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DocuSign Envelope ID: 179DC6FB-73BA-4F64-A513-C8AB2B7D864F Contract#68-2043 <br /> Senior Care of Oranse Count, Inc. <br /> Individuals and Organizations receiving federal funds must ensure compliance with certain certifications required by <br /> federal laws and regulations. The contractor is hereby complying with Certifications regarding Nondiscrimination, <br /> Drug-Free Workplace Requirements, Environmental Tobacco Smoke, Debarment, Suspension, Ineligibility and <br /> Voluntary Exclusion Lower Tier Covered Transactions, and Lobbying. These assurances and certifications are to <br /> be signed by the contractor's authorized representative. <br /> 14. Specific Language Not Previously Addressed: <br /> ( can be welted if not needed) <br /> 15. Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the <br /> terms of this agreement. <br /> The Contractor and the County have executed this contract in duplicate originals, with one original being retained by each <br /> party. <br /> DocuSigned by: <br /> 5WA ,, wu. Nxsbtt 7/10/2019 <br /> C5B55FF 72C3C402_ Date <br /> Signature <br /> Swayzene Riggsbee Executive Director <br /> Printed Name Title <br /> ocuSigned Icy: <br /> 1�6, <br /> 9/14/2019 <br /> 37994B755E477.. <br /> Signature (must be legally authorized to sign contracts for County DSS) Date <br /> Bonnie Hammersley County Manager <br /> Printed Name Title <br /> oocusigned by: ;en pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. <br /> 4 � 9/13/2019 <br /> 704E51S1ACC1400 <br /> Signature of County Finance Officer Date <br /> Contract-General (06/19) Page 3 of 4 <br />