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5. <br /> i <br /> CERTIFICATIONS AND ASSURANCES FOR SFY 1996-97 <br /> Name of Applicant: The County of orange <br /> Name of Authorized Representative: Moses Carey. jr- <br /> Relationship/Title of Authorized Representative: chair. Board of rolinty Commissioners <br /> BY ENDORSING THIS SIGNATURE PAGE. Moses carev, i . (name) <br /> declares that he or she is duly authorized by the Applicant to make the <br /> certifications and assurances on behalf of the Applicant and bind the <br /> Applicant to comply with them. Thus. when its authorized representative <br /> signs this document, the Applicant agrees to comply with all Federal <br /> statutes, regulations. executive orders, and administrative guidance <br /> required for any North Carolina Department of Transportation (NCDOT) <br /> statewide Section 18 application in which its projects are included and <br /> submitted to the Federal Transit Administration (FTA) during Federal Fiscal <br /> Year 1996. <br /> FTA and NCDOT intend that the certifications and assurances the Applicant <br /> selects on this form. as representative of the certifications and assurances <br /> in Appendix A. should apply. as required. to each project for which the <br /> Applicant seeks FTA assistance through NCDOT now. or may later. seek FTA <br /> assistance through NCDOT during federal fiscal year 1996. <br /> The Applicant affirms the truthfulness and accuracy of the certifications <br /> and assurances it has made in the statements submitted herein with this <br /> document and any other submission made to NCDOT for inclusion in a <br /> submission to FTA, and acknowledges that the provisions of the Program Fraud <br /> Civil Remedies Act of 1986. 31 U. S. C. 3801 et sea. , as implemented by <br /> USDOT regulations. "Program Fraud Civil Remedies. " 49 CFR Part 31 apply to <br /> any certification. assurance or submission made to FTA. The criminal fraud <br /> provisions of 18 U. S. C. 1001 apply to any certification, assurance. or <br /> submission made in connection with the FTA formula assistance program for <br /> 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 <br /> foregoing certifications and assurances. and any other statements made by me <br /> on behalf of the Applicant are true and correct. <br /> Date: February 5, 1996 <br /> Authorized Representative of <br /> Applicant <br /> AFFIRMATION OF APPLICANT'S ATTORNEY <br /> 2 <br />