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Profit & Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />The applicant hereby certifies and affirms: <br />1. That it does not now, nor will it during the performance of any contract arising from this application, unlawfully discriminate against <br />any employee, applicant for employment, client, customer, or other person who might benefit from said contract, by reason of age, <br />race, color, ethnicity, sex, religion, military status, sexual orientation, creed, place of birth, or disability; <br />2. That it will abide by all relevant local, state and federal laws and regulations and; <br />3. That it has read the information contained in the Instructions on pages 1 and 2 and understands and will comply with all provisions <br />thereof. <br />Certified by:* <br />Name * <br />Applicant's Title * <br />63611.00$17557.00$46645.63$89680.00$ <br />Application Certification <br />Zora Holmes <br />Treasurer