Agenda - 01-21-1997 - 8h - Laserfiche WebLink

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k 4 CERTIFICATIONS AND ASSURANCES FOR SEY 1997-98 Name of Applicant: The County of Orange Name of Authorized Representative: William L. Crowther Relationshiprl itie of Authorized Representativep7iair, Board of County Commissioners BY ENDORSING THIS SIGNATURE PAGE, William L. Crowther (name) declares that he or she is duly authorized by the Applicant to make the certifications and assurances on behalf of the Applicant and bind the Applicant to comply with them. Thus,when its authorized representative signs thft document,the Applicant agrees to comply with all Federal statutes, regulations, executive orders, and administrative guidance required for any North Carolina Department of Transportation (NCDOT)statewide Section 5311 application in which its projects are included and submitted to the Federal Transit Administration (FTA)during Federal Fiscal Year 1997. FTA and NCDOT intend that the certifications and assurances the Applicant selects on this form, as representative of the certifications and assurances in Appendix A. should apply, as required, to each project for which the Applicant seeks FTA assistance through NCDOT now, or may later, seek FTA assistance through NCDOT during federal fiscal year 1997. The Applicant affirms the truthfulness and accuracy of the certifications and assurances it has made in the statements submitted herein with this document and any other submission made to NCDOT for inclusion in a submission to FTA, and acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, 31 U. S.C. 3801 ffi jega., as implemented by USDOT regulations, "Program Fraud Civil Remedies,"49 CFR Part 31 apply to any certification, assurance or submission made to FTA The criminal fraud provisions of 18 U. S. C. 1001 apply to any certification, assurance, or submission made in connection with the FTA formula assistance program for urbanized areas, and may apply to any other certification, assurance, or submission made in connection with any program administered by FTA. In signing this document, I declare under penalties of perjury that the foregoing certifications and assurances, and any other statements made by me on behalf of the Applicant are true and correct. Date: January 21 _ 1997 Authorized Representative of Applicant 2