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SEUI.IVIV 00490 275-030-13 Si ATE OF FLUYIudn ULt'oLK 7idtEFdT OF Tt'�"HSo�RTATION EOU-41,OPPORTI I1,11TY OFFICE CERTIFICATION OF NON SEGREGATE: N NON DISCRIMINATION SECTION 1: PROJECT IDENTIFICATION 4Coun 6.District or Name of Local A enc 1.Financial Pro ect No. 2.F.A.P.No. 3.FDOT LAP Contract No. . C t -6 -1 cJJ c `I .-rpt t- 6.Prlme contractor's Name f ontractor Su tier Rental Co an or A enc Submittin this certification 8.FEID No of Co.I�ox� "com SECTI N 2: CERTIFICATION STA EMENTS CERTIFICATION OF CERTIFICATION OF NON DISCRIMINATI6N NONSEGREGATED FACILITIES As a federally assisted construction contractor, I As a contractor, sub recipient or subcontractor on Federally funded contract, this company certifies that it hereby certify:the following for t his company: shall not discriminate on the basis of race, color, national A. This company does not maintain or provide origin, or sex in the performance of sdbh contracts. any segregated facilities for employees at e contractor any of our establishments and we doot 49 CFR Part 26 initthe award and ladministration of DOT permit our employees to perform their The company lure to services at any location, under our control, assist o contracts.these equ requirements is as rmater al breach of where segregated facilities are maintained. carry contrast,which may result in the contract's termination or B. Agreement that a breach of this certification such other remedy as the recipient deems appropriate. is a violation of the equal opportunity clause Each subcontract, rental agreement and or material in this contract. supplied agreement this company subsequently Enters C. We will obtain and retain Identical into for this contactwill require this same Certification. certifications from proposed subcontractors prior to the award of subcontracts exceeding Itis the policy of this company to assure that applicants t from the are employed, and that employees are treated during $10,000 which are notexempt clause. employment, without regard to their race, religion, sex, provisions of the equal opportunity color, national origin, age or disability. Actions include: employment, upgrading, demotion, or transfer; As used in this certification, rooms, otoem, "segregated k areas, layoff or ,� waiting recruitment or recruitment advertising; y facilities means any and other forms of restrooms and washrooms; restaurants and termination; rates of pay fountains, recreation or entertainment area, compensation; and selection for training, including provided for apprenticeship, pre apprenticeship, and/or on-the-job transportation, and housing facilities p Plicit training. employees which are segregated by ex directives or are in fact segregated on the basis of project his tified above race, color, religion or national origin because of and affirms ou�commitm nt t the nondiscrimination habit,local custom, or any other reason. and to take affirmative action to assure equal opportunity as set forth under laws, executive orders, rules, regulations (28 CFR 35, 29 CFR 1630 and 41 CFR 60) and orders of the Secretary of Labor as modified by the provisions of FHWA-1273. Compliance with Title VI of the Civil Rights Act and the provisions of the American Disabilities Act of 1990 are _ inco orated in this certification. mad in Box 9 9.Name first/last of co orate Official si nin Certification 1f).Job Title of person na'Co An &A- _a. 4AA', � 10 12. Date of Si nature 11.Si nature of C in Official a r 004901