Orange County NC Website
7570.1 <br /> Appendix I <br /> APPENDIX I. FORM HUD-50071, CERTIFICATION FOR CONTRACTS, GRAMS, <br /> LOANS AND COOPERATIVE AGREEMENTS <br /> Certification for a�aw�� <br /> Contracts, Grants, Loans 6 off"a Pubh and Houlkv <br /> Cooperative Agreements <br /> PuW HouskV Aeorcy/tdian HouOV ALX" <br /> ww.M M.. If nrrr Ira Op«uro&*Wdy r it 00--*y au"Wr a u9*6 a. <br /> 6"aon236 ~MMUMAU FYd Yea&,*q <br /> &W h r9ft l Frd Y—to rrr11t1 in M>idt lug an e M <br /> M andr an 0 b M Rwryd oblqWst <br /> hoprwrvAddy Feder Oran Cron i 1ooAOO:y■.rt er+a) <br /> Oporattrp Subaldy cw <br /> D"*Iopmars GAP <br /> Drug Efienhation Oranes MROP <br /> Sac23 L""d Housing 0 <br /> Adjustmarrta <br /> Acting on behalf of the above mined MtAfflU as ks Aud+ori:ed Of rrcial.l make me lotbving certirabow <br /> to the DeparrnWA of Hawing and Lkban Development ffMD <br /> (1) No Federal appropriated funds have boa plaid or rip be paid,by or on behalf d do <br /> undersigned,a any person lot i hxacirtS or a wwting to wunce an olrioar or employ" <br /> *(any agency.a Member of Congress is coonecdon with the awarding o(any Federal <br /> eontrwL the making of any Federal grant,IM making of any Federal WM dw entering am <br /> of any coopaendve agroerna L and the aueasion,Continuation.reaevat,amendment,err <br /> sood cation of any Federal eonnM grant.loan,or cooperative agreeaaat <br /> (2) If any finds other tan Fodrral appropriated fw%b bm boon paider will bepsid a aoypxata <br /> for iMiuencing or attempting to influence as officer or employee of my agency.a Member <br /> of congrm sa officer or emoloya of Conpeas,or aoy empbyx of a Mesaber dceopm <br /> In connection wide dais Feduai conow%grant.low or cooperative agreement,du tinder• <br /> signed duct eomOft and submk Standard Forn-11),Ducloarc of Lobbyq Activities. <br /> is accordance with iti Instructions. <br /> (3) The ands signed dail require dot sine language dthis oatirscKke be iacioded is sine award <br /> tr doc rnents for all subavards aI aC tiers(including submnmhcm subVwxt.and=wwo <br /> tinder pans,bans.and cooperative agreements)and dm all subredpirnes shag oaefy cad <br /> ai dow Woordingly. <br /> This Casifkatioo is a maser repraanudoe of La aggro.whkb r IW=WN ptacad wlea finis aansacden <br /> was made or entered iaso. Submission of dais certircadoa is a prerequisite for matting or altering isn this <br /> aansaction imposed by Section 1352.Tick 31.U.S.Cade. Any person who 6r1s to fik de required <br /> eerti rr„a ke deli be subject lo s civil pmaky of not leer dos S t 0.000 and not more than S 100.000 fir ewk <br /> such Vilars. <br /> 1 artily under perwty of perjury Ow the fortgoing is true and correct. <br /> Aut'*dzad PHMHA OtrcW: win»vve: <br /> X <br /> torn.HUD SM71 (1092) <br /> M KLidb000U 7417 1,74 75 U.7"S 1 i 74M 3 <br /> 1 <br />