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FoRM No. 3 <br />CIVIL RIGHTS COMPLIANCE <br />STATE OF OHIO <br />U.S. DEPARTMENT OF THE INTERIOR <br />As the authorized representative of the applicant, I certify that the applicant agrees that, as a condition to <br />receiving any etate assistance or Federal financial assistance from the Department of the Interior, it will comply <br />with all Federal lawa relating to nondiecrimination. These laws include but are not limited to: (a) Title VI of Civil <br />Rights Act of 1964 (42 U.S.C. 2000d-1), which prohibits discrimination on the basis af race, color, or national <br />origin; (b) Section 604 of the RehabilitationAct of 1973, as amended (29 U.S.C. 794), which prohibite discrimina- <br />tion on the basis of handicap; (c) the Age Discrimination Act of 1976, as amended (42 U.S.C. 6101 et seq.), which <br />prohibite diecrimination on the basis of age; and applicable regulatory requirements to the end that no person in <br />the United States shall, on the grounda of race, color, national origin, handicap or age, be excluded &om p'articipa- <br />tion in, be denied the benefite of, or be otherwise eubjected to diacrimination under any program or activity <br />conducted by the applicant. TTiE APPLICANT HEREBY GIVES ASSURANCE THAT it will immediately take <br />any measures necessary to effectuate this agreement. <br />THIS ASSURANCE ahall apply to all aspects of the applicant's operations including those parte that have <br />not received or benefitted &om Federal financial aseistance. <br />' If any real property or structure.thereon is provided or improved with the sid of Federal financial assistance <br />extended to the Applicant by the Department, thie assurance shall obligate the Applicant, or in the case of any <br />tranefer of auch property, any transferee, for the period during which the real pmperty or atructure is used for a <br />purpose for which the Federal financial assistance is extendeii or for another purpoae involving the provision of <br />similar services or benefits. If any personal property is so pmvided, this aesurance ehall obligate the Applicant for <br />the period during which it retaina ownership or posseasion of the property. In all other cases, this aseurance shall <br />obligate the Applicant for the periad during which the Federal financial assistance is extended to it by the Depart- <br />ment. <br />THIS ASSURANCE is given in consideration of and for the purpoae of obtaining any and all Federal grants, <br />loans, contracts, property, diecounta or other Federal financial assistance egtended after the date hereof to the <br />Applicant by the Departmeat, including installment payments after such date on account of applicanta for Federal <br />financial assistance which were approved before such date. <br />The Applicant recognizes and agrees that such Federal finanaal assistance will be extended in reliance on the <br />repreaentations and agreements made in this assurance, and that the United States shall have the right to eeek <br />judiaal enforcement of thie assurance. This asaurance ie binding oa the Applicant, its successora, transferees, <br />aseigneee, and subrecipients and the person whoae eignature appeare below who is authorized to sign thie seaur- <br />ance on behalf of the A cant. . <br />I SIGNATUREOFAUTHORMDCERTIFXIN(30FFICIAL Tn'EMayor • . APPLICANT/ORGANIZATION DATE BUBMPITED <br />Mayfield Village 6-17-02 <br />APPLICANT/ORGANIZATION MAII.INaADDAES5 BUREAU OR OFFICE EXTENDINGASSISTANCE <br />6621 Wilson Mills Road <br />Mayfield Village, OH 44143 <br />E