the Village Clerk of the Village of Buffalo Grove is authorized and directed on behalf of the Village of Buffalo Grove to attest said reports. AYES: 6 - Braiman Glover, Berman, Trilling, Sussman, Smith NAYES: 0 — None ABSENT: 0 - None PASSED: January 3, 2011 APPROVED: January 3, 2011 Approved: Attest: Village President Village Clerk Exhibit A SPECIALTY CROP GRANT AGREEMENT BETWEEN THE ILLINOIS DEPARTMENT OF AGRICULTURE AND Village of Buffalo Grove WHEREAS, this Grant Agreement (hereinafter referred to as "Agreement "), is made and entered into by and between the State of Illinois, Department of Agriculture, (hereinafter. referred to as "Department "), and Village of Buffalo Grove (hereinafter referred to as "Grantee ") pursuant to the United States Department of Agriculture (hereinafter referred to as "Federal Agency "), Agricultural Marketing Service's Specialty Crop Block Grant Program — Farm Bill (CFDA # 10.170) pursuant to USDA Agreement Number 12 -25 -B -1066. The required Federal Terms and Conditions (10/2009) of this grant and the funding program are incorporated by reference and can be found at: http: / /www.ams.usda.gov/ AMSv 1. 0/ getfi le ?dDocName= STEIPRDC5080481. The implementing regulations of the grant and the funding program are incorporated by reference (7 CFR Part 3015, 7 CFR Part 3016, and 7 CFR Part 3019). Permissible expenditures will be determined in accordance with the applicable program legislation, the purpose of the award, the terms and conditions of award as contained herein, and, if this award is to a recipient other than a Federal agency, by the following Federal cost principles that are applicable to the type of organization receiving the award, regardless of type of award or tier (i.e., prime awardee, subaward) as are in effect at the time of award: 2 CFR 225 (OMB Circular No. A -87), 2 CFR 220 (OMB Circular No. A -21), 2 CFR 230 (OMB Circular No. A -122) and 48 CFR Part. 31.2. Subject to the terms and conditions of this Agreement, the Department agrees to provide a grant in an amount specified below to the Grantee. Subject to the execution of this Agreement by both parties, the Grantee hereby agrees to use the funds provided under this Agreement for the purposes set forth herein and agrees to comply with all terms of this Agreement. NOW THEREFORE, the Department and Grantee hereby agree as follows: 1. Grant Amount. Department will award a grant of $ 9984 to Grantee to be used only for the purposes indicated below and incorporated by reference in the attached USDA approved Proposal packet and any amendments thereto. 2. Grant Purpose. The Objective of the Illinois Department of Agriculture Specialty Crop Block Grant Program - Farm Bill Activities is to enhance the competitiveness of Illinois Specialty Crops. SC -11- 1 15 Page 1 This agreement shall be carried out by the organizational units or officials of the Federal Agency, Department and the Grantee in the manner and subject to the conditions provided in the Specialty Crop Block Grant Program - Farm Bill Terms and Conditions incorporated by reference and made part of this agreement (http:// www .ams.usda.gov /AMSv1.0 /getfHe? dDocName= STE 1PRDC5080481). The Grantee will complete activities outlined in the attached USDA approved proposal plan and its related amendments and the Department will: Partner with Buffalo Grove Farmers Market to implement an advertising campaign in order to teach people about the nutritional benefits associated with Illinois - grown vegetables and encourage them to change their eating habits, which will foster the development of a positive perception associated with the consumption of locally grown vegetables 3. Permissible Expenditures. All expenditures will be consistent with the Federal requirements outlined in the 2010 SCBGP Guidance Document (http: // www. ams.usda.go-v /AMSv1 .0/ ams.fetchTempIateData.do? template= TemplateJ &page= SCBGPGrantProcedures) as well as those details incorporated within the attached USDA approved Proposal packet. Costs of meetings and conferences, the primary purpose of which is the dissemination of technical information, are allowable. This includes costs of meals, transportation, rental of facilities, speakers' fees, and other items incidental to such meetings or conferences. When providing meals, such meals should be comparable in price to those set out by the State of Illinois's Governor's Travel Control Board (http: // www. state. il. us/ cros /2_servicese_oth /trv/guid.htm). The Grantee shall provide to the Department a copy of any meeting or conference agenda for which they are seeking reimbursement for meals. 4. Non - allowable expenses. Costs of entertainment, including amusement, diversion, and social activities and any costs directly associated with such costs (such as tickets to shows or sports events, meals, lodging, rentals, transportation, and gratuities) are not allowable. In addition grant funds shall not be used for the purchase of alcoholic beverages. This list is not inclusive of all non - allowable expenses. 5. Financial Controls. Financial Controls are described in paragraphs 8,9,17 and 19 of this agreement. 6. Location. Grantee's work location, unless changed, shall be working in the State of Illinois. 7. Term. The term of this agreement is from January 1, 2011 until December 31, 2013. SC -11- I Page 2 8. Disbursement of Grant Funds. Requests for advances must be submitted by Department determined deadlines to Department at least quarterly on the form provided by the Department. The form can be found at: www.agr.state.i1.us/ Grants /reports /guarterreportbiank.pdf. The quarterly report form should be submitted to Department by fax or email. Quarterly cash advances shall be limited to the minimum amounts needed to meet current disbursement needs and shall be scheduled so the funds are available closely as is administratively feasible to the actual disbursements by the Grantee. Requests for payments should be scheduled so that all grant funds are obligated at the end of the grant agreement. Any unobligated balance of cash at the end of this period must immediately be refunded back to the Department. 9. Management of Grant Funds. Grant records shall provide for complete, accurate and current disclosure of financial results. The source and application of funds shall be readily identified by the continuous maintenance of updated records. Records, as such, shall contain information pertaining to grant awards, authorizations, obligations, unobligated balances, assets, outlays and income. When the grantee is a governmental entity, the records shall also contain liabilities. The actual and budgeted amounts for each grant shall be compared. Financial information shall be related to performance and unit cost data. Estimates based on available documentation may be accepted for unit cost data. Accounting records shall be supported by source documentation. These documentations include, but are not limited to, detailed invoices. Copies of these invoices shall be submitted with the required final report. 10. Project Standards and Responsibilities a. All grant expenditures will be in support of specialty crops grown in Illinois. The purpose of these Grant Funds is to solely enhance the competitiveness of specialty crops. Specialty crops are defined as "fruits, vegetables, tree nuts, dried fruits, horticulture, and nursery crops (including floriculture)." ( http : / /www.ams.usda.gov /AMSvl.O/ a m s. f e t c h T e m p I a t e D a t a. d o? template= TemplateJ& navlD= DefinitionofSpecialtyCrops &rightNav1 =Defi nitionofSpecialtyCrops &topNav= &IeftNav= Com mod ityAreas &page =SCB G PDefinitions &resultType= &acct= fvgrntprg) b. Grantee agrees to monitor the performance of all project activities and ensure that the work is completed within the required time frame. SC -11- 1 15 Page 3 C. Grantee agrees to ensure that grant funds are used only for activities covered by the federally approved proposal attached and incorporated by reference and any amendments thereto. d. All travel expenses shall follow Federal Travel Regulations (41 CFR Chapters 300 -304) as well as the State of Illinois's Governor's Travel Control Board (http: / /www. state. il. us/ crosl2 _servicese_othArv/guid.htm) e. The Grantee agrees to notify the Department, as soon as possible, regarding any problems, delays or adverse conditions which will materially impair the ability to meet the objectives of the award. The Grantee also agrees to notify the Department, as soon as possible, of favorable developments that will allow objectives to be met sooner or at less cost. f. Results of the grant project(s) may be published and distributed by the Federal Agency, Department or by Grantee as mutually agreed. 11. Assurances. In accepting this grant award, the grantee specifically certifies that Grantee: a. Has the legal authority to participate in the grant program, to accept federal assistance and the institutional, managerial and financial capability (including funds sufficient to pay the non - Federal share of project cost) to ensure proper planning, management and completion of the project described in this application. b. Will give the Federal Agency, the Comptroller General of the United States and the Department and the State of Illinois including the Auditor General of the State of Illinois and the Illinois Attorney General, through any authorized representative, access to and the right to inspect and audit any books, records, papers, or documents related to the grant program, project, or use for which grant funds were provided; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. C. