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APPLICATION FOR SENIOR CENTER GENERAL PURPOSE FUNDING <br />Applicant Information <br />Date: October 3, 2016 <br />Project Name: Lee County Senior Services <br />Name of Project Director: Debbie Davidson <br />Telephone Number: 919-776-0501 Ext. 2216 <br />FAX: 919-774-7593 <br />Email:ddavidson@leecountync.gov <br />Name and Address of Applicant: Lee County Senior Services, 1615 S Third <br />Street Sanford NC 27330 <br />Type of Agency Applying: <br />Private -Non -Profit <br />Public X <br />Location of Project Lee County <br />ASSURANCES <br />Lee County Senior Services (hereinafter referred to as "Subgrantee") HEREBY <br />AGREES THAT it will comply with all Federal statutes relating to nondiscrimination. <br />These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88- <br />352) which prohibits discrimination on the basis of race, color or national origin; (b) Title <br />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; and (c) Section 504 of <br />the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits <br />discrimination on the basis of handicaps. <br />Chair, Lee County Board of Commissioners <br />Signature and Title of Authorized Official Date October 17, 2016 <br />[e.g., Director, Board Chairman] <br />4 <br />