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2024-017
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2024-017
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Last modified
2/8/2024 12:11:05 PM
Creation date
2/8/2024 11:05:00 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
01/09/2024
Control Number
2024-017
Agenda Item Number
13.B.
Entity Name
Indian River County Habitat for Humanity, Inc. (HFH
Subject
Agreement to Purchase and Sell Real Estate Donation of Former Gifford Gardens
4730 40th Avenue
Warranty Deed
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DocuSign Envelope ID: 927D0328-CA93-46FB-A33E-35E863E9820E <br />OMB Approved No. 1505-0271 <br />Expiration Date: November 30, 2021 <br />agreements between the Recipient and the administrative agency that made the finding. If the Recipient <br />settles a case or matter alleging such discrimination, the Recipient must provide documentation of the <br />settlement. If Recipient has not been the subject of any court or administrative agency finding of <br />discrimination, please so state. <br />10. If the Recipient makes sub -awards to other agencies or other entities, the Recipient is responsible for <br />ensuring that sub -recipients also comply with Title VI and other applicable authorities covered in this <br />document State agencies that make sub -awards must have in place standard grant assurances and review <br />procedures to demonstrate that that they are effectively monitoring the civil rights compliance of sub - <br />recipients. <br />The United States of America has the right to seek judicial enforcement of the terms of this assurances <br />document and nothing in this document alters or limits the federal enforcement measures that the United States <br />may take in order to address violations of this document or applicable federal law. <br />Under penalty of perjury, the undersigned official(s) certifies that official(s) has read and understood the <br />Recipient's obligations as herein described, that any information submitted in conjunction with this assurances <br />document is accurate and complete, and that the Recipient is in compliance with the aforementioned <br />nondiscrimination requirements. <br />Indian River County 5/13/2021 <br />Recipient Date <br />CDocuSigned by: � j <br />LQ VAIA WS <br />i��75 �il5A2421... <br />Signature of Authorized Official <br />PAPERWORK REDUCTION ACT NOTICE <br />The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with <br />this collection of information is 30 minutes per response. Comments concerning the accuracy of this burden estimate and suggestions <br />for reducing this burden should be directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 <br />Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not conduct or sponsor, <br />and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB. <br />3 <br />
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