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DocuSign Envelope ID:8F6AD7AB-CE9D-40C4-B5FA-6FCBA99F62F3 <br /> II. The site(s) for the performance of work done in connection with the specific agreement are listed <br /> below: <br /> l. <br /> (Street <br /> (City, county, state, zip code) <br /> — <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 bc 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 /> CERTIFECATION 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 (9l. 88'352) which prohibits <br /> discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of <br /> ]q72, os amended (20U.S.C. O§}68l 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 e[}97Z (P.L. 92'255), au amended, relating to nondiscrimination on the basis of drug <br /> abuse; (0 the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation 1 <br /> Act ofl970 (P.L. 9l'6l6), am 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. §G3601 et seq.), as amended, <br /> relating to nondiscrimination in the sale, rental or financi of housing; (h)the Food Stamp Act and <br /> USDA policy, which prohibit discrimination on the basis of religion and political beliefs; and (i)the <br /> requirements of any other nondiscrimination statutes which may apply to this Agreement. <br /> DocuSigned w <br /> « ' <br /> Cool, RotaKiti <br /> Attorney <br /> Signature Title <br /> Holcomb & Cabe, LLP' 7/I8/2016 <br /> _ __ _ . <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> • <br /> Federal Certification Drug-Free Workplace(07/10) Page 2 of 2 <br />