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NCDA&CS Certifications & Assurances Page 3 of 3 <br />Rev 9/12, 10/12, 11/13;1/17 <br />B.I agree to notify the agency as required by 2 CFR 182.300(b) of any conviction for a criminal drug <br />offense within ten days. <br />Notice shall include the identification number(s) of each affected grant. <br />As the duly authorized representative of the Grantee, I hereby certify and state to the best of my <br />knowledge and belief, that the Grantee will comply with the above certifications. <br />Grantee Organization Name <br />Signature of Authorized Representative Date <br />Printed Name of Authorized Representative Title <br />Orange Soil and Water Conservation District <br />Gail Hughes Board Chair <br />Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24 <br />8/18/2024 <br />Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85