2018-782 Aging - Triangle J COG Title 3-D Health promotion grant

Browse Search

Attachment 13 : Federal Certifications The undersigned states that : 1 . He or she is the duly authorized representative of the Contractor named below ; 2 . He or she is authorized to make , and does hereby make , the following certifications on behalf of the Contractor , as set out herein : a . The Certification Regarding Nondiscrimination ; b . The Certification Regarding Drug - Free Workplace Requirements ; c . The Certification Regarding Environmental Tobacco Smoke ; d . The Certification Regarding Debarment , Suspension , Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions ; and e . The Certification Regarding Lobbying ; 3 . He or she has completed the Certification Regarding Drug - Free Workplace Requirements by providing the addresses at which the contract work will be performed ; 4 . [;Check the applicable statement] [ ] He or she has completed the attached Disclosure Of Lobbying Activities because the Contractor has made , or has an agreement to make , a payment to a lobbying entity for influencing or attempting to influence an officer or employee of an agency , a Member of Congress , an officer or employee of Congress , or an employee of a Member of Congress in connection with a covered Federal action ; OR [ X ] He or she has not completed the attached Disclosure Of Lobbying Activities because the Contractor has not made , and has no agreement to make , any payment to any lobbying entity for influencing or attempting to influence any officer or employee of any agency , any Member of Congress , any officer or employee of Congress , or any employee of a Member of Congress in connection with a covered Federal action . 5 . The Contractor shall require its subcontractors , if any , to make the same certifications and disclosure . .sC Department Director igature Title Orange County Department on Aging December 3 , 2018 Grantee Name Date 9