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LI•[e:;auv, `: i' F i'rDt rirl gement Cc <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />CERTIFICATION OF NON SEGREGATION & <br />NON DISCRIMINATION <br />275030.13 <br />In <br />EQUAL OPPORTUNITY OFFI <br />O7 <br />hilll SECTION 1: PROJECT IDENTIFICATION <br />1. Financial Project No. <br />2. F.A.P. No. <br />3. FOOT LAP Contract No. <br />4. County <br />5. District or Name of Local Agency <br />431728-1-58-01 <br />Indian River <br />6.Prime Contractor's Name <br />Kerns Constniction & Property Management Corp. <br />7.Company Name of Contractor, Supplier, Rental Company or Agency Submitting this certification <br />8. FEfb No of Co. In Box 7 <br />Kerns Construction & Pro ertv Manacren-lent Col . <br />300449688 <br />SECTION 2: CERTIFICATION STATEMENTS <br />CERTIFICATION OF <br />NONSEGREGATED FACILITIES <br />CERTIFICATION OF <br />NON DISCRIMINATION <br />As a federally assisted construction contractor, 1 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 />any segregated facilities for employees at origin, or sex in the performance of such contracts. <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 contract's 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 contact will require this same Certification. <br />prior to the award of subcontracts exceeding it is the policy of this company to assure that applicants <br />$10,000 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: <br />employment, upgrading, demotion, or transfer; <br />facilities" means any waiting rooms, work areas, recruitment or recruitment advertising; layoff or <br />restrooms and washrooms, restaurants and <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,raiiining.pre apprenticeship, and/or on-the-job <br />directives or are in fact segregated on the basis of <br />race, color, religion or national origin because of This certification extends to the project identified 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 />incorporated in this certification. <br />9. Name (firstllast) of corporate Official signing Certification <br />10. Job Title of person named in Box 9 <br />Da.ulcl t. Musa \\ eel, <br />\4c,..‘ Presideni <br />11. Signature of Certifying Official <br />12. Date of Signature <br />.,-e-er <br />