Ams-71

0236-AMS-71 SCBGP 2-7-06.xls

Specialty Crop block Grant Program

AMS-71

OMB: 0581-0239

Document [pdf]
Download: pdf | pdf

OMB Approval No. 0348-0040

ASSURANCES - NON-CONSTRUCTION PROGRAMS

NOTE:

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

Previous Edition Usable

Standard Form 424B (Rev. 7-97)

Authorized for Local Reproduction

Prescribed by OMB Circular A-102

Public reporting burden for this collection of

information is estimated to average 15 minutes per response,

including time for

reviewing

instructions,

searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of

information.

Send comments regarding the burden estimate or any other aspect of this collection of information,

including suggestions for

reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.

SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.

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.

Has the legal

authority to apply for

Federal

assistance

and the institutional,

managerial

and financial

capability

(including funds sufficient

to pay the non-Federal

share

of project cost) to ensure proper planning,

management

and

completion

of

the

project

described

in

this

application.

Will

give the awarding agency, the Comptroller General

of

the United States and,

if

appropriate,

the State,

through any authorized representative,

access to and

the right

to examine all

records,

books,

papers,

or

documents related to the award;

and will

establish a

proper accounting system in accordance with generally

accepted accounting standards or agency directives.

Will

establish safeguards to prohibit

employees from

using their

positions for

a purpose that

constitutes or

presents the appearance of

personal

or

organizational

conflict of interest, or personal gain.

Will

initiate and complete the work within the applicable

time frame after

receipt

of

approval

of

the awarding

agency.

Will

comply with the Intergovernmental

Personnel Act of

1970 (42 U.S.C.

§§4728-4763)

relating to prescribed

standards for merit

systems for programs funded under

one of

the 19

statutes

or

regulations

specified

in

Appendix A of

OPM's Standards for

a Merit

System of

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

Will

comply

with

all

Federal

statutes

relating

to

nondiscrimination.

These include but

are not

limited to:

(a) Title VI of the Civil

Rights Act of

1964 (P.L.

88-352)

which prohibits discrimination on the basis of race, color

or

national

origin;

(b)

Title

IX

of

the

Education

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

§§1681-

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

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

Act

of

1973,

as amended (29 U.S.C.

§794),

which

prohibits discrimination on the basis of

handicaps;

(d)

the Age Discrimination Act

of

1975,

as amended (42

U.S.C.

§§6101-6107),

which prohibits discrimination

on the basis of

age;

(e)

the Drug Abuse Office and

Treatment

Act

of

1972 (P.L.

92-255),

as amended,

relating to nondiscrimination

on the basis

of

drug

abuse;

(f)

the Comprehensive Alcohol

Abuse and

Alcoholism Prevention,

Treatment

and Rehabilitation

Act

of

1970 (P.L.

91-616),

as amended,

relating to

nondiscrimination on the basis of

alcohol

abuse or

alcoholism;

(g)

§§523 and 527 of

the Public Health

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

-

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

amended,

relating to nondiscrimination in the sale,

rental

or

financing

of

housing;

(i)

any

other

nondiscrimination provisions in the specific statute(s)

under which application for Federal assistance is being

made;

and,

(j)

the

requirements

of

any

other

nondiscrimination statute(s)

which may apply to the

application.

Will

comply,

or

has

already

complied,

with

the

requirements

of

Titles

II

and

III

of

the

Uniform

Relocation Assistance and Real

Property Acquisition

Policies Act

of

1970 (P.L.

91-646)

which provide for

fair

and equitable treatment

of

persons displaced or

whose property is acquired as a result

of

Federal

or

federally-assisted programs. These requirements apply

to all

interests in real

property acquired for

project

purposