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2025-437-E-Social Svc-Senior Care Of Orange Count-adult day care
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2025-437-E-Social Svc-Senior Care Of Orange Count-adult day care
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Last modified
7/22/2025 1:28:54 PM
Creation date
7/22/2025 1:28:24 PM
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Contract
Date
7/15/2025
Contract Starting Date
7/15/2025
Contract Ending Date
7/17/2025
Contract Document Type
Contract
Amount
$8,000.00
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The undersigned states that: <br />Id <br />ATTACHMENT C <br />FEDERAL CERTIFICATIONS <br />I <br />1.He or she is the duly authorized representative of the Contractor named beldw; <br />2.He or she is authorized to make, and does hereby make, the following certiijcations on behalf of the Contractor, as setout 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 Certifi cation Regarding Drug-Free Workplace �equirements by providing the addresses at <br />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 Contractor has made, or <br />has an agreement to make, a payment to a lobbying entity for influencjng or attempting to influence an officer or <br />employee of an agency, a Member of Congress, an officer or employee pf Congress, or an employee of a Member <br />of Congress in connection with a covered Federal action; <br />OR <br />[ ] 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 lobbyitig 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 Contractor shall require its subcontractors, if any, to make the same certifications and disclosure. <br />Signature Title <br />Contractor Name Date <br />[This Certification Must be Signed by the Same Individual Who Sigi,ed 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 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 {he basis of age; (e) the Drug Abuse Office <br />i9'1I f \f wl cr r �rf\f () � <br />crnn�tion on ilie basis of <br />:: <br />:::: <br />e <br />;.�::.:, ,.w <br />X <br />Docusign Envelope ID: 9BEB80A6-4CE4-4031-8FC2-8B9B7FF17793 <br />Chair, Board of Directors <br />7/8/2025
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