C 1 5
<br />OMB Number: 4040 -0007
<br />Expiration Date: 06/3012014
<br />ASSURANCES - NON- CONSTRUCTION PROGRAMS
<br />Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
<br />instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
<br />information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
<br />reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348- 0040), Washington, DC 20503.
<br />PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND
<br />IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
<br />NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
<br />awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.
<br />If such is the case, you will be notified.
<br />As the duly authorized representative of the applicant, I certify that the applicant:
<br />1. Has the legal authority to apply for Federal assistance
<br />and the institutional, managerial and financial capability
<br />(including funds sufficient to pay the non - Federal share
<br />of project cost) to ensure proper planning, management
<br />and completion of the project described in this
<br />application.
<br />Will give the awarding agency, the Comptroller General
<br />of the United States and, if appropriate, the State,
<br />through any authorized representative, access to and
<br />the right to examine all records, books, papers, or
<br />documents related to the award; and will establish a
<br />proper accounting system in accordance with generally
<br />accepted accounting standards or agency directives.
<br />3. Will establish safeguards to prohibit employees from
<br />using their positions for a purpose that constitutes or
<br />presents the appearance of personal or organizational
<br />conflict of interest, or personal gain.
<br />4. Will initiate and complete the work within the applicable
<br />time frame after receipt of approval of the awarding
<br />agency.
<br />Act of 1973, as amended (29 U.S.C. §794), which
<br />prohibits discrimination on the basis of handicaps; (d)
<br />the Age Discrimination Act of 1975, as amended (42 U.
<br />S.C. § §6101- 6107), which prohibits discrimination on
<br />the basis of age; (e) the Drug Abuse Office and
<br />Treatment Act of 1972 (P.L. 92 -255), as amended,
<br />relating to nondiscrimination on the basis of drug
<br />abuse; (f) the Comprehensive Alcohol Abuse and
<br />Alcoholism Prevention, Treatment and Rehabilitation
<br />Act of 1970 F.L. 91 -616), as amended, relating to
<br />nondiscrimination on the basis of alcohol abuse or
<br />alcoholism; (g) § §523 and 527 of the Public Health
<br />Service Act of 1912 (42 U.S.C. § §290 dd -3 and 290
<br />So- 3), as amended, relating to confidentiality of alcohol
<br />and drug abuse patient records; (h) Title VIII of the Civil
<br />Rights Act of 1968 (42 U.S.C. § §3601 at sec.), as
<br />amended, relating to nondiscrimination in the sale,
<br />rental or financing of housing; (i) any other
<br />nondiscrimination provisions in the specific statute(s)
<br />under which application for Federal assistance is being
<br />made; and, 0) the requirements of any other
<br />nondiscrimination statute(s) which may apply to the
<br />application.
<br />5. Will comply with the Intergovernmental Personnel Act of
<br />1970 (42 U.S.C. § §4728 -4763) relating to prescribed
<br />standards for merit systems for programs funded under
<br />one of the 19 statutes or regulations specified in
<br />Appendix A of OPM's Standards for a Merit System of
<br />Personnel Administration (5 C.F.R. 900, Subpart F).
<br />6. Will comply with all Federal statutes relating to
<br />nondiscrimination. These include but are not limited to:
<br />(a) Title VI of the Civil Rights Act of 1964 (P.L. 88 -352)
<br />which prohibits discrimination on the basis of race, color
<br />or national origin; (b) Title IX of the Education
<br />Amendments of 1972, as amended (20 U.S.C. § §1681 -
<br />1683, and 1685 - 1686), which prohibits discrimination on
<br />the basis of sex; (c) Section 504 of the Rehabilitation
<br />Will comply, or has already complied, with the
<br />requirements of Titles 11 and III of the Uniform
<br />Relocation Assistance and Real Property Acquisition
<br />Policies Act of 1970 (P.L. 91 -646) which provide for
<br />fair and equitable treatment of persons displaced or
<br />whose property is acquired as a result of Federal or
<br />federally- assisted programs. These requirements
<br />apply to all interests in real property acquired for
<br />project purposes regardless of Federal participation in
<br />purchases.
<br />8. Will comply, as applicable, with provisions of the
<br />Hatch Act (5 U.S.C. § §1501 -1508 and 7324 -7328)
<br />which limit the political activities of employees whose
<br />principal employment activities are funded in whole
<br />or in part with Federal funds.
<br />Previous Edition Usable Standard Form 4248 (Rev. 7.97)
<br />Authorized for Local Reproduction Prescribed by OMB Circular A -102
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