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. d. Will initiate and complete the work within the applicable time frame after execution of this grant agreement. e. Will comply with all applicable requirements of all other State and Federal laws, executive orders, regulations, and policies governing this program. f. And its principals are not presently debarred; suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; have not been convicted or indicted under criminal or civil statutes or had one or more public transactions terminated for cause or default within the past three years; will provide immediate written notice to the Authorized Departmental Officer if at any time it learns that this certification was erroneous when made or has become erroneous by reason of changed circumstances; and will require recipients of lower -tier covered SC -11- I Page 4 transactions under this grant award to similarly certify (Executive Order 12549, as implemented by 7 CFR Part 3017, Section 3017.510, Participants' responsibilities). 12. Prior Approval Requirements a. Change Key Personnel - When it is necessary to change the program .contact for the grantee, Grantee shall submit a written request (email is acceptable) to the Department. Request should contain the new individuals name and contact information. b. Scope or Objectives - When it is necessary to modify the scope or objectives of the award, Grantee shall submit a written justification for the change along with the revised scope or objectives of the award to the Department. If requesting to discontinue all or a portion of a project and add a new project, Grantee shall submit a written justification for the change along with a project proposal to include the project title, purpose, potential impact, expected measurable outcomes, work plan, budget narrative, project oversight and project commitment and signature of the Grantee. Faxed document or PDF file with a signature is acceptable. Changes must be approved by Department and USDA. C. Budget Changes - Where a modification to the attached approved budget is required, the modification must be approved in writing by the Department and USDA if the cumulative amount of such modifications exceeds 20 percent (20 %) of the project's total budget as last approved by the USDA. A request for a budget change shall include: (a) a description of the change, (b) a justification for the change, and (c) the signature of the Grantee's representative. SC -11- 1 15 Page 5 13. Grant Funds Recovery. Pursuant to the Illinois Grant Funds Recovery Act (30 ILCS 705/1 et. seq.), all funds that were not expended or legally obligated shall be returned to the Department within 45 days after 1) the termination of the Agreement, or 2) the expiration of the period of time grant funds are available for expenditure or obligation by the Grantee (not to exceed 2 years), whichever occurs first. Any grant funds which have been misspent or are being improperly held are subject to recovery by the Department. All interest earned on grant funds held by a Grantee shall become part of the grant principal when earned and shall be treated accordingly for all purposes, unless this Agreement provides otherwise. 14. Freedom of Information Act. Grantee understands that any documents submitted by it to the Department are subject to disclosure under the Freedom of Information Act, 5 ILCS 140. 15. Personnel. All technical, clerical and other personnel necessary for the performance required by this Agreement shall be employed, or contracted with, by Grantee, and shall in all respects be subject to the rules and regulations of Grantee governing its employees. Neither Grantees nor its personnel shall be considered to be the agents or employees of the Department. 16. State Officials: The Department and its payroll employees, when acting pursuant to this Agreement are acting as State officials in their official capacity and not personally or as the agents of others. 17. Fiscal Funding. Payments pursuant to this Agreement are subject to the availability of applicable funding and their appropriation and authorized expenditure under the law. Obligations of the Department will cease immediately without penalty or liability of further payment being required if in any fiscal year that this Agreement is in effect the Illinois General Assembly fails to appropriate or otherwise make available sufficient funds for this grant. The Grantee hereby is given actual knowledge of the fact that pursuant to the State Finance Act, 30 ILCS 105/30, payments under this Agreement are contingent upon there existing a valid appropriation therefore and that no officer shall contract any indebtedness on behalf of the State, or assume to bind the State in any amount in excess of the money appropriated, unless expressly authorized by law. If this is a multi -year grant, it is void by operation of law if the Department fails to obtain the requisite appropriation to pay the grant in any year in which this Agreement is in effect. 18. Total Grant Amount. The Grantee expressly understands and agrees that the SC -11- '75 Page 6 total financial obligation of the Department under this Agreement shall not exceed the total grant amount set forth in this Agreement, and the Grantee agrees expressly to fully complete the project being funded and all other obligations under this Agreement within the stated total consideration. 19. Reporting. Unless stricter requirements are detailed in this agreement, for those grants in excess of $25,000, Grantee shall file quarterly reports describing the progress of the program, project, or use and the expenditure of the grant funds related thereto. Regardless of the amount of the grant, the following reporting requirements are set: Monthly Report - Grantee must provide to the Department a monthly project status reports which will be due the first business day of each month. The Department will provide to the Grantee the format to be used for this report. Monthly report requirements will remain in place until such time as the required Final Report is submitted to the Department by the Grantee. Final Report - A final written report, describing the work performed, results obtained and economic impact is due no later than October 1, 2013 or within 30 days after the completion of grant project(s) and objective(s). The report excluding attachments shall be no longer than 6 pages, double- spaced with 12 -point font and one -inch margins. The final written report shall include a project narrative evaluating the success of the project and identify the performance measures used in the evaluation. The content of the narrative part will be supplied by the Department. The final report shall also include examples of all work products generated as a result of this grant. A budget worksheet, as provided by the Department, is also required that details all grant funded expenditures. Copies of invoices from all grant related expenditures are also required. The Department may also require the Grantee to make a formal presentation to the Department reviewing the results of the grant. 20. Record Retention. The Grantee is accountable for all funds received under this Agreement and shall maintain, for a minimum of three years following the later of expiration or termination of this Agreement, adequate books, records and supporting documents to verify the amount, recipients and uses of all disbursements of funds passing in conjunction with this Agreement. This Agreement and all books, records and supporting documents related hereto shall be available for inspection and audit by the Federal Agency, the Department, the Illinois Attorney General, the Auditor General of the State of Illinois, or any of their duly authorized representatives, and the Grantee agrees sc-11-1 is Page 7 to cooperate fully with any audit conducted by them. Grantee agrees to provide full access to all relevant materials and to provide copies of it upon request. Failure to maintain books, records and supporting documents required by this Section shall establish a presumption in favor of the Department for the recovery of any funds paid by the Department under this Agreement for which adequate books, records and supporting documentation are not available to support their purported disbursement. The State may require an independent audit of the grant at the Grantee's expense. Grantee shall not impose a charge for examination of the Grantee's books and records. If any of the services to be performed under this Agreement are subcontracted, the Grantee shall include in all subcontracts covering such services, a provision that the Federal Agency, the Department and the State of Illinois including Auditor General of the State of Illinois and the Illinois Attorney General, or any of their duly authorized representatives, will have full access to and the right to examine any pertinent books, documents, papers and records of any such subcontractor involving transactions related to this Agreement for a period of three years from the later of the expiration or termination of this Agreement. 