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<br /> STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 27Sd3°-13
<br /> CERTIFICATION OF NON SEGREGATION & EQUAL oPPOKrUNrryOFFICE
<br /> NON DISCRIMINATION 07°9
<br /> SECTION 1 : PROJECT IDENTIFICATION
<br /> 1 . Financial Project No. Z F.A. P. No. 3. FDOT LAP Contract Nq.,J 4. County 5. District or Name of Local Agency
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<br /> 6. Prlme Contractor `s Name n
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<br /> 7. Company Name of Contractor Supplier, ntal Company air enSy Submitting this certificaf On 8. FEID NIII o of Co. in Box
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<br /> SECTION 2: CERTIFICATION STATEMENTS
<br /> CERTIFICATION OF CERTIFICATION OF
<br /> NONSEGREGATED FACIUTIES NON DISCRIMINATION
<br /> As a federally assisted construction contractor, I As a contractor, sub recipient or subcontractor on a
<br /> hereby certify: the following for t his company ; Federally funded contract, this company certifies that it
<br /> A. This company does not maintain or provide shall not discriminate on the basis of race , color, national
<br /> rgin , or sex in the performance of such contracts,
<br /> any segregated facilities for employees at °
<br /> any of our establishments and we do not The contractor shall carry out applicable requirements of
<br /> permit our employees to perform their 49 CFR Part 26 in the award and administration of DOT
<br /> services at any location , under our control , assisted contracts . The company agrees that a failure to
<br /> where segregated facilities are maintained . carry out these requirements is a material breach of
<br /> B . Agreement that a breach of this certification contract, which may result in the contracts termination or
<br /> is a violation of the equal opportunity clause such other remedy as the recipient deems appropriate.
<br /> In this contract. Each subcontract, rental agreement and or material
<br /> C. We will obtain and retain identical supplier agreement this company subsequently enters
<br /> certifications from proposed subcontractors Into for this contactwill require this same Certification ,
<br /> prior to the award of subcontracts exceeding It is the policy of this company to assure that applicants
<br /> $ 90 ,000 which are not exempt from the are employed , and that employees are treated during
<br /> provisions of the equal opportunity clause, employment, without regard to their race, religion , sex,
<br /> As used in this certification , the terms "segregated color, national origin , age or disability. Actions include
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<br /> facilities" means any waiting rooms, work areas, employment, upgrading , demotion , or transfer;
<br /> restrooms and washrooms, restaurants and recruitment or recruitment advertising ; layoff or
<br /> fountains, recreation or entertainment area, termination ; rates of pay and other forms of
<br /> transportation , and housing facilities provided for compensation ; and selection for training , including
<br /> employees which are segregated by explicit apprenticeship, pre apprenticeship, and/or on-the-job
<br /> directives or are in fact segregated on the basis of training,
<br /> race, color, religion or national origin because of This certification extends to the project identified
<br /> above
<br /> habit, local custom , or any other reason , and affirms our commitment to insure nondiscrimination
<br /> and to take affirmative action to assure equal
<br /> opportunity as set forth under laws , executive orders ,
<br /> rules, regulations ( 28 CFR 35, 29 CFR 1630 and 41 CFR
<br /> 60 ) and orders of the Secretary of Labor as modified by
<br /> the provisions of FHWA-1273 .
<br /> Compliance with Title VI of the Civil Rights Act and the
<br /> provisions of the American Disabilities Act of 1990 are
<br /> 1 corporated In this certification .
<br /> 9. Name firstllast of corporate Official signing Certification 10. Job Title of person named In Box 9
<br /> R4 I L , P r 1 ppzn, - V P �z PC&1 ren-r
<br /> 11 . Signaturffl of Certifying Official 12. Date of Signature
<br /> 00490 - 1
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