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DocuSign Envelope ID: BEDDB799-CDA845E8-AEDE-DBADD83AF8B9
<br />020
<br />The [Sub -Recipient, licensee, lessee, permittee, etc., as appropriate] for herself/himself, his/her personal
<br />representatives, successors in interest, and assigns, as a part of the consideration hereof, does hereby covenant and
<br />agree [in case of deeds, and leases add "as a covenant running with the land"] that (1) no person on the grounds of
<br />race, color, sex, or national origin shall be excluded from participation in, be denied the benefits of, or be
<br />otherwise subjected to discrimination in the use of said facilities, (2) that in the construction of any improvements
<br />on, over or under such land and the furnishing services thereon, no person on the grounds of race, color, sex, or
<br />national origin shall be excluded from the participation in, be denied the benefits of, or be otherwise subjected to
<br />discrimination, and (3) that the [Sub -Recipient, licensee, lessee, permittee, etc.] shall use the premises in
<br />compliance with all other requirements imposed by or pursuant 2 CFR Sub Part F Effectuation of Title VI of the
<br />Civil Rights Act of 1964, and as said Regulations may be amended.
<br />That in the event of breach of any of the above nondiscrimination covenants, Sub -Recipient shall have the right
<br />to terminate the [license, lease, permit, etc.] and to re-enter and repossess said land and the facilities thereon, and
<br />hold the same as if said [license, lease, permit, etc.] had never been made or issued.
<br />That in the event of breach of any of the above nondiscrimination covenants, Sub -Recipient shall have the right
<br />to re-enter said land and facilities thereon, and the above-described lands and facilities shall thereupon revert to
<br />and vest in and become the absolute property of Sub -Recipient and its assigns.
<br />* Reverted clause and related language to be used only when it is determined that such a clause is necessary in
<br />order to effectuate the purpose of Title VI of the Civil Rights Act of 1964.
<br />❑ Sub- Recipient agrees to comply with above requirements:
<br />29. Assurance of Compliance with Privacy Act: The Sub -Recipient agrees:
<br />A. To comply with the provisions of the Privacy Act of 1974, 5 U.S.C. §552A and regulations adopted there
<br />under, when performance under the program involves the design, development, or operation of any system or
<br />records on individuals to be operated by the Sub -recipient, its third -party contractors, subcontractors, or their
<br />employees to accomplish a USDHS function.
<br />B. To notify USDHS when the Sub -Recipient or any of its third -party contractors, subcontractors„ sub
<br />recipients, or their employees anticipate a system of records on behalf of USDHS in order to implement the
<br />program, if such system contains information about individuals name or other identifier assigned to the
<br />individual. A system of records subject to the Act may not be used in the performance of this Agreement until
<br />the necessary and applicable approval and publication requirements have been met.
<br />C. To include in every solicitation and in every third -party contract, sub -grant, and when the performance of
<br />work, under that proposed third -party contract, sub grant, or sub agreement may involve the design,
<br />development, or operation of a system of records on individuals to be operated under that third -party contract,
<br />sub grant, or to accomplish a USDHS function, a Privacy Act notification informing the third party
<br />contractor, or sub Recipient, that it will be required to design, develop, or operate a system of records on
<br />individuals to accomplish a USDHS function subject to the Privacy Act of 1974, 5 U.S.C. §552a, and
<br />applicable USDHS regulations, and that a violation of the Act may involve the imposition of criminal
<br />penalties; and
<br />D. To include the text of Subsections a through c in all third party contracts, and sub grants under which work
<br />for this Agreement is performed or which is award pursuant to this Agreement or which may involve the
<br />design, development, or operation of a system of records on behalf of the USDHS.
<br />❑ Sub- Recipient agrees to comply with above requirements
<br />30. Certification Regarding Drug -Free Workplace Requirements (Sub Recipients Other Than Individuals)
<br />This certification is required by the regulations implementing the Drug -Free Workplace Act of 1988, 44 CFR Part
<br />17, Sub Part F. The regulations, published in the January 31, 1989 Federal Register, require certification by sub -
<br />Recipient, prior to award, that they will maintain a drug-free workplace. The certification set out below is a
<br />material representation of act upon which reliance will be placed when the agency determines to award the grant.
<br />False certification or violation of the certification shall be grounds for suspension of payments, suspension or
<br />termination of grants, or government -wide suspension of debarment, (See 44 CFR Part 2)
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