1. a) The completion notice will provide a notarized statement that certifies the following:
2. 1) All project costs and sources of funds;

3. 2) That all funds attributed to the grant award have been expended;

   1. 3) That the costs reported are the final costs required to complete the project and there are no additional or associated costs; and,
   2. 4) That no portion of the grant was used to pay for any on-going operational costs, outstanding debt or an endowment or other invested fund. (Section 2310-640(a) of the Act)

4. b) The notarized statement shall be signed by the grantee's Chief Executive Officer.

   1. c) Grantees whose projects are subject to CON requirements shall also document that the Health Facilities and Services Review Board has deemed the project complete (see 77 Ill. Adm. Code 1130.770). Documentation shall consist of a letter from the Health Facilities and Services Review Board attesting that the project is complete.
   2. d) Grantees whose projects are pending approval in accordance with the requirements of the Hospital Licensing Act shall also provide a copy of the Permanent Occupancy or Notice of System Acceptance letter (whichever is applicable) issued by the Department.
   3. e) Failure to provide the completion notice within the prescribed time frame will result in the Department pursuing the recovery of grant funds (see Section 976.140).

Each grantee shall notify the Department within 30 calendar days following the project's completion.