Fillable Assurances For Non-Construction Programs printable pdf download

OMB Number: 4040-0007

Expiration Date: 01/31/2019

ASSURANCES - NON-CONSTRUCTION PROGRAMS

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NOTE:

Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the

awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances.

If such is the case, you will be notified.

As the duly authorized representative of the applicant, I certify that the applicant:

Has the legal authority to apply for Federal assistance

Act of 1973, as amended (29 U.S.C. §794), which

and the institutional, managerial and financial capability

prohibits discrimination on the basis of handicaps; (d)

the Age Discrimination Act of 1975, as amended (42 U.

(including funds sufficient to pay the non-Federal share

of project cost) to ensure proper planning, management

S.C. §§6101-6107), which prohibits discrimination on

and completion of the project described in this

the basis of age; (e) the Drug Abuse Office and

application.

Treatment Act of 1972 (P.L. 92-255), as amended,

relating to nondiscrimination on the basis of drug

Will give the awarding agency, the Comptroller General

abuse; (f) the Comprehensive Alcohol Abuse and

Alcoholism Prevention, Treatment and Rehabilitation

of the United States and, if appropriate, the State,

through any authorized representative, access to and

Act of 1970 (P.L. 91-616), as amended, relating to

the right to examine all records, books, papers, or

nondiscrimination on the basis of alcohol abuse or

documents related to the award; and will establish a

alcoholism; (g) §§523 and 527 of the Public Health

proper accounting system in accordance with generally

Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-

accepted accounting standards or agency directives.

3), as amended, relating to confidentiality of alcohol

and drug abuse patient records; (h) Title VIII of the Civil

Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as

Will establish safeguards to prohibit employees from

amended, relating to nondiscrimination in the sale,

using their positions for a purpose that constitutes or

rental or financing of housing; (i) any other

presents the appearance of personal or organizational

nondiscrimination provisions in the specific statute(s)

conflict of interest, or personal gain.

under which application for Federal assistance is being

made; and, (j) the requirements of any other

Will initiate and complete the work within the applicable

nondiscrimination statute(s) which may apply to the

time frame after receipt of approval of the awarding

application.

agency.

7. Will comply, or has already complied, with the

Will comply with the Intergovernmental Personnel Act of

requirements of Titles II and III of the Uniform

1970 (42 U.S.C. §§4728-4763) relating to prescribed

Relocation Assistance and Real Property Acquisition

standards for merit systems for programs funded under

Policies Act of 1970 (P.L. 91-646) which provide for

one of the 19 statutes or regulations specified in

fair and equitable treatment of persons displaced or

Appendix A of OPM's Standards for a Merit System of

whose property is acquired as a result of Federal or

Personnel Administration (5 C.F.R. 900, Subpart F).

federally-assisted programs. These requirements

apply to all interests in real property acquired for

Will comply with all Federal statutes relating to

project purposes regardless of Federal participation in

nondiscrimination. These include but are not limited to:

purchases.

(a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352)

which prohibits discrimination on the basis of race, color

8. Will comply, as applicable, with provisions of the

or national origin; (b) Title IX of the Education

Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)

Amendments of 1972, as amended (20 U.S.C.§§1681-

which limit the political activities of employees whose

1683, and 1685-1686), which prohibits discrimination on

principal employment activities are funded in whole

the basis of sex; (c) Section 504 of the Rehabilitation

or in part with Federal funds.

Previous Edition Usable

Standard Form 424B (Rev. 7-97)

Authorized for Local Reproduction

Prescribed by OMB Circular A-102

Assurances For Non-Construction Programs

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