291 Supplementary informaiton and toll settlement data - Cer

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BORROWER DESIGNATION

CERTIFICATION OF NONSEGREGATED FACILITIES

(the ''Applicant'')
certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and
that it does not permit its employees to perform their services at any location, under its control, where segregated
facilities are maintained. The Applicant certifies further that it will not maintain or provide for its employees any
segregated facilities at any of its establishments, and that it will not permit its employees to perform their services at any
location, under its control, where segregated facilities are maintained. The Applicant agrees that a breach of this
certification will constitute a violation of the Equal Opportunity Clause in any loan contract which Applicant may enter
into, relating to a loan from the Rural Utilities Service to the Applicant. As used in this certification, the term ''segregated
facilities'' means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas,
timeclocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or
entertainment transportation, and housing facilities provided for employees which are segregated by explicit directive or
are in fact segregated on the basis of race, color, religion, of national origin, because of habit, local custom, or
otherwise. The Applicant agrees that (except where it has obtained identical certifications from proposed contractors for
specific time periods) it will obtain identical certifications from proposed contractors prior to the award of contracts
exceeding $10,000 which are not exempt) from the provisions of the Equal Opportunity Clause, and that it will retain
such certifications in its files.
The execution of the foregoing certification has been duly approved and authorized by the
board of directors of the Applicant at the meeting of such board of directors held on
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APPLICANT

By
PRESIDENT

Date:

RUS Form 291 (8-70)

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