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3. AMERICANS WITH DISABILITIES ACT: Applicant assures the State that it complies with the Americans <br />with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all <br />applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) <br />4. APPLICANT NAME CHANGE: An amendment is required to change the applicant's name as listed on this <br />Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. <br />Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. <br />5. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a <br />resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an <br />agreement, authorizing execution of the agreement. <br />6. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the applicant shall not be: <br />(1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or <br />an air pollution control district; <br />(2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code <br />for violation of waste discharge requirements or discharge prohibitions; or <br />(3) finally determined to be in violation of provisions of federal law relating to air or water pollution. <br />Failure to comply with these requirements may result in suspension of payments under the Agreement or <br />termination of the Agreement or both and applicant may be ineligible for award of any future State agreements if <br />the department determines that any of the following has occurred: the applicant has made false certification, or <br />violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) <br />I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally <br />bind the prospective jurisdiction to the assurances and certifications listed above. <br />Jurisdiction (Printed) <br />By (Authorized Signature) <br />Printed Name and Title of Person Signing <br />Date Executed <br />55A-15