21. Termination. This Agreement may be terminated as follows: a. Due to Loss of Funding. Obligations of the State will cease immediately without penalty of further payment being required if in any fiscal year the Illinois General Assembly or Federal funding source fails to appropriate or otherwise make available sufficient funds for this Agreement. In the event the Department suffers such a loss of funding in full or in part, the Department shall give the Grantee written notice which shall set forth the effective date of full or partial termination, or if a change in funding is required, setting forth the change in funding and the changes in the approved budget. b. For Cause. If the Department determines that the Grantee has failed to comply with any of the terms, conditions or provisions of this Agreement, including any applicable rules or regulations, the Department may terminate this Agreement in whole or in part at any time before the expiration date of this Agreement. The Department shall notify the Grantee in writing of the reasons for the termination and the effective date of the termination. Payments made to the Grantee or recovery by the Department shall be in accord with the legal rights and liabilities of the parties. In the event of termination for cause, Grantee shall also be subject to any other applicable provisions specified elsewhere in this Agreement. C. For Convenience. The Department or the Grantee may terminate this Agreement in whole or in part when the Department and the Grantee agree that continuation of the program objectives would not produce beneficial results commensurate with the further expenditure of funds. The Department and the Grantee shall agree upon termination conditions SC -11- Page 8 including the effective date and in the case of partial termination, the portion to be terminated. The Grantee shall not incur new obligations for the terminated portion after the effective date, and shall cancel as many outstanding obligations as possible. The Department shall allow full credit to the Grantee for the Department's share of the non - canceled obligations, if properly incurred by the Grantee prior to termination. 22. Indemnification. The Grantee agrees to indemnify and hold the Department and /or the State of Illinois, and its officers, agents or employees harmless from and against any and all claims and actions, including but not limited to, attorneys' fees, costs and, interest, based upon and arising out of any services performed under this Agreement by the Grantee and its officers, employees, agents, independent contractors, subcontractors, sub recipients, volunteers or other associates. The Grantee shall further indemnify and hold the Department and /or the State of Illinois and /or its officers, agents and employees harmless from and against any and all liabilities, demands, claims, damages, suits costs, fees and expenses incident thereto, for injuries or death to persons and for loss or damage to or destruction of property because of negligence, intentional acts or omissions on the part of Grantee, its officers, employees, agents, independent contractors, subcontractors, sub recipients, volunteers or other associates, arising out of any services performed under this Agreement. The Grantee further agrees to indemnify, save and hold harmless the Department, its officers, agents and employees against any liability, including costs and expenses associated with the violation of general, proprietary rights, copyrights or rights of privacy of third parties arising out of the publication, translation, reproduction, delivery, performance, use or disposition of any date developed or furnished under this Agreement or any libelous or any unlawful matter contained therein. Governmental Entities. In the event that the Grantee is a Governmental Entity, it will indemnify and hold harmless the Department as set out herein to the extent authorized by federal and /or state constitutions and /or laws. 23. Modifications by Operation of Law. This Agreement is subject to such modifications as the Department determines may be required by changes in State law or regulations applicable to this Agreement. Any such required modification shall be incorporated into and be part of this Agreement as if fully set forth herein. The Department shall timely notify the Grantee of any pending implementation of or proposed amendment to such regulations of which it has notice. SC -11- 1 a5 Page 9 24. Grantee Responsibility. All applicable federal, state and local laws, rules and regulations governing the performance required by Grantee shall apply to this Agreement and will be deemed to be included in this Agreement the same as though written herein in full. Grantee is responsible for ensuring compliance with all applicable laws, rules and regulations, including but not limited to those specifically referenced herein. Except where expressly required by applicable laws and regulations, the Department shall not be responsible for monitoring Grantee's compliance. 25. Assignment. The benefits of this Agreement and the rights, duties and responsibilities of the Grantee under this Agreement may not be assigned (in whole or in part) except with the express written approval of the Department acting through its Director. Any assignment by the Grantee in violation of this provision renders this Agreement voidable by the Department. 26. Severability Clause. If any provision under this Agreement or its application to any person or circumstances is held invalid by any court of competent jurisdiction, this invalidity does not affect any other provision or its application of this Agreement which can be given effect without the invalid provision or application. 27. Integration Clause. This Agreement, with attachments as written, is the full and complete agreement between the parties and there are no oral agreements or understandings between the parties other than what has been reduced to writing herein. 28. Comptroller Filing Notice. The Grantee expressly understands that whenever applicable, a copy of this Agreement and any modification, cancellation or renewal will be filed by the Department with the State Comptroller. 29. Subcontract and Grants. The Grantee's services, duties and responsibilities specified herein shall not be subcontracted or subgranted by the Grantee without prior written approval of the Department, unless such subcontracts or subgrants are provided for elsewhere in this Agreement. Any subcontracts or subgrants shall be subject to, and conform with all applicable State and Federal laws, and shall specifically provide that subcontractors or subgrantees are subject to all of the terms and conditions of this Agreement. Before entering into any subcontracts, a contract with the subcontractor must be approved by the Department and should include the following language, "Any subcontracts or subgrants shall be subject to, and conform with all applicable State and Federal laws, and shall specifically provide that subcontractors or subgrantees are subject to all of the terms and conditions of the Illinois Department of Agriculture Grant Agreement. SC -11- Page 10 30. Incorporation of Documents. Grantee shall provide Department, before grant funds are disbursed, a copy of all incorporation documents and documentation attesting to its legal status under the Internal Revenue Code. 31. Public Relations Activities. For the duration of the Grant Agreement, the Department and the Grantee shall prominently acknowledge the participation of the other party in all press releases, publications and promotional materials presented to the media or otherwise disseminated or published concerning the project. The Grantee shall acknowledge the "Illinois Department of Agriculture" as a participant of the project. Each Party shall use its best efforts to coordinate media coverage and presentations and shall notify the other regarding any proposed press releases, publications and promotional materials. The Parties shall provide adequate notice of, and coordinate in the planning of, promotional events such as open houses, dedications or other events. 32. Endorsement. Grantee shall neither represent nor permit to be represented that the award of this grant to Grantee is an endorsement of the program, project or concept covered by this Agreement for any purpose, including but not limited to the solicitation of membership or funds. 33. Applicable Laws. This Grant is awarded in the State of Illinois for execution within the State of Illinois. This Agreement shall be governed by and construed according to Illinois law as that law would be interpreted by an Illinois Court. 34. Force Majeure: Failure by either party to perform its duties and obligations will be excused by unforeseeable circumstances beyond its reasonable control, including acts of nature, acts of the public enemy, riots, labor or material shortages, labor disputes, fire, flood, explosion, legislation, and governmental regulation. 35. Entire Agreement. This Agreement, including all Attachments hereto, constitutes the entire agreement between Department and Grantee. Any modifications must be in writing signed by both parties. If any provision of the agreement should be found illegal, invalid or void, said provision shall be considered severable. The remaining provisions shall not be impaired and the .Agreement shall be interpreted to the extent possible to give effect to the intention of the parties. 