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VIII. CERTIFICATIONS <br />A. Applicant certifies that it will not discriminate against any employee or applicant for employment because of race, <br />religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital <br />status, sex or age, in compliance with Government Code 12900, of seq. Applicant agrees to take affirmative <br />action to insure that applicants are employed, and that employees are treated during employment, without regard <br />to their race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical <br />condition, marital status, sex or age. <br />B. Applicant certifies that it does not discriminate against any person wishing to benefit from their services/program <br />on the basis of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical <br />condition, marital status, sex or age. <br />IX. SIGNATURE <br />I hereby certify that, to the best of my knowledge, all statements made in this application are true and correct. If funds are <br />granted to our organization, they will be used for a CDBG-eligible purpose. I understand that liability and workers <br />compensation insurance will be required for our group, and that our formal agreement with the City will specify other <br />reporting and programmatic provisions. <br />Name Gerardo Mouet <br />Signature <br />Title Executive Director, PRCSA <br />Date December 3, 2009