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BK - 00027 PG:O212 <br />Individuals and Organizations receiving federal funds must ensure compliance with certain certifications required <br />by federal laws and regulations. The contractor is hereby complying with Certifications regarding <br />Nondiscrimination, Drug -Free Workplace Requirements, Environmental Tobacco Smoke, Debarment, <br />Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, and Lobbying. These <br />assurances and certifications are to be signed by the contractor's authorized representative. <br />13. Specific Language Not Previously Addressed: <br />( can be delted if not needed) <br />14. Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the <br />terms of this agreement. <br />The Contractor and the County have executed this contract in duplicate originals, with one original being retained by each <br />party. <br />Signature <br />Printed Name <br />COUN <br />Signature / (must be legally authorized to sign contracts for County DSS) <br />Printed N'dme <br />This instrument has <br />Date <br />Title <br />I <br />Date <br />- IB <br />Le e C ot& ,,)�, Lam z .. <br />Title <br />n pre- audited in the manner required by the Local Government Budget and Fiscal Control Act. <br />re of County Fifkance Officer <br />Date <br />Contract - General (06/14) Page 3 of 3 <br />