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<br />Section 7: Certification
<br />Please read this section thoroughly and confirm that your organization is in compliance with the following terms and
<br />conditions. Please note that disagreeing to any statement will disqualify you for a charitable donation.
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<br />The applicant is, and shall remain, in compliance with all federal, state, and local laws, rules, and regulations applicable to
<br />the grant and the activities, projects and other aspects of the program to which the grant applies (the “Program”).
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<br />The applicant does not and shall not, in its by-laws, policies, or practices, discriminate on the basis of race, color, religion,
<br />age sex, national origin, ancestry, physical or mental disability, medical condition, veteran status, marital status,
<br />pregnancy, sexual orientation, gender identity, or any basis prohibited by applicable law.
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<br />The applicant agrees that any donation from the Bay Area Council Foundation will be used only for the purposes of the
<br />Program, and will not be used in any direct or grass roots lobbying efforts, including but not limited to those activities
<br />described in Internal Revenue Code Sections 501(h) and 4911(d), to promote or oppose any candidate or ballot measure,
<br />to advocate any legislative or administrative action, or to personally benefit or compensate any elected official.
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<br />The applicant and each of its grantees, if any, is in full compliance with all statutes, Executive Orders, and regulations
<br />restricting or prohibiting U.S. persons from engaging in transactions and dealings with countries, entities, or individuals
<br />subject to economic sanctions administered by the U.S. Department of the Treasury’s Office of Foreign Assets Control,
<br />the applicant is aware that a list of countries subject to such sanctions, a list of Specially Designated Nationals and
<br />Blocked Persons subject to such sanctions, and overview and guidelines for each such sanctions program can be found
<br />at http://www.treas.gov/ofac, and the applicant does not and shall not promote or engage in violence, terrorism, bigotry,
<br />or the destruction of any state, or make grants or otherwise furnish support of any kind to any individual or entity that
<br />engages in such activities. Should any change in circumstances pertaining to this certification occur at any time, the
<br />applicant will notify the Bay Area Council Foundation immediately.
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<br />I am the duly appointed representative of my organization. I am authorized to certify and affirm all the statements
<br />above, and to submit the application on behalf of my organization.
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<br />I have read all of the statements and responses in this application, and certify that each is accurate.
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<br /> I agree that electronic submission of this application will be deemed to be the equivalent of my written signature for
<br />purposes of this certification and application.
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<br />By accepting any funds or in-kind donations from the Bay Area Council Foundation, my organization agrees to all terms,
<br />conditions, and certifications specified within the application and the transmittal letter.
<br /> Name: Fran Robustelli
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<br />Signature:
<br /> Title: City Manager
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<br />Date:
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