Orange County NC Website
DocuSign Envelope ID:B663A826-96F2-42AC-9318-450A8E98CC55 <br /> FEDERAL CERTIFICATIONS <br /> The undersigned states that: <br /> a) He or she is the duly authorized representative of the Contractor named below; <br /> b) He or she is authorized to make, and does hereby make,the following certifications on behalf of the Contractor, <br /> as set out herein: <br /> a. The Certification Regarding Nondiscrimination; <br /> b. The Certification Regarding Drug-Free Workplace Requirements; <br /> c. The Certification Regarding Environmental Tobacco Smoke; <br /> d. The Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier <br /> Covered Transactions; and <br /> e. The Certification Regarding Lobbying; <br /> c) He or she has completed the Certification Regarding Drug-Free Workplace Requirements by providing the <br /> addresses at which the contract work will be performed; <br /> d) [Check the applicable statement] <br /> [ ] He or she has completed the attached Disclosure Of Lobbying Activities because the Contractor has <br /> made, or has an agreement to make, a payment to a lobbying entity for influencing or attempting to <br /> influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, <br /> or an employee of a Member of Congress in connection with a covered Federal action; <br /> OR <br /> [Vr He or she has not completed the attached Disclosure Of Lobbying Activities because the Contractor <br /> has not made, and has no agreement to make, any payment to any lobbying entity for influencing or <br /> attempting to influence any officer or employee of any agency, any Member of Congress, any officer or <br /> employee of Congress, or any employee of a Member of Congress in connection with a covered Federal <br /> action. <br /> e) The Contractor shall require its subcontractors, if any, to make the same certifications and disclosure. <br /> DocuSigned by: <br /> �binl�dL County Manager <br /> Sign 7994B755E477... Title <br /> Bonnie Hammersley January 4, 2021 <br /> Contractor Name Date <br /> [This Certification Must be Signed by the Same Individual Who Signed the Proposal Execution Page] <br /> I. Certification Regarding Nondiscrimination <br /> The Contractor certifies that it will comply with all Federal statutes relating to nondiscrimination. These include <br /> but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)which prohibits discrimination on the <br /> basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. <br /> §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the <br /> Rehabilitation Act of 1973, as amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; <br /> (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the <br /> basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to <br /> nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, <br /> Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of <br /> alcohol abuse or alcoholism; (g) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, <br /> relating to nondiscrimination in the sale, rental or financing of housing; (h) the Food Stamp Act and USDA policy, <br /> which prohibit discrimination on the basis of religion and political beliefs; and (i) the requirements of any other <br /> nondiscrimination statutes which may apply to this Agreement. <br /> 5 <br />