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4�-�'-P-�-- �/ 4' )111- 5 APPENDIX A FTA CERTIFICATIONS AND ASSURANCES FOR FEDERAL FISCAL, YEAR 1996 Name of Applicant: Indian River Cottnly Board of County Commi_$$ioners Name and Relationship of Authorized Representative: Kenneth R. Macht. Chainnan By SIGNING BELOW I, Kenneth R. Mach t declare that the Applicant has duly authorized me to make these certifications and assurances on the Applicant's behalf and bind the Applicant's compliance. Thus, the Applicant agrees to comply with all Federal minimum regulations, executive orders, and administrative guidance required for each application it makes to the Federal Transit Administration (FTA) in Federal Fiscal Year 1996. FTA intends that the certifications and assurances the Applicant selects on the other side of this form as representative of the certifications and assurances in Appendix A should apply, as required, to each project for which the Applicant seeks now, or may later, seek FTA assistance during Federal Fiscal Year 1996. The Applicant affirms the truthfulness and accuracy of the certifications and assurances it has made in the statements submitted herein with this document and any other submission made to FTA, and acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq, as implemented by U.S. DOT regulations, "Program Fraud Civil Remedies," 49 CFR part 31 apply to any certification, assurance or submission made to FTA. The criminal fraud provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with the Urbanized Area Formula Program, 49 U.S.C. 5307, may apply to any other certification, assurance, or submission made in connection with any other program administered by FTA. In signing this document, I declare under penalties of perjury that the foregoing certifications and assurances and any other statements made by me on behalf of the Applicant are true and correct. — Date: a�/utPhorni'zt-e-d 4�5/cea/t'/ / / Rresentati e fApplicant 1 AFFIRMATION OF APPLICANT'S ATTORNEY for Indian River Collaly Board of Qounty Commissioners (Name of Applicant) As the undersigned legal counsel for the above named Applicant I hereby affirm that the Applicant has authority under state and local law to make and comply with the certifications and assurances as indicated on the foregoing pages. I further affirm that, in my opinion, the certifications and assurances have been legally made and constitute legal and binding obligations on the Applicant. I further affirm that, to the best of my knowledge, there is no legislation or litigation pending or threatened that might adversely affect the validity of these certifications. and assurances, or of the performance of the project. Furthermore, if I become aware of circumstances that change the accuracy of the foregoing statement. I will nottiify Applica d FTA. Date: �"" O ` (� b. l Date: C. The applicant's legal counsel is required to affmnn time legal capacity of the Applicant, except that an Applicant seeking only an FTA university and research training grant authorized by 49 U.S.C. 5312.(b) need not submit an Attomey's Affirmation. The attornev's Affirmation used for a previous FTA project generally may be used in Fiscal Year 1996, provided the Applicant's circumstances have not changed in a way that makes the certifications invalid and the Attorney's Allirmauons remains on file In the Applicant's offices readily available to FTA. ht that case„ line "b: should reniain blank and the name Authorized Representative si_os `a" ,umd "c" See introduction section. Note: FTA however, receives the right to require an attorney's signature on IrnC "b" FTA Ccr^trficatreams wid A,aNuiwiccs fiu Ycm 191.4i