Orange County NC Website
DocuSign Envelope ID: BOFE06B7-7OC7-44D2-A46C-D41E904EED9B <br /> Contract Number 00041659, Amendment Number 1 / Page 9 of 16 <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 <br /> Contractor, 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 /> a. 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)` pp a:pplic�b.le stateiim, <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 <br /> Congress, or an employee of a Member of Congress in connection with a covered Federal action; <br /> OR <br /> [X]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 /> Signature _ TiEle <br /> Prange`County overrirltent Cri6iin l Justice Resoutco pe artmer)t and i ouslrtg and Community Der/elopment <br /> Department Augusts 2620, <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 Educatlon 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 <br /> handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U,S.C. §§6101-6107), which prohibits <br /> discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as <br /> amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and <br /> Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to <br /> nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Title Vill of the Civil Rights Act of 1968 (42 <br /> U.S,C. §§3601 at seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (h) <br /> 6 <br />