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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. <br /> <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”). <br /> <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. <br /> <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. <br /> <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. <br /> <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. <br /> <br />I have read all of the statements and responses in this application, and certify that each is accurate. <br /> <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. <br /> <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 <br /> <br /> <br /> <br />Signature: <br /> Title: City Manager <br /> <br /> <br /> <br />Date: <br />