36. Grant Certification. Grantee certifies under oath that all information in the grant agreement is true and correct to the best of the grantee's knowledge, information, and belief; that the funds shall be used only for the purposes described in the grant agreement; and that the award of grant funds is conditioned upon such certification. SC -11- 15 Page 11 WHEREFORE, Department and. Grantee sign and execute this Agreement on the day and year set forth below. The Grantee acknowledges that the individual signing below is authorized to execute this Agreement and that such signature constitutes the acceptance of this Agreement. (Grantee Name) Signature Printed Name Title Address Phone E -mail SC -11- 15 GRANTEE Fax Date ILLINOIS DEPARTMENT OF AGRICULTURE By Date Thomas E. Jennings, Director Legal Counsel Page 12 WHEREFORE, Department and Grantee sign and execute this Agreement on the day and year set forth below. The Grantee acknowledges that the individual signing below is authorized to execute this Agreement and that such signature constitutes the acceptance of this Agreement. GRANTEE {Grantee Nam t i of • ( Grove Signature AkI IV� IA" Printed Name Title Del, L'\ V'114 P-_ M-Ayi, bate I I -2 1 -20)0 Address -56 ?'uFW& Ero IL Phone Vil ''1!59:1517 Fax $�7`WIg4.6 E -mail C- NEUk► RC14eV 9G. 0 K G SC -11- 1 15 ILLINOIS DEPARTMENT OF AGRICULTURE By Date Thomas E. Jennings, Director Legal Counsel Page 12 Version 08 -25 -10 STANDARD CERTIFICATIONS Grantee acknowledges and agrees that compliance with this section and each subsection for the term of the contract and any renewals is a material requirement and condition of this contract. By executing this contract Grantee certifies compliance with this section and each subsection and is under a continuing obligation to remain in compliance and report any non - compliance. This section, and each subsection, applies to subcontractors used on this contract. Grantee shall include these Standard Certifications in any subcontract used in the performance of the contract using the Standard Subcontractor Certification form provided by the State. If this contract extends over multiple fiscal years including the initial term and all renewals, Grantee and its subcontractors shall confirm compliance with this section in the manner and format determined by the State by the date specified by the State and in no event later than July 1 of each year that this contract remains in effect. If the Parties determine that any certification in this section is not applicable to this contract it may be stricken without affecting the remaining subsections. As part of each certification, Grantee acknowledges and agrees that should Grantee or its subcontractors provide false information, or fail to be or remain in compliance with the Standard Certification requirements, one or more of the following sanctions.will apply: • the contract may be void by operation of law, • the State may void the contract, and • the Grantee and it subcontractors may be subject to one or more of the following: 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 certifications does not waive imposition of other sanctions or preclude application of sanctions not specifically identified. 2. Grantee certifies it and its employees will comply with applicable provisions of the U.S. Civil Rights Act, Section 504 of the Federal Rehabilitation Act, the Americans with Disabilities Act (42 U.S.C. § 12101 et seq.) and applicable rules in performance under this contract. 3. Grantee certifies it is not in default on an educational loan (5 ILCS 385/3). This applies to individuals, sole proprietorships, partnerships and individuals as members of LLCs. 4. Grantee (if an individual, sole proprietor, partner or an individual as member of a LLC) certifies it has not received an (i) an early retirement incentive prior to 1993 under Section 14 -108.3 or 16 -133.3 of the Illinois Pension Code, 40 ILCS 5/14- 108.3 and 40 ILCS 5/16- 133.3, or (ii) an early retirement incentive on or after 2002 under Section 14 -108.3 or 16 -133.3 of the Illinois Pension Code, 40 ILCS 5/14 -108.3 and 40 ILCS 5/16 -133, (30 ILCS 105/15a). 5. Grantee certifies it is a properly formed and existing legal entity (30 ILCS 500/1.15.80, 20 -43); and as applicable has obtained an assumed name certificate from the appropriate authority, or has registered to conduct business in Illinois and is in good standing with the Illinois Secretary of State. 6. To the extent there was a incumbent Grantee providing the services covered by this contract and the employees of that Grantee that provide those services are covered by a collective bargaining agreement, Grantee certifies (i) that it will offer to assume the collective bargaining obligations of the prior employer, including any existing collective bargaining agreement with the bargaining representative of any existing collective bargaining unit or units performing substantially similar work to the services covered by the contract subject to its bid or offer; and (ii) that it shall offer employment to all employees currently employed in any existing bargaining unit performing substantially similar work that will be performed under this contract (30 ILCS 500/25 -80). This does not apply to heating, air conditioning, plumbing and electrical service contracts. 7. Grantee certifies it has not been convicted of bribing or attempting to bribe an officer or employee of the State of Illinois or any other State, nor has Grantee made an admission of guilt of such conduct that is a matter of record (30 ILCS 500/50 -5). SC -11- 1 Page 13 Version 08 -25 -10 8. If Grantee has been convicted of a felony, Grantee certifies at least five years have passed after the date of completion of the sentence for such felony, unless no person held responsible by a prosecutor's office for the facts upon which the conviction was based continues to have any involvement with the business (30 ILCS 500/50 -10). 9. If Grantee, or any officer, director, partner, or other managerial agent of Grantee, has been convicted of a felony under the Sarbanes -Oxley Act of 2002, or a Class 3 or Class 2 felony under the Illinois Securities Law of 1953, Grantee certifies at least five years have passed since the date of the conviction. Grantee further certifies that it is not barred from being awarded a contract and acknowledges that the State shall declare the contract void if this certification is false (30 ILCS 500/50- 10.5). 10. Grantee certifies it is not barred from having a contract with the State based on violating the prohibition on providing assistance to the state in identifying a need for a contract (except as part of a public request for information process) or by reviewing, drafting or preparing solicitation or similar documents for the State (30 ILCS 500/50- 10.5e). 11. Grantee certifies that it and its affiliates are not delinquent in the payment of any debt to the State (or if delinquent has entered into a deferred payment plan to pay the debt), and Grantee and its affiliates acknowledge the State may declare the contract void if this certification is false (30 ILCS 500/50 -11) or if Grantee or an affiliate later becomes delinquent and has not entered into a deferred payment plan to pay off the debt (30 ILCS 500/50 -60). 12. Grantee certifies that it and all affiliates shall collect and remit Illinois Use Tax on all sales of tangible personal property into the State of Illinois in accordance with provisions of the Illinois Use Tax Act (30 ILCS 500/50 -12) and acknowledges that failure to comply can result in the contract being declared void. 13. Grantee certifies that it has not been found by a court or the Pollution Control Board to have committed a willful or knowing violation of the Environmental Protection Act within the last five years, and is therefore not barred from being awarded a contract (30 ILCS 500/50 -14). 14. Grantee certifies it has not paid any money or valuable thing to induce any person to refrain from bidding on a State contract, nor has Grantee accepted any money or other valuable thing, or acted upon the promise of same, for not bidding on a State contract (30 ILCS 500/50 -25). 15. Grantee certifies it is not in violation of the "Revolving Door" section of the Illinois Procurement Code (30 ILCS 500150 -30). 16. Grantee certifies that it has not retained a person or entity to attempt to influence the outcome of a procurement decision for compensation contingent in whole or in part upon the decision or procurement (30 ILCS 500/50 -38). 17. Grantee certifies it will report to the Illinois Attorney General and the Chief Procurement Officer any suspected collusion or other anti - competitive practice among any bidders, offerors, contractors, proposers or employees of the State (30 ILCS 500/50 -40, 50 -45, 50 -50). 18. In accordance with the Steel Products Procurement Act, Grantee certifies steel products used or supplied in the performance of a contract for public works shall be manufactured or produced in the United States, unless the executive head of the procuring agency grants an exception (30 ILCS 565). 19. a) If Grantee employs 25 or more employees and this contract is worth more than $5000, Grantee certifies it will provide a drug free workplace pursuant to the Drug Free Workplace Act. b) If Grantee is an individual and this contract is worth more than $5000, Grantee shall not engage in the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance during the performance of the contract (30 ILCS 580). 