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000vSign Envelope ID: eAoE4Cnr-70er-4uo0~^88E-o4081eE40eCA <br /> • <br /> D. The site(s) for the performance of work done in connection with the specific agreement are listed <br /> huioW: <br /> 1. | <br /> (Street address) <br /> ' <br /> (City, county, state, zip code) <br /> 2. <br /> (Street <br /> (City,county, state, zip code) <br /> Cuotruchm/wU/ iofoon1heCountyofonyudddiooa\ uib:oforporfommunosofwm/kuodurtbixn8rcconoot. <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 82.510. 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 but 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 U.S.C. 881681-1603` and 1605'1606), which prohibits discrimination on the basis <br /> of sex (c) O�udon 504 o�Lb� Itcbahi|itu{iou /\c1ofl973 as oou�oJcd (79 U.S.C. O794l, v/hiubp�obihdu •� <br /> ` ` ' ` ` . ' <br /> discrimination on the basis of handicaps; (d)the Age Discrimination Act of 1975, as amended(42 U.S.C. <br /> Q§610l-6l07), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and <br /> Treatment Act of 1972 (P.L. 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. 91'616)` as amended, relating to nondiscrimination on the basis of alcohol abuse or <br /> alcoholism; (g) Title VIII of the Civil Rights Act of 1968 (42 O.O.C. 883601 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 /> -»"cu^m"edby: <br /> PAUL - - <br /> Executive Director <br /> 6a818385r664ae- <br /> Signature Title <br /> Charles House Association 7/20/2017 <br /> Agency/Organization Date <br /> (Certification si uiurc should be same as Contract signature.) <br /> Federal Certification-Drug-Free Workplace&Nondiscrimination rev. 06-2015 <br /> Page 2 of 2 <br />