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