20. Grantee certifies that neither Grantee nor any substantially owned affiliate is participating or shall participate in an international boycott in violation of the U.S. Export Administration Act of 1979 or the applicable regulations of the U.S. Department of Commerce. This applies to contracts that exceed $10,000 (30 ILCS 582). SC -11- I 15 1 Page 14 Version 0&2510 21. Grantee certifies it has not been convicted of the offense of bid rigging or bid rotating or any similar offense of any state or of the United States (720 ILCS 5133 E -3, E-4). 22. Grantee certifies it complies with the Illinois Department of Human Rights Act and rules applicable to public contracts, including equal employment opportunity, refraining from unlawful discrimination, and having written sexual harassment policies (775 ILCS 5/2- 105). 23. Grantee certifies it does not pay dues to or reimburse or subsidize payments by its employees for any dues or fees to any "discriminatory club" (775 ILCS 25/2), 24. Grantee certifies if complies with the State Prohibition of Goods from Forced Labor Act, and certifies that no foreign -made equipment, materials, or supplies furnished to the State under the contract have been or will be produced in whole or in part by forced labor, or indentured labor under penal sanction (30 ILCS 583). 25. Grantee certifies that no foreign -made equipment, materials, or supplies furnished to the State under the contract have been produced in whole or in part by the labor or any child under the age of 12 (30 ILCS 584). 26. Grantee certifies that it is not in violation of Section 50 -14.5 of the Illinois Procurement Code (30 ILCS 500150 -14.5) that states: "Owners of residential buildings who have committed a willful or knowing violation of the Lead Poisoning Prevention Act (410 ILCS 45) are prohibited from doing business with the State until the violation is mitigated ". 27. Grantee warrants and certifies that it and, to the best of its knowledge, its subcontractors have and will comply with Executive Order No. 1 (2007). The Order generally prohibits Grantees and subcontractors from hiring the then - serving Governor's family members to lobby procurement activities of the State, or any other unit of government in Illinois including local governments if that procurement may result in a contract valued at over $25,000. This prohibition also applies to hiring for that same purpose any former State employee who had procurement authority at any time during the one -year period preceding the procurement lobbying activity. 28. Grantee certifies that information technology, including electronic information, software, systems and equipment, developed or provided under this contract will comply with the applicable requirements of the Illinois Information Technology Accessibility Act Standards as published at www.dhs.state.il.usfiitaa. (30 ILCS 587) 29. Grantee certifies that it has read, understands, and is in compliance with the registration requirements of the Elections Code (10 ILCS 519 -35) and the restrictions on making political contributions and related requirements of the Illinois Procurement Code (30 ILCS 500(20 -160 and 50 -37). Grantee will not make a political contribution that will violate these requirements. These requirements are effective for the duration of the term of office of the incumbent Governor or for a period of 2 years after the end of the contract term, whichever is longer. In accordance with section 20 -160 of the Illinois Procurement Code, Grantee certifies as applicable: (Grantee Na Signature 1 Printed Nam Title j4 u Address c GRANTEE �rol/e- 9/O 1'f gala Gro ✓e 1 L l0 00 Sq Phone Fax ���- y�J9'7g0,& E -mail G+JCVkIKC V2G. i7 KIS- SC -11- 15 Page 15 TAXPAYER IDENTIFICATION NUMBER ( certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. person (including a U.S. resident alien). If you are an individual, enter your name and SSN as it appears on your Social Security Card. If you are a sole proprietor, enter the owners name on the name line followed by the name of the business and the owner's SSN or EIN. If you are a single- member LLC that is disregarded as an entity separate from its owner, enter the owner's name on the name line and the d/b/a on the business name line and enter the owner's SSN or EIN. If the LL is a corporation or partnership, enter the entity's business name and EIN and for corporations, attach IRS acceptance letter (CP261 or CP277 . For all other entities, enter the name of the entity as used to apply for the entity's EIN and the EIN. Name: Business Name: ( I (- Taxpayer Identification Number: Social Security Number or Employer identification Number 3� - �s;),5ost Legal Status (check one): ❑ Individual ❑ Sole Proprietor ❑ Partnership ❑ Legal Services Corporation ❑ Tax - exempt ❑ Corporation providing or billing) medical and/or health care services ❑ Corporation NOT providing or billing medical and/or health care services Signature: ® Governmental ❑ Nonresident alien ❑ Estate or trust ❑ Pharmacy (Non - Corp.) ❑ Pharmacy/Funeral Home /Cemetery (Corp.) ❑ Limited Liability Company (select applicable tax classification) ❑ D = disregarded entity [] C =corporation ❑ P = partnership Date: t'-'f,- a.? -2dro Page 16 DISCLOSURES AND CONFLICTS OF INTEREST Instructions: Grantee shall disclose financial interests, potential conflicts of interest and contract information identified in Sections 1, 2 and 3 below as a condition of receiving an award or contract (30 ILCS 500150 -13 and 50 -35). Failure to fully disclose shall render the contract, bid, proposal, subcontract, or relationship voidable by the chief procurement officer if s /he deems it in the best interest of the State of Illinois and may be cause for barring from future contracts, bids, proposals, subcontracts, or relationships with the State. • There are five sections to this form and each must be completed to meet full disclosure requirements. • Note: The requested disclosures are a continuing obligation and must be promptly supplemented for accuracy throughout the process and throughout the term of the resultant contract if the bid/offer is awarded. As required by 30 ILCS 500/50 -2, for multi-year contracts Grantees must submit these disclosures on an annual basis. A publicly traded entity may submit its 10K disclosure in satisfaction of the disclosure requirements set forth in Section 1 below. HOWEVER, if a Grantee submits a 10K, they must still must complete Sections 2, 3, 4 and 5 and submit the disclosure form. If the Grantee is a wholly owned subsidiary of a parent organization, separate disclosures must be made by the Grantee and the parent. For purposes of this form, a parent organization is any entity that owns 100% of the Grantee. This disclosure information is submitted on behalf of (show official name of Grantee, and if applicable, D /B /A and parent): ` Name of Grantee, V �� h _o— Q—z'of gof faj-6 __ 6� r o ye DB /A (if used): Name of any Parent Organization: Section 1: Section 50-35 Disclosure of Financial Interest in the Grantee. (All Grantees must complete this section) Grantees must complete subsection (a), (b) or (c) below. Please read the following subsections and complete the information requested. a. If Grantee is a Publicly traded corporation subject to SEC reporting requirements i. Grantee shall submit their 10K disclosure (include proxy if referenced in 10k) in satisfaction of the financial and conflict of interest disclosure requirements set forth in subsections 50 -35 (a) and (b) of the Procurement Code. The SEC 20f or 40f, supplemented with the names of those owning in excess of 5% and up to the ownership percentages disclosed in those submissions, may be accepted as being substantially equivalent to 10K. Check here if submitting a 10k 0 , 20f ❑ , or 40f ❑ . OR b. If Grantee is a privately held corporation with more than 400 shareholders i. These Grantees may submit the information.identified in 17 CFR 229.401 and list the names of any person or entity holding any ownership share in excess of 5% in satisfaction of the financial and conflict of interest disclosure requirements set forth in subsections 50 -35 a and b of the Illinois Procurement Code. OR c. If Grantee is an individual, sole proprietorship, partnership or any other not qualified to use subsections (A) or (B), complete (i) and (ii) below as appropriate. 5C -11- 15 Page 17 I. For each individual having any of the following financial interests in the Grantee (or its parent), please mark each that apply and show the applicable name and address. Use a separate form for each individual. 