Orange County NC Website
Docusign Envelope ID: 50585F21-A738-4303-BD3F-60841076ED5E <br /> FEDERAL CERTIFICATIONS Contract Number 00048145 / Page 24 of 30 <br /> The undersigned states that : <br /> 1 . He or she is the duly authorized representative of the Grantee named below; <br /> 2 . He or she is authorized to make, and does hereby make , the following certifications on behalf of the Grantee, as set out <br /> 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 Covered <br /> Transactions ; and <br /> e. The Certification Regarding Lobbying ; <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 /> 4 . [Check the applicable statement] <br /> [ ] He or she has completed the attached Disclosure Of Lobbying Activities because the Grantee has made, or <br /> has an agreement to make , a payment to a lobbying entity for influencing or attempting to influence an officer or <br /> employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member <br /> 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 Grantee 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 /> 5. The Grantee shall require its subcontractors/subgrantees , if any, to make the same certifications and disclosure . <br /> DocuSigncd by: <br /> r W4111111 Ion <br /> County Mana er <br /> Signature Title <br /> 1/ 16/2025 <br /> Orange County NC <br /> Grantee 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 Grantee certifies that it will comply with all Federal statutes relating to nondiscrimination . These include but are not <br /> limited to: (a) Title VI of the Civil Rights Act of 1964 (POLO 88-352) which prohibits discrimination on the basis of race , color <br /> or national origin ; (b) Title IX of the Education Amendments of 1972, as amended (20 U .S .C . §§ 1681 Owl 683 , and 1685-1686) , <br /> which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U . S . C . <br /> §794), which prohibits discrimination on the basis of handicaps; (d ) the Age Discrimination Act of 1975, as amended (42 <br /> U .S .C . §§61010*6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of <br /> 1972 ( POLO 92-255) , as amended , relating to nondiscrimination on the basis of drug abuse ; (f) the Comprehensive Alcohol <br /> Abuse and Alcoholism Prevention , Treatment and Rehabilitation Act of 1970 (POLO 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 U . S. C . §§3601 <br /> et seq . ) , as amended, relating to nondiscrimination in the sale , rental or financing of housing ; (h ) the Food Stamp Act and <br /> USDA policy, 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 />