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onnunign Envelope ID:oonsxe1a-CC Fo20F10E29 <br /> II. The site(s) for the performance performance of work done in connection with the specific agreement are listed <br /> below: <br /> — <br /> (Street address) <br /> (City, county, state, zip code) <br /> 2. <br /> (Street <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 be grounds for suspension of payment, suspension <br /> or termination of grants, or government-wide Federal suspension or debarment <br /> 45 C.F.R. Section 82'518. Section 4 CFR Part 85,Section 85.615 and 86.620. <br /> CERTIFICATION REGARDING NONDISCRIMINATION <br /> The Vendor certifies that it will comply with all Federal statutes relating to nondiscrimination. These <br /> include hut are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L, 88-352) which prohibits <br /> discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of <br /> 1972, as amended (20 O.S.C. 88168I-1683, and 1685-1086), 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 IJ.S.C. <br /> 886|0l-h|07), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and <br /> Treatment Act of 1972 (P.I.. 92'255), as amended, relating to nondiscrimination on the basis of drug <br /> abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation <br /> Act of 1970 (P.L. 91-610), as amended, relating to nondiscrimination on the basis of alcohol abuse or <br /> alcoholism; (g) Title VIII of the Civil Rights Act of 1908 (42 D.S.C. 8§3601 et seq.), as amended, <br /> relating to nondiscrimination in the sale, rental or financing 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 by: <br /> yt,tk4t-s i-k-0k,AkstkA, <br /> ( <br /> Executive Di <br /> `-- .��2r,u^m - --- <br /> Signature Title <br /> Dispute settlement Center, Inc. 8/I5/2016 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Federal Certification - Drug-Free Workplace&Nondiscrimination rev, 06-2015 <br /> Page 2 of 2 <br />