Common use of AFFIDAVIT Clause in Contracts

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board of Commissioner Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board Chief of Commissioner Police Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇@▇▇▇▇▇▇▇▇▇▇-▇▇.▇▇▇ Name: ▇▇▇▇ ▇▇▇▇▇ Title: City Manager Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇@▇▇▇▇▇▇▇▇▇▇-▇▇.▇▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: Sheriff Email: ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board of Commissioner County Administrator Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇▇@▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇▇▇.▇▇.▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇▇ Title: Interim Commander Email: ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board of Commissioner County Administrator Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇▇@▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇▇▇.▇▇.▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board Chief of Commissioner Police Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Name: L. ▇▇▇▇▇ ▇▇▇▇▇ Title: Mayor Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board Chief of Commissioner Police Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Name: ▇▇▇▇ ▇▇▇▇▇ Title: City Manager Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇@▇▇▇▇▇▇▇▇▇▇-▇▇.▇▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: District Attorney Email: ▇▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us o Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board Chairman, Bd of Commissioner Commissioners Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇.▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇▇@claytoncountyga.g v Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇▇ ▇▇▇▇ Title: Sheriff Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Title: Sheriff Title: Chairman Board of Commissioner Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇.▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇▇ ▇▇ ▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇ ▇▇▇▇▇▇ Title: Sheriff Sergeant Title: Chairman Board of Commissioner Mayor Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇@▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇@▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Final Instructions:

AFFIDAVIT. Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate accounting of funds received and spent by the Agency under the Guide during the reporting period and that the recipient Agency is compliant with the National Code of Professional Conduct for Asset Forfeiture. The undersigned certify that the recipient Agency is compliant with the applicable nondiscrimination requirements of the following laws and their implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all federal statutes and regulations permitting federal investigators access to records and any other sources of information as may be necessary to determine compliance with civil rights and other applicable statutes and regulations. judgment, or determination that the Agency discriminated against any person or group in violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered into any settlement agreement with respect to any complaint filed with a court or administrative agency alleging that the Agency discriminated against any person or group in Name: ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ NameTitle: Commander Email: ▇▇▇▇.▇▇▇▇▇▇@▇▇▇.▇▇.▇▇▇ Name: ▇. ▇▇▇▇▇▇ Title: Sheriff ▇▇▇▇▇▇▇ Title: Chairman Board of Commissioner Email: ▇▇▇▇▇▇.▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us Email: ▇▇▇@▇▇▇▇.▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇.ga.us ▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Final Instructions: