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<br />71tal the undersigned chief executive officer of applicant is authorized to, and does, consent to assume the status of a
<br />responsible federal a171cial, under the NaIional Environmental Policy Actor 1969, insofar as (lie provisions of said Act
<br />apply to file I IUD responsibilities For environmcntal review, decision-making and action asnurned and carried out by the
<br />applicant; that by so consenting, the undersigned chief executive officer of applicant assumes the responsibilities, where
<br />ap1:!icable, for the conduct of environmental reviews, decision-making, and action as to environmental issues, preparation
<br />and cis t*i�tinn of draft and final environmental impact statements, and assumption of lead agency responsibilities for prep-
<br />aration of such statements on behalf of Federal agencies other than I -IUD when such agencies consent to such ;assumption;
<br />That the undersigned chief executi f! curer of applicant is authorized to consent, personally, and on behalf of the appli-
<br />cant, to accept the jurisdiction of (lie I-ederai courts, for the enforcement of all the aforesaid responsibilities; and that the
<br />undersigned does so consent, on behalf of applicant and of the undersi ed, in.the offi 'al cap cit of t undersigned.
<br />Chairman, Indian River Countv Commission
<br />Indian River County Courthnucp, Vero Rparh„�
<br />Florida 32960 (signature, Title aro! Address of
<br />QiiefExecutive Officer of Applicant)
<br />7. AUTHENTICATION:
<br />Willard W. Siebert Jr. Indian River County
<br />being the chief executive offi,x•r of is duly aulhorized to execute
<br />(Nome of chief executive officer ' name ofappRe.- i'
<br />the foregoing Request for Release of Funds and Certification, and he did execute the same.
<br />zazo (-d)
<br />(Signature, Title, Address and Seal '
<br />_ of Clerk or other authenticating
<br />off&w of applicant)
<br />8. CERTIFICATE OF ATTORNEY:
<br />• County,
<br />A. [X Willard 11 Si phprt - 7 r , being the chief executive officer of_Indi do Ri V r has executed the fore -
<br />0l amc ofeheif executive officer)_ (name ojapplive
<br />going Request for Release of Funds and Certification and has consented, as therein stated, personally and ort
<br />behalf of the applicant, in his official capacity as such chief executive officer only, and not otherwise. Further,
<br />the applicant and said chief executive officer are authorized and empowered by law to make the said Request for
<br />Release of Funds and Certification and the same was duly made by them in accordance with such authority and
<br />power. No claim of legal incapacity pursuant to 24 CFR 58.5(b) has been made by this applicant.
<br />B. ❑ , being the chief executive officer of has executed the fore -
<br />(Name of chief execkire officer) (nam- ofapplicant) .
<br />going Request rot Release of Funds and Certification and has consented, is therein stated, personally and on be-
<br />half of the applicant, in his official capacity as such chief executive officer only, and not otherwise. Further, the
<br />applicant and said chief executive officer are authorized anal empowered bylaw to make'the said Request for
<br />Release of Funds and Certification and the same was duly made by them in accordance with such authority and
<br />power. This applicant made a claim of lack of legal capacity pursuant to 24 CFR 58.5(b) and such claim was
<br />denied by HUD. There has been no final decision by a court of competent jurisdiction or legislation which has
<br />become effective since the denial of such claim which may affect the denial.
<br />C. ❑ This applicant made a claim of lack of legal capacity pursuant to 24 CFR 58.5(b) prior to submitting its grant
<br />application. Such claim was denied by HUD on the basis of its assessment of applicable law. On the basis of that
<br />denial being the chief executive officer of has executed the
<br />(Name ofchief executive officer (no^re of appliran'r
<br />foregoing Request far Release of Funds and Certification, has consented as therein stated, personalty and on be-
<br />half of the applicant, in his official capacity as chief executive officer only, and not otherwise, and has determined
<br />that such execution and consent are authorized and empowered by law. Undersigned certifies only that the
<br />foregoing statement is factually correct mrd that there has been no final decision by a court of competent
<br />jurisdiction or legislation which has become effective since the HUD denial which may affect the denial.
<br />George Collins, County Attornev '
<br />t�
<br />P. 0. Box 3686, Vero Beach, Florida 32960
<br />(Signature, Title and Address of
<br />Attorney for Applicant)
<br />WARNING — Sectlma 1001 of Title 18 of the United States Code and Criminal Procedure shall apply to the foregoing certiflcatlon. Titin 18 provides,
<br />among other things, that wlmevcr knowingly and willfully makes or uses a document or writing containing any false, fictitious, or fraudulent state-
<br />mont of entry', in any matter within the Jurisdiction of any department or agen
<br />prisunod not mora than rive years or both. cy of the United Slates, shall be final not more than $ 10,000 or tm-
<br />Y'•
<br />HUD 7010.16
<br />(10-15)
<br />2 6=339
<br />
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