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DocuSign Envelope ID: FBA030F0-9120-42B9-A272-5932D959B8F6 Contract468-2042 <br /> Charles House <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 delted 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 /> DocuSilgn/ed by: <br /> Pau Alt v�.t,y' 7/2/2019 <br /> Signature Date <br /> Paul Klever Executive Director <br /> Printed Name Title <br /> tfNTi9 red by: <br /> f jbin,IMt, �AaMtMt,VS�t 9/16/2019 <br /> Signature (must be legally authorized to sign contracts for County DSS) Date <br /> Bonnie Hammersley County Manager <br /> Printed Name Title <br /> �°ftAT"Ient has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. <br /> ('I-N 9/16/2019 <br /> Signature of County Finance Officer Date <br /> Contract-General (06/19) Page 3 of 4 <br />