Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out CERTIFICATE OF NON-SEGREGATED FACILITIES with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the CERTIFICATE OF NON-SEGREGATED FACILITIES in the editor.
In the first field, enter the name of your company where indicated. This is essential for identifying the entity making the certification.
Review the certification statement carefully. Ensure that you understand your commitment not to maintain segregated facilities as defined in the document.
Fill in the signature line with your name and title. This confirms that you are authorized to make this certification on behalf of your company.
Enter the date on which you are signing this certificate. This is important for record-keeping and compliance purposes.
If applicable, ensure that you have obtained identical certifications from any proposed subcontractors before submitting this form.
Start using our platform today to easily complete and manage your CERTIFICATE OF NON-SEGREGATED FACILITIES for free!
Fill out CERTIFICATE OF NON-SEGREGATED FACILITIES online It's free
What is a certificate of non-segregated facilities?
Certify that we do not and will not maintain or provide for our employees any segregated facilities at any of our establishments, and that we do not and will not permit our employees to perform their services at any location, under our control, where segregated facilities are maintained.
Related Searches
Certificate of non segregated facilities templateCertificate of non segregated facilities sample
Related links
Pub 23-Chapter 12 (1-03)
Upon completion of inspection, and/or necessary repairs, a ʺCertificate of Inspectionʺ will be issued which will be displayed in the boiler room at all times
As used in this certification, the term segregated facilities means any waiting rooms, work areas, rest rooms and wash rooms, restaurants and other eating.
23 CFR Appendix D to Subpart B of Part 633 - Federal-Aid
This certification provides that the bidder does not maintain or provide for his employees facilities which are segregated on a basis of race, creed, color, or
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.
