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0 <br />0 <br />0 <br />CONTRACTOR CERTIFICATIONS <br />U.S. Department of Housing and Urban Development <br />CERTIFICATION OF BIDDER REGARDINr-y CIVIL RIGHTS LAWS AND REGULATIONS <br />INSTRUCTIONS <br />CERTIFICATION OF BIDDER REGARDING Executive Order 11246 and Federal Laws Requiring Federal Contractor to <br />adopt and abide by equal empioyment opportunity and affirmative action in their hiring, firing, and promotion practices. This <br />includes practices related to race, color, gender, religion, nationai origin, disability, and veterans' rights. <br />NAME AND ADDRESS OF BIDDER (include ZIP Code) ~7,'~;`,~ V <br />0z z ~ z6' ~ <br />CERTIFICATION BY BIDDER <br />Bidder has participated in a previous contract or subcontract subject to Civil Rights Laws and Regulations. <br />jN Yes O No <br />The undersigned hereby certifies that: <br />The Provision of Local Traininq Emplovment and Business Opportunities clause (Section 3 provision) is included in <br />the Contract. <br />p eq c , <br />The Non Segreqated Facilities clause (Section 109 provision) is included in the Contract. No segregated facilities <br />will be maintained as required by Title VI of the Civil Rights Act of 1964. <br />The Equai Emplovment Opportunity clause is included in the Contract (if bid equals or exceeds $10,000). <br />X The Affirmative Action for Handicaqped Workers clause is included in the contract. <br />Have you ever been or are you being considered for sanction due to violation of Executive Order 11246, as amended? <br />❑ Yes J$' No <br />NAME AND TITLE OF SIGNER (Please type) <br />SIGNATURE ' DATE <br />~z <br />6 ~ <br />17 <br />