Orange County NC Website
<br /> 5 <br />FEDERAL CERTIFICATIONS <br /> <br />The undersigned states that: <br /> <br />a) He or she is the duly authorized representative of the Contractor named below; <br /> <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 /> <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 /> <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 /> <br />d) [Check the applicable statement] <br /> <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 />[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 /> <br />e) The Contractor shall require its subcontractors, if any, to make the same certifications and disclosure. <br /> <br /> <br />________________________________________________________County Manager_______________ <br />Signature Title <br /> <br /> <br />_Bonnie Hammersley______________________________________________________January 4, 2022 <br />Contractor Name Date <br /> <br /> <br />[This Certification Must be Signed by the Same Individual Who Signed the Proposal Execution Page] <br /> <br />I. Certification Regarding Nondiscrimination <br /> <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 discrimin ation 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 pol itical beliefs; and (i) the requirements of any other <br />nondiscrimination statutes which may apply to this Agreement. <br />DocuSign Envelope ID: A80A68F0-12D3-42DA-80C7-45C66A2BB398