1. Do you have an ownership share of greater than 5 % of the offering entity or parent entity? ❑ Yes CX No 2. Do you have an ownership share of less than 5 %, but which has a value greater than $106,447.20? ❑ Yes R No 3. Do you receive more than $106,447.20 of the offering entity's or parent entity's distributive income? (Note: Distributive income is, for these purposes, any type of distribution of profits. An annual salary is not distributive income.) ❑ Yes U No 4. Do you receive greater than 5% of the offering entity's or parent entity's total distributive income, but which is less than $106,447.20? ❑ Yes 9 No 5. If you responded yes to any of questions 1 — 4 above, please provide either the percentage or dollar amount of your ownership or distributive share of income: . For partnerships with more than 50 partners, the percentage share of ownership of each individual identified above may be shown in the following ranges (dollar value fields must also be completed when applicable): 0.5% or less >0.5 to 1.0% >1.0 to 2.0% >2,0 to 3.0 % > 3.0 to 4.0% % >4.0 to 5.0% and in additional I% increments as appropriate % 6. If you responded yes to any of the questions 14 above, please check the appropriate type of ownership/ distributable income share: Sale Proprietorship ❑ Stock ❑ Partnership ❑ Other (explain) Name: Address: ii. In relation to individuals identified above, indicate whether any of the following .potential conflict of interest relationships apply. If "Yes," please describe each situation (label with appropriate letter) using the space at the end of this Section 1 It ch additional pages as necessary). If no individual has been identified above, mark not applicable (NIA) here Z. (a) State employment, currently or in the previous 3 years, including contractual employment of ❑ Yes ❑ No services directly with the individuals identified in Section 1 in their individual capacity unrelated to the Grantee's contract. (b) State employment of spouse, father, mother, son, or daughter, including contractual 177 Yes 171 No employment for services in the previous 2 years. (c) Elective status; the holding of elective office of the State of Illinois, the government of the ❑Yes [I No United States, any unit of local government authorized by the Constitution of the State of Illinois or the statutes of the State of Illinois currently or in the previous 3 years. (d) Relationship to anyone holding elective office currently or in the previous 2 years; spouse, father, mother, son, or daughter. 171 Yes ❑ No (e) Appointive office; the holding of any appointive government office of the State of Illinois, the ❑ Yes ❑ No United States of America, or any unit of local government authorized by the Constitution of the State of Illinois or the statutes of the State of Illinois, which office entities the holder to compensation in excess of expenses incurred in the discharge of that office currently or in the previous 3 years. 2C -11- 15 Page 18 (f} Relationship to anyone holding appointive office currently or in the previous 2 years; spouse, ❑ Yes 0 No (g) father, mother, son, or daughter. Employment, currently or in the previous 3 years, as or by any registered lobbyist of the State [I Yes D No Bankruptcies government. No (h) Relationship to anyone who is or was a registered lobbyist in the previous 2 years; spouse, ❑Yes No Criminal felony convictions father, mother, son, or daughter. No CR (1) Compensated employment, currently or in the previous 3 years, by any registered election or re- ❑ Yes © No election committee registered with the Secretary of State or any county clerk in the State of Illinois, or any political action committee registered with either the Secretary of State or the Federal Board of Elections. (j) Relationship to anyone; spouse, father, mother, son, or daughter, who is or was a compensated G7 employee in the last 2 years of any registered election or reelection committee registered with the ❑ Yes No Section 2: Section 50.13 Conflicts of Interest (All Grantees must complete this section) (a) Prohibition. It is unlawful for any person holding an elective office in this State, holding a seat in the General Assembly, or appointed to or employed in any of the offices or agencies of State government and who receives compensation for such employment in excess of 60% of the salary of the Governor of the State of Illinois [$106,447.20], or who is an officer or employee of the Capital Development Board or the Illinois Toll Highway Authority, or who is the spouse or minor child of any such person to have or acquire any contract, or any direct pecuniary interest in any contract therein, whether for stationery, printing, paper, or any services, materials, or supplies, that will be wholly or partially satisfied by the payment of funds appropriated by the General Assembly of the State of Illinois or in any contract of the Capital Development Board or the Illinois Toll Highway Authority. (b) Interests. It is unlawful for any firm, partnership, association, or corporation, in which any person listed in subsection (a) is entitled to receive (i) more than 7 1/2% of the total distributable income or (ii) an amount in excess of the salary of the Governor ($177,412.00], to have or acquire any such contract or direct pecuniary interest therein. (c) Combined interests. It is unlawful for any firm, partnership, association, or corporation, in which any person listed in subsection (a) together with his or her spouse or minor children is entitled to receive (i) more than 15 %, in the aggregate, of the total distributable income or (ii) an amount in excess of 2 times the salary of the Governor [$354,824.00), to have or acquire any such contract or direct pecuniary interest therein. Check One: ® No Conflicts Of interest ❑ Potential Conflict of Interest (If checked, name each conflicted individual, the nature of the conflict, and the name of the State agency that is associated directly or indirectly with the conflicted individual.) Section 3: Debarment/Legal Proceeding Disclosure (All Grantees must complete this section). Each of the persons identified in Sections 1, 2 and 3 must each identify any of the following that occurred within the previous 10 years: Debarment from contracting with any governmental entity Yes F-1 No Professional licensure discipline Yes El No I�r3 Bankruptcies Yes[] No Adverse civil judgments and administrative findings Yes❑ No IR Criminal felony convictions Yes 171 No CR If any of the above is checked yes, please identify with descriptive information the nature of the debarment and legal proceeding. The State reserves the right to request more information, should the information need further clarification. SC -11- 15 Page 19 Section 4: Disclosure of Business Operations with Iran (All Grantees must complete this section). In accordance with 30 ILCS 500/50 -36, each bid, offer, or proposal submitted for a State contract, other than a small purchase defined in Section 20 -20 [of the Illinois Procurement Code], shall include a disclosure of whether or not the bidder, offeror, or proposing entity, or any of its corporate parents or subsidiaries, within the 24 months before submission of the bid, offer, or proposal had business operations that involved contracts with or provision of supplies or services to the Government of Iran, companies in which the Government of Iran has any direct or indirect equity share, consortiums or projects commissioned by the Government of Iran and: (1) more than 10% of the company's revenues produced in or assets located in Iran involve oil- related activities or mineral- extraction activities; less than 75% of the company's revenues produced in or assets located in Iran involve contracts with or provision of oil - related or mineral — extraction products or services to the Government of Iran or a project or consortium created exclusively by that Government: and the company has failed to take substantial action; or (2) the company has, on or after August 5, 1996, made an investment of $20 million or more, or any combination of investments of at least $10 million each that in the aggregate equals or exceeds $20 million in any 12- month period that directly or significantly contributes to the enhancement of Iran's ability to develop petroleum resources of Iran, A bid, offer, or proposal that does not include this disclosure shall not be considered responsive. We may consider this disclosure when evaluating the bid, offer, or proposal or awarding the contract. You must check one of the following items and if item 2 is checked you must also make the necessary disclosure: IN There are no business operations that must be disclosed to comply with the above cited law ❑ The following business operations are disclosed to comply with the above cited law: Section 5: Current and Pending Contracts (All Grantees must complete this section). Does the Grantee have any contracts,,pending contracts, bids, proposals or other ongoing procurement relationships with units of State of Illinois government? Yes 91 No ❑ If yes, please identify each contract, pending contract, bid, proposal and other ongoing procurement relationship it has with units of State. of Illinois government by showing agency name and other descriptive information such as bid number, project title, purchase order number or contract reference number. 