Orange County NC Website
. ATTACHMENT C ,1 FKpERAL CERTIFICA TIO ks The undersigned states that: . . .. i l. He or she is the duly authorized representative of the Contractor named i?elow;2.He o. r sh_e is. authorized to make, and do. es hereby make, the followirig d·•.]i rtifications on behalf of the Contractor, as sotout herein:a. The Certification Regarding Nondiscrirj1ination;b.The Certification Regarding Dntg-Free;workplace Requireme11ts;c, The Certification Regarding Environmental Tobacco Smoke; d.The Ce1tification Regarding Debarment, Suspension, Ineligibility ci.nd Voluntary Exclusion Lower Tier CoveredTransactions; ande.The Ce1tification Regarding Lobbying;i, 3.He 01· she has completed the Certification Regat·ding Drug-Free Workpt!!ce Requirements by providing the addresses atwhich the contract work will be performed;! ll 4.[Check the applicable statement]: !j[ ] He or she has completed the attached Disclosure Of Lobbying A, tivities because the Contractor has made, or <br />has an agreement to make, a payment' to a lobbying entity for infi�(encing or attempting to inf1�1ence f.111 officer or e.mployee of an agency., a. Member of qongress, an officer or emplll·•ee of Congress, or an employee ofa Member <br />5. <br />of Congress in connection with a coveryd Federal action; J <br />OR i l ! ! [ ] He or she has not completed the attaJ:hed Disclosure Of Lobb)i�g Activities because the Contractor has not <br />made, and has no agreement to make, any payment to any loqbying entity for influencing or attempting to influence any officer or employee of ariy agency, any Member of qbngress, any officer or employee of Congress, or any employee of a: Member of Congress in connection with a co�fred Federal action. subcontractors, if any, to make the sam ·:certifications and disclosure. <br />Title <br />Contractor Name Date <br />[This Certification Must be Signed by!the Same Individual Whoi�igned the Proposal Execution Page] I.Certification Regarding Nondiscriminatio,1 <br />The Contractor certifies that it wlll comply with all Federal statutes relatirtg to 11011discrimination. These include but are not limited to: (a) Title VJ of the Civil Rights A¢t of 1964 (P.L. 88-352) whiqhprohibits discrimination on the basis ofrace, color or national origin; (b )· Title .IX of the Education Amet1dments of 1972, as amended (20 U .S.C. §§ 1681 -1683, and 1685-1686), which prohibits ·discrimination 01i the basis of sex; (c) Sect1Jm 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §794),)vhich prohibits di$crimination on the basis ot1 handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C: §§6101-6107), wllich prohibits discl'iminatio1�:0n the basis ofage; (e) the Drug Abuse Office and Tt·eatment Act of 1972 (P.L. 92-255), as amended, relating to no11dis4Hmination on the basis of cfrug abuse; (f) the <br />X <br />Docusign Envelope ID: FA539824-F7E4-4BFF-96AB-5C2E177D7463