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2023-108-E-Housing Dept-OCHCD-Homelessness Prevention
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2023-108-E-Housing Dept-OCHCD-Homelessness Prevention
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Last modified
3/8/2023 3:35:57 PM
Creation date
3/8/2023 3:35:41 PM
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Contract
Date
3/2/2023
Contract Starting Date
3/2/2023
Contract Ending Date
3/7/2023
Contract Document Type
Contract
Amount
$111,471.00
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FEDERAL CERTIFICATIONS <br /> <br />The undersigned states that: <br /> <br />1. He or she is the duly authorized representative of the Contractor named below; <br /> <br />2. He or she is authorized to make, and does hereby make, the following certifications on behalf of the Contractor, as set <br />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 Covered <br />Transactions; and <br />e. The Certification Regarding Lobbying; <br /> <br />3. He or she has completed the Certification Regarding Drug-Free Workplace Requirements by providing the addresses <br />at which the contract work will be performed; <br /> <br />4. [Check the applicable statement] <br /> <br />[ ] He or she has completed the attached Disclosure Of Lobbying Activities because the Contractor has made, <br />or has an agreement to make, a payment to a lobbying entity for influencing or attempting to influen ce an officer <br />or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with a covered Federal action; <br /> <br />OR <br /> <br />[X ] He or she has not completed the attached Disclosure Of Lobbying Activities because the Contractor has not <br />made, and has no agreement to make, any payment to any lobbying entity for influencing or attempting to <br />influence any officer or employee of any agency, any Member of Congress, any officer or employee of Congress, <br />or any employee of a Member of Congress in connection with a covered Federal action. <br /> <br />5. The Contractor shall require its subcontractors, if any, to make the same certifications and disclosure. <br /> <br /> <br />________________________________________________________________________________________________ <br />Signature Title <br /> <br /> <br />________________________________________________________________________________________________ <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 but are <br />not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88 -352) which prohibits discrimination on the basis of race, <br />color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 -1683, and <br />1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as <br />amended (29 U.S.C. §794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of <br />1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office <br />and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the <br />Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91 -616), as <br />amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) Title VIII of the Civil Rights Act of <br />1968 (42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, re ntal or financing of housing; (h) <br />the Food Stamp Act and USDA policy, which prohibit discrimination on the basis of religion and political beliefs; and (i) <br />the requirements of any other nondiscrimination statutes which may apply to this Agreement. <br /> <br />DocuSign Envelope ID: 9DDCE310-CD26-46F2-A88B-B5927F654D07 <br />12/2/2022 <br />County Manager <br />Bonnie Hammersley <br />Contract Number 00045595 / Page 21 of 27 <br />DocuSign Envelope ID: 38483A0E-2707-4763-8263-42C2F7C43A91
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