1 t���/� S CI TiF �'rn�►� �,,c�t �fcr�-fivn,5 CemVar 7e -JY o H Gran f C M 'A T]. A" o1 t16 r.: ,AA14 I C , 4-, Cann , J r Section 6: Representative Lobbyist/Other Agent (All Grantees must complete this section). Is the Grantee represented by or employing a lobbyist required to register under the Lobbyist Registration Act or other agent who is not identified under Sections 1 and 2 and who has communicated, is communicating, or may communicate with any State officer or employee concerning the bid, offer or contract? ❑Yes 9 No SC -11- 15 Page 20 If yes, please identify each agent I lobbyist, including name and address. CostslFeeslCompensation /Reimbursements related to assistance to obtain contract (describe): Grantee certifies that none of these costs will be billed to the State in the event of contract award, Grantee must file this information with the Secretary of State. This Disclosure is signed and made under penalty of perjury pursuant to Sections 500150 -13 and 500150 -35(a) of the Illinois Procurement Code. ,Q �+ This Disclosure information is submitted on behalf of: V t +z�f of 1-3 3 f C-i t 1 b Grove. (J (Grantee/Subcontractor Name) Name of Authorized Representative: Ijd;- S &44K/t�r Title of Authorized Representative: Signature of Authorized Representa Date: JA - A J —Z-0 t 0 SC -11- 15 Page 21 IL Dept. of Agriculture 1) PW03ECT TITLE Illinois State Plan - FFY2010 SCBGP-FB VEGETABLES — FROM "NO" TO "KNOW" 2) PROJECT ABSTiRACT Buffalo Grove Farmers Market's campaign engages people in activities heightening their awareness of lesser known Illinois specialty crops. These activities entice them to recognize, learn information about these crops and encourage them to taste/buy these items, include .them or use them more frequently in their meal choices. Our proposal includes various advertisements creating interest about various vegetables grown in Illinois and available at our farmers market. Through our newsletter, water bills,, cable television channel, Facebook page, and newspaper ads and billboards we plan contests that ask "vegetable familiarity" or "vegetable nutritional" questions with prizes that can only be won by attending our market. Contestants/customers follow directions for chances to win prizes redeemable at our market. We track how many respond and will ask salient questions to assess how much learning, tasting, positive attitude, and/or buying of these vegetables occurs. Because our town is located in two counties we have relationships with more than one township, library system, school district, etc. This provides a wider range of natural partners than many towns nearby and can increase the effectiveness of this educational campaign. We are located between two major highways, and thus have billboards nearby to attract and educate potential learners/shoppers. 3) PARTNER ORGANIZATION The Village of Buffalo Grove coordinates the Farmers Market, is applying for this grant,, and will execute it. The Village's Office of the Village Manager, the Board of Trustees, and the Finance Department, will oversee this project. Any "partner" is an informal partner, such as the County Health Departments or the Buffalo Grove Park District who may help us with information or dissemination of same. Other interested organizations (schools and other nonprofits) are secondarily involved at our Market, who we view, also, as informal partners. They attend to do fundraisers, educational or entertainment activities. Local musicians will be starting a weekly jam session at the Market. These groups have the potential to extend the benefits from this grant to wider audiences. SC -11 -15 Page 1 If yes, please identify each agent / lobbyist, including name and address. Costs /Fees /Compensation /Reimbursements related to assistance to obtain contract (describe): Grantee certifies that none of these costs will be billed to the State in the event of contract award. Grantee must file this information with the Secretary of State. This Disclosure is signed and made under penalty of perjury pursuant to Sections 500150 -13 and 500150 -35(a) of the Illinois Procurement Code. This Disclosure information is submitted on behalf of: (Grantee /Subcontractor Name) Name of Authorized Representative: Title of Authorized Representative: Signature of Authorized Representative: Date: SC -11- 15 Page 21 IL Dept. of Agriculture Illinois State Plan - FFY2010 SCBGP-FB The purpose of our ad campaign is to teach people about Illinois-grown vegetables with their associated nutritional benefits, and to change their eating habits, encouraging people to try them, thereby creating positive attitudes and reasons to eat them, and hopefully increasing consumption. Our objectives are simple. We want to introduce people to a greater variety of vegetables, encourage them to consume these because of their good taste and nutritional value, and create some fun and incentives along the way. Additionally, we hope to convey the environmental and economic advantages of purchasing local,, seasonal produce. The eating habits of our residents do not necessarily reflect the farming roots upon which this population was built Convenience and availability of unhealthy and fast foods supersede al] else, from vending machines to the gas station mini-marts that allow patrons to eat a "meal" in their car. Further, many of our residents are unaware where our food comes from,, how it is grown,, produced, processed, sold, and/or transported. This grant will be used for "teasers" and contests across a variety of media. People will be asked to identify a locally-grown vegetable by a photo, or quizzed on Its unique features, nutritional value, etc. Imagine billboards in locations nearby our town featuring a photo of a bunch of fennel, for example, with the tag line '"What vegetable is this? Come to the Buffalo Grove Farmers Market to find out." Imagine a quiz included with the , residents' water bills. Or a survey and coupon included In the bimonthly village newsletter. With the help of graphic design professionals, we could feature in our Village newsletter, for example, photos of a soybean pod next to perhaps a snap pea next to a green bean and peapod, asking the contestant to select the vegetable that matches its name or nutritional feature. Mention the ad, submit the answers, or return a coupon submitted in the water bill for a chance to win a prize at the market. When residents respond, they will be directed to our farmers market booth. The booth workers will ask contestants a few key questions to ascertain how they heard about this, if they eat this vegetable, would they consider tasting it here and now, and provide recipes using it. Respondents would get gift certificates to purchase this vegetable, and/or be entered into a raffle to win gift certificates to the market. We feel the time is "ripe" for an educational campaign. This complements the growing awareness and concern about our nation's economic health, the physical health of its citizens, the status of the U.S. farming industry, and global environmental and energy issues. SC-11-15 Page 2 IL Dept. of Agriculture 5) POTENTIAL IMPACT Illinois State Plan - FFY2010 SCBGP-FB In this "Vegetables - From No to Know" campaign, we aim to heighten. people's awareness about uncommon vegetables and to provide lesser- known facts about common vegetables. We hope to teach people to identify a particular vegetable by sight, to give them some fun facts and nutritional information, to gather information from them about the level of their familiarity prior to our campaign, to allow them to touch, smell, and /or taste the vegetable, and ideally to buy this vegetable at our market.. ultimately changing/increasing their future purchasing/eating habits. At this writing we are in the middle of our first Buffalo Grove Farmers Market. We have 29 vendors (all food or food-related). We are proud of the overwhelming success. There is clearly an interest on the part of the customer to attend these weekly markets, and farmers report customers" curiosity about growing practices, eating/cooking instructions, etc. Billboard advertising and newspaper ads have the largest audience - in the tens of thousands. We know we can educate large numbers about the benefits of eating locally grown produce. By linking our ads to contests, we hope to ascertain who our target audience is, whether the ads have brought them to our market, whether we have taught them anything new, and whether this translates into more positive attitudes toward vegetables and increased purchaselconsumption of the selected vegetables. We hope to attract an audience who Is unfamiliar with these vegetables or new to the information presented through our promotional campaign. We also will reach the knowledgeable vegetable shopper and may be teaching them new information (e.g., broccoli contains protein), encouraging them to add more (or more varieties of) local vegetables to their diets, thereby increasing their spending on fresh produce. We also expect our local promotions via inserts into Village water bills and Village newsletter to have a significant impact on our residents and local businesses (19,000 households/businesses), based upon a statistically valid communications survey our village conducted, showing that our residents/businesses favored these two print entities for receiving information. Additionally we have the availability of our website (one-half million hits per year with the capability of analyzing how many hits we get from this proposed farmers market campaign activity, cable television channel (which through AT&T is available to not only our resident cable subscribers but to any Chicagoland AT&T subscriber), our electronic weekly newsletter (4,000 subscribers), and our Farmers Market-specific Facebook and Twitter pages. SC -11 -15 Page 3 IL Dept. of Agriculture Illinois State Plan - FFY2010 SCBGP -FB Since the general population is moving toward electronic communication, we plan to extend this proposed campaign to these electronic media. Our residents and the larger audience in the Chicagoland area would benefit from a new level of familiarity, comfort with, knowledge about, and hopefully increased use of the selected vegetables. The farmers at our market and ideally the growers of the said vegetables would also hopefully 'benefit from increased sales 'both immediately and over the long -term. s • r Our goal is to Increase consumer knowledge concerning a variety of locally grown vegetables. We have designed our ad campaign to entice viewers to became curious about the "teaser" or quiz question we present so that they talk with