2005-114-RES AUTHORIZING DSHS DOCUMENT NO 750022067-2006 (ATTACHMENT NO. 1-PURCHASE ORDER NO. 0000309899), FOR REGIONAL AND LOCAL SERVICES.

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previously filed a declaration, certification or disclosure form in connection with the award; and at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the information contained in any declaration, certification or disclosure previously filed. RECEIVING AGENCY will supply the certification form to PERFORMING AGENCY upon request. ARTICLE 6. Debarment and SusDension PERFORMING AGENCY certifies by execution of this contract to the following: . It is not ineligible for participation in federal or state assistance programs under Executive Order 12549, Debarment and Suspension, Feb. 18, 1986,51 Fed. Reg. 6370; . Neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency; . It has not knowingly failed to pay a single substantial debt or a number of outstanding debts to a federal or state agency; and, . .It is not subject to an outstanding judgment in a suit against PERFORMING AGENCY for collection of the balance of a debt. Where PERFORMING AGENCY is unable to certify to any of the statements in this Article, PERFORMING AGENCY shall attach an explanation. If PERFORMING AGENCY'S status with respect to the items certified above changes during the contract term, PERFORMING AGENCY shall notify RECEIVING AGENCY immediately. PERFORMING AGENCY shall not contract with a subrecipient nor procure goods or services from a subcontractor, at any tier, which is debarred or suspended or is otherwise excluded from or ineligible for participation in federal assistance programs under Executive Order 12549. ARTICLE 7. Assurances PERFORMING AGENCY shall establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain. To the' extent such provisions are applicable to PERFORMING AGENCY, PERFORMING AGENCY agrees to fully comply with the following: . Title VI of the Civil Rights Act of 1964,42 USC ~~2000d et seq., as amended (p.L. 88-352), which prohibits discrimination on the basis of race, color or national origin, and includes the provision for effective communication and equal access to programs, services and activities to persons with Limited English Proficiency (LEP); . Title IX of the Education Amendments ofl972, 20 USC ~~ 1681-1683, and 1685-1686, as amended, which prohibits discrimination on the basis of sex; . Section 504 of the Rehabilitation Act ofl973, 29 USC ~794(a), which prohibits discrimination on the basis of disabilities and the Americans with Disabilities Act of 1990, 42 USC ~~ 121 0 I et seq., including the provision for effective communication and equal access to programs, services and activities to persons with sensory and speech impairments; . The Age Discrimination Act ofl975, 42 USC ~~61 0 1-61 07, as amended, which prohibits discrimination on the basis of age; . The Drug Abuse Office and Treatment Act of 1972,21 USC ~91l0l et seq., as amended, relating to nondiscrimination on the basis of drug abuse; . The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, 42 USC 9290dd (b )(1), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (LGS) GENERAL PROVISIONS 6/2004 Page 3