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Contract #68-2005 <br />Arcadia Health Services, Inc. <br />II. The site(s) for the performance of work done in connection with the specific agreement are listed <br />below: <br />562 Huffman Mill Road <br />(Street address) <br />Burlington, NC 27215 <br />(City, county, state, zip code) <br />(Street address) <br />(City, county, state, zip code) <br />Contractor will inform the County of any additional sites for performance of work under this agreement. <br />False certification or violation of the certification shall be grounds for suspension of payment, suspension <br />or termination of grants, or government-wide Federal suspension or debarment (45 C.F.R. Section <br />82.510. Section 4 CFR Part 85, Section 85.615 and 86.620). <br />CERTIFICATION REGARDING NONDISCRIMINATION <br />The Vendor certifies that it will comply with all Federal statutes relating to nondiscrimination. These <br />include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits <br />discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of <br />1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis <br />of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits <br />discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. <br />§§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and <br />Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug <br />abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation <br />Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or <br />alcoholism; (g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, <br />relating to nondiscrimination in the sale, rental or fmancing of housing; (h) the Food Stamp Act and <br />USDA policy, whic~y~'ohibit discrimination on the basis of religion and political beliefs; and (i) the <br />reauir~ents of an~f other nondiscrimination statutes which may apply to this Agreement. <br />Signature <br />Executive Vice President <br />Title <br />Arcadia Health Services, Inc. 5-11- <br />Agency/Organization Date <br />(Certification signature should be same as Contract signature.) <br />Federal Certification -Drug-Free Workplace (07/10) Page 2 of 2 <br />