ethers, hopefully learn about a particular vegetable or fruit, try to arrive at the correct answer, and respond to our contest. Currently we do not have benchmark information concerning . specialty crop knowledge levels. However, we plan to gather these performance measures through issuing surveys at our booth to those responding to our ads. Any person who returns the form from the newspaper ad, as an example, at our farmers market booth with the correct answer to our "veggie quiz" will be entered into a drawing for a prize redeemable at the market. This wild tell us not who saw the ad or read the ad, but who took an interest in thinking about the vegetable in question. We will ask further questions when the customer arrives at our booth at the farmers market to ascertain the effectiveness of the ad These questions will probe whether the person knew about said vegetable (kale or kohlrabi or fennel, for example) prior to the ad, whether they would like a taste of said vegetable, whether they've used them before, whether the ad (along with recipes we provide )makes it more likely that they may use the vegetable at all or more frequently. We will also include 'incentives to participate in our educational campaign in the farm of "Mention this ad" or "Return this quiz" or prizes (dollar /gift certificate /farmers market credit). We plan to track this data, compile It, and analyze it in order to improve our next planned contest using electronic spreadsheets. All events (billboard teasers, ,newspaper ads, newsletter and water 'bill inserts) will take place in the spring, summer, and early fall. Analysis of outcome will occur after each separate campaign. We anticipate that 70% of the participating customers will indicate they have a greater knowledge of locally grown vegetables, and 50 % will indicate willingness to try these vegetables and include them in their shopping /diet habits. This is our target. SC -11 -15 Page 4 IL Dept. of Agriculture 7) WORK PLAN Illinois State Plan - FFY2010 SCBGP -FB The Village of Buffalo Grove Farmers Market is requesting a. grant to conduct an advertising campaign that educates people about Illinois vegetables and their nutritional values. We are requesting monies to run a newspaper ad or series of ads, use available nearby billboards on busy thoroughfares, and use in -house media (newsletter, water bill, website, electronic weekly news blast, cable channel, and social media). We will be able to promote our messages via website, cable channel, and the weekly E -news with no costs incurred other than staff time. In order to take advantage of the newsletter and water bill, which have been found to be the most popular source of residents` information, we will need to incur additional costs which are unbudgeted. We select a vegetable that may be in need of a more positive image, such as lima beans or broccoli. We may choose a vegetable perceived as not familiar to 'introduce to the general public, such as fennel or rutabaga. Additionally we may choose nutritional /health concepts to be conveyed, such as that many vegetables contain protein, or the nutritional /health benefits from tomatoes or sweet potatoes. Then, we design a campaign to introduce these vegetables and /or concepts. Imagine a billboard that showed a crisp bunch of fennel with a slogan, "Name this vegetable -- Buffalo Grove Farmers Market -- Enter for chance to win prize ". Similarly, imagine a newspaper ad or color flyer with photos of similar looking beans -- split peas /lentils or lima /kava that asked to name the bean or match the bean with the photo and return to our Farmers Market for entry into a contest. Timeline: We plan to hire a graphic designer to assist in layouts starting early 2011. The Village of Buffalo Grove does not have any design or art staff. We plan first to roll out a billboard teaser in late spring (May). A newspaper ad would follow, with copy submitted in May for June appearance. A water bill insert would be prepared and printed to be sent to half of our town around June 15, with the remaining half being received around July 15. Reinforcing this would be our non - funded, non -grant website, cable channel, and weekly 'E -news presentations: Farmers !Market pages would be prepared in July for inclusion in our September /October Village Newsletter, printed in August with a September 1 delivery to all homes and businesses. These concepts are easily adapted to our in -house media for reaching our residents. The grant activities are flexible depending on certain factors such as the availability of the most desirable billboard, the size, location, color, and frequency of the newspaper ad, the consultation with a graphics SC -11 -15 Page 5 IL Dept. of Agriculture Illinois State Plan - FFY201 0 SCBGP-FB designer,, and whether we are funded for this grant at 100%_ or less. We are able to adjust the number of billboards, the extent of the newspaper ads, the number of times we submit material in the water bills and/or Village newsletter depending on funds available to us. We can be flexible about the number of vegetables selected to introduce to our audience and the breadth of Information we convey depending on the availability of funds. All work will be done by in-house staff, temporarily hired administrative intern, subsidized through 75% village budget., and volunteers on the Farmers Market committee. SC-11-15 Page 6 m ur d m U 0 0 N r LL LL c m IL a� _y O C N U Q O Q N J Cs O e} o o o r d 0 0 : Cs O 0 0 o c °o 'O 0 o m a 0 c i f/} o 0 46 to 0 0 o 61> 0 o ci 4# 0 0 6 6V3 0 0 o 64 0 Co 0 0 CD o 60i 49 Cp 0 0 4H o 0 0 -60' Q O : ri c%X vi vs' N O O 0 6& 0 O 0 40 0 C o 4& 0 O- O O Q o 613, 419. Q Ci 0 tai Q G 0 is 0 0 0 4& O 0 o ttt 0 4 O us Cf G c O O o 443. C Q O C) 0 0 f& to C! O 0 6& o O CS Q 0 V). CD Q 0 a 0 0 Cs 0 0 o c 0 o 0 0 o 0 0 0 o 0 m 0 o 0 0 0 0 0 0 o o O Cs p o 49 0 643, o ,64 0 0 �{} 64 0 MO C) O d3 o Ef} 0 dfi 0 b# 0 EH o o !F? 6% o 6% C7 Q ogl- O tt3 t+? 64% • • c m d IL Dept. of Agriculture Illinois State Plan - FFY201 0 SCBGP-FB 9) BUDGET NARRATIVE Grant funds are being requested for an advertising campaign. The Farmers Market itself operates from a zero budget. The Village of Buffalo Grove has no art department, no printing department, and a very lean budget. There is no excess money available. Our newsletter budget is for a set number of pages. Our water billing budget is fixed. We own a basic still camera. There is no video camera for Farmers Market use. Yet we are committed to communicating and educating our public via press releases, our website, our bimonthly newsletter, our E-news, our E -mail inquiries, our water bill briefings, our government television channel. We have good relationships with the libraries, park district, schools, churches and synagogues,, and local businesses such that we can communicate or distribute information through their communication vehicles. For each promotional activity in this grant (billboard/newspaper ads, inserts into existing print material, existing personnel within the Office of the Village Manager will accomplish the tasks to carry out this grant proposal. Since the initial grant application deadline, we have undergone staff cutbacks in our department, so we are operating with one less FTE staff. We lost a half-time secretarial support staff as well as a half-time graduate Intern. These staff were to be assigned to assist in executing the grant. We are, therefore, requesting $90 for part-time,, temporary, hourly administrative employee to assist us to be matched by the village 300%. Another issue that has arisen is the retirement of our village manager who has not yet been replaced. We are proposing 12 hours of graphic design consultation at an hourly rate of $62 ($744). The billboard advertising would be the four -week minimum of a 12-foot by 25-foot poster unit for a total of $1650 ($1500 plus a one-time $150 charge) in two locations, totaling $3150. Newspaper advertising would be in the large suburban newspaper (The. Daily Herald), and in the weekly local newspaper (The Pioneer Press Countryside). Rates are quite fluid dependent on scope, size, frequency, which section, etc. We are estimating four ads at $500 each, totaling $2000. We estimate the water bill insert to be full-color, 12,800 pieces for a cost of approximately $2..000. Postage cost will not change. SC -11 -15 Page 8 IL Dept. of Agriculture Illinois State Plan - FFY2010 SCBGP-FB We estimate the extra four pages in the newsletter to cost $2000. Again, postage cost would not change. 10) PROJECT OVERSIGHT Each Village department and/or project has its own distinct financial code which allows money to flow in and out and be accounted for accurately via computer software. Our Farmers Market, annual Health & Wellness Fair, Symphonic Band, and all other Village events generate its unique budget. So will this grant project be a distinct entity where costs are incurred through a purchase order/invoice system. All expenditures are reviewed by the Village Board twice monthly through its Treasurer before any payments can be authorized. With a couple of computer keystrokes a spreadsheet is generated monthly itemizing funds allotted and expenses incurred against the fund balance of a particular department or activity. 11) PROJECT COMMITMENT The Village of Buffalo Grove's Board of Trustees is fully committed to work toward the goals and outcomes of this proposal. Thank you for your consideration. SC-11-15 Page 9