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r <br /> GovER►vMENTa�Bo�v further certifies that if any funds other than federal appropriated funds have <br /> been paid or will be paid to any person for influencing or attempting to influence an officer or <br /> employee of any federal agency, a Member of Congress, an officer or employee of Congress or <br /> an employee of a Member of Congress in connection with this contract, grant, loan or cooperative '� <br /> agreement, the GovERNMErvTA� Bo�v shall complete and submit Standard Form-LLL, "Disclosure , <br /> Form to Report Lobbying," in accordance with its instructions. <br /> This certification is a material representation of fact upon which reliance was placed when this <br /> transaction was made or entered into. Submission of this certification is a prerequisite to making <br /> or entering into this transaction imposed by Section 1352, Title 31, U.S. Code, as amended. Any <br /> person who fails to file the required certification shall be subject to a civil penalty of not less than <br /> $10,000 and not more than $100,000 for each such failure. <br /> Th@�aOVERNMENTAL BODY aISO agf@@S th8t GOVERNMENTAL BODY Sh811 f@qUlf@ that the IaflgUag6 Of <br /> this certification will be included in all �ower tier subcontracts and that all subcontractors, will certify <br /> and disclose accordingly. <br /> B. Civil Rights. As required by 49 U.S.C. 5332, as amended, (which prohibits discrimination <br /> on the basis of race, color, creed, national origin, sex or age, and prohibits discrimination in <br /> employment or business opportunity), Title VI of the Civil Rights Act of 1964, as amended, 42 <br /> U.S.C. 2000d, and U.S. DOT regulations, "Nondiscrimination in Federally-Assisted Programs of <br /> the Department of Transportation—Effectuation of Title VI of the Civil Rights Act," 49 CFR part 21 <br /> at 21.7, the GOVERNMENTAL BODY assures that it will comply with all requirements of 49 CFR <br /> part 21, as amended; FTA Circular 4702.1, "Title VI Program Guidelines for Federal Transit <br /> Administration Recipients," and other applicable directives, so that no person in the United States, <br /> on the basis of race, color, national origin, creed, sex or age will be excluded from participation in, <br /> be denied the benefits of, or otherwise be subjected to discrimination in any program or activity <br /> (particularly in the level and quality of transportation services and transportation-related benefits) <br /> for which the GOVERNMENTAL BODY receives Federal assistance awarded by the U.S. DOT or <br /> FTA as follows: <br /> 1. The GOVERNMENTAL BODY assures that each project will be conducted, property <br /> acquisitions will be undertaken, and project facilities will be operated in accordance with all <br /> applicable requirements of 49 U.S.C. 5332, as amended, and 49 CFR part 21, as amended, and <br /> understands that this assurance extends to its entire facility and to facilities operated in connection <br /> with the project. <br /> 2. The GOVERNMENTAL BODY assures that it will take appropriate action to ensure <br /> that any transferee receiving property financed with Federal assistance derived from FTA will <br /> comply with the applicable requirements of 49 U.S.C. 5332, as amended, and 49 CFR part 21, as <br /> amended. <br /> 3. The GOVERNMENTAL BODY assures that it will promptly take the necessary <br /> actions to effectuate this assurance, including notifying the public that complaints of discrimination <br /> in the provision of transportation-related services or benefits may be filed with the U.S. DOT or <br /> FTA. Upon request by the U.S. DOT, FTA or the DEPARTMENT, the GOVERNMENTAL BODY <br /> assures that it will submit the required information pertaining to its compliance with these <br /> requirements. <br /> 4. The GOVERNMENTAL BODY assures that it will make any changes in its 49 U.S.C. <br /> 5332, as amended, and Title VI implementing procedures as the U.S. DOT, FTA or the <br /> DEPARTMENT may request. <br /> 5. As required by 49 CFR 21.7(a)(2), as amended, the GOVERNMENTAL BODY will <br /> include in each third party contract or subagreement, provisions to invoke the requirements of 49 <br /> U.S.C. 5332, as amended, and 49 CFR part 21, as amended, and include provisions to invoke <br /> those requirements in deeds and instruments recording the transfer of real property, structures, <br /> improvements. <br /> Intergovernmental Agreement(Rev.Ol/03) 4 Decatur FTA-04 <br />