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DocuSign Envelope ID: 62955F1D-7A37-4CB0-A8D8-2BA7ADB5515E <br />"federal public benefit" must make a citizenship/qualified alien determination/ verification of <br />applicants at the time of application as part of the eligibility criteria. Non -US citizens and unqualified <br />aliens are not eligible to receive the services. PL 104-193 also includes specific reporting <br />requirements. <br />e. Federal Compliance: The Sub-recipient/vendor shall comply with all applicable State and Federal <br />statutes, laws, rules, and regulations in the performance of this agreement, whether included <br />specifically in this agreement or not. <br />f. Civil Rights and Non -Discrimination Obligations During the performance of this agreement, the <br />Contractor shall comply with all current and future federal statutes relating to nondiscrimination. <br />These include but are not limited to: Title VI of the Civil Rights Act of 1964 (PL 88-352), Title IX of the <br />Education Amendments of 1972 (20 U.S.C. §§ 1681-1683 and 1685-1686), section 504 of the <br />Rehabilitation Act of 1973 (29 U.S.C. § 794), the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101- <br />6107), the Drug Abuse Office and Treatment Act of 1972 (PL 92-255), the Comprehensive Alcohol <br />Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), §§523 and <br />527 of the Public Health Service Act of 1912 (42 U.S.C. §§290dd-3 and 290ee-3), Title VIII of the Civil <br />Rights Act of 1968 (42 U.S.C. §§3601 et seq.), and the Americans with Disability Act (42 U.S.C., <br />Section 12101 et seq.) http-://-www.hl)s.gov/ocr/civili,iplit-s <br />Exchange Federal Compliance Contact Information <br />Washington Health Benefit Exchange <br />810 Jefferson Street (mailing address -PO Box 657, Olympia WA 98507) <br />Olympia, Washington 98504 <br />STANDARD FEDERAL CERTIFICATIONS AND ASSURANCES - Following are the Assurances, Certifications, and <br />Special Conditions that apply to all federally funded (in whole or in part) agreements administered by the <br />Washington Health Benefit Exchange. <br />CERTIFICATIONS <br />1. CERTIFICATION REGARDING DEBARMENT AND <br />SUSPENSION <br />The undersigned (authorized official signing for the <br />contracting organization) certifies to the best of his <br />or her knowledge and belief, that the contractor, <br />defined as the primary participant and the <br />principal(s), defined as an officer, director or owner <br />of the organization in accordance with 45 CFR Part <br />76, and its principles: <br />a) are not presently debarred, suspended, proposed for <br />b) have not within a 3 -year period preceding this <br />contract been convicted of or had a civil judgment <br />rendered against them for commission of fraud or a <br />criminal offense in connection with obtaining, <br />attempting to obtain, or performing a public <br />(Federal, State, or local) transaction or contract <br />under a public transaction; violation of Federal or <br />State antitrust statutes or commission of <br />embezzlement, theft, forgery, bribery, falsification <br />or destruction of records, making false statements, <br />or receiving stolen property; <br />debarment, declared ineligible, or voluntarily c) are not presently indicted or otherwise criminally or <br />excluded from covered transactions by any Federal civilly charged by a governmental entity (Federal, <br />Department or agency; State, or local) with commission of any of the <br />offenses enumerated in paragraph (b) of this <br />certification; and <br />HBE-349 YNHS Exhibit B — Federal Compliance, Certifications, And Assurances Page <br />17 of 41 <br />