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Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Application Certification <br />The applicant here certifies and affirms:1.That it does not now,nor will it during the performance of any contract arising <br />from this application,unlawfully discriminate against any employee,applicant for employment,client,customer,or other <br />person who might benefit from said contract,by reason of age,race,color,ethnicity,sex,religion,military status,sexual <br />orientation,creed,place of birth,or disability;2.That it will abide by all relevant local,state and federal laws and <br />regulations and,3.That it has read the information contained in the Instructions on pages 1 and 2 and understands and <br />will comply with all provisions thereof. <br />Certified by: <br />Name*Debbie Bogart <br />Applicant's Title*E×ecutive Direector