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DocuSign Envelope ID: OD860297-5ABA-4B7C-92BF-E18A5CFB3B26 <br />• • May 25, 2021 <br />To file a program discrimination complaint, a complainant should complete a Form <br />AD -3027, USDA Program Discrimination Complaint Form, which can be obtained <br />online at haps://www.ocio.usda.govldocument/ad--3027, from any USDA gfJlce, by <br />calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must <br />contain the complainant's name, address, telephone number, and a written <br />description of the alleged discriminatory action in sufficient detail to inform the <br />Assistant Secretaryfor Civil Rights (ASCR) about the nature and date of an alleged <br />civil rights violation. The completed AD -3027 form or letter must be submitted to <br />USDA by: <br />(I) Mail: U.S. Department of Agriculture, Ofj"ice of the Assistant Secretaryfor <br />Civil Rights, 1400 Independence Avenue SW, Washington, D.C. 20250-9410; c <br />(2) Fax: (833) 256-1665 or (202) 690-7442; or <br />(3) Email. orogrum.intukera-usda.gov. <br />If the material is too small to permit the full Non -Discrimination Statement to be <br />included, the material will, at a minimum, include the alternative statement: <br />"This institution is an equal opportunity provider. <br />SECTION G: CONTRACT EFFECTIVE DATE <br />This contract is effective when signed by Mayfield Village and CRWP. Except as otherwise <br />provided for herein, this contract may not be terminated or modified unless by mutual written <br />agreement between the parties. In the event that a statute is enacted during the period of this <br />contract that would materially change the terms and conditions of this contract, CRWP may <br />require Mayfield Village to elect between modifying this contract consistent with the provisions <br />of such statute or contract termination. <br />pons 9p this contract hereby agree to the terms and conditions as stated above. <br />Rt.AAx 6%t r <br />ffeatlief Elmer, Executive Director <br />Chagrin River Watershed Partners, Inc. <br />Mayor Brenda Bodnar <br />Mayfield Village <br />Stephen Schutt <br />President of Council, Mayfield Village <br />Form: <br />Date 8/9/2021 <br />Date S-)--24 <br />Anthony J. <br />Law Direc a d Village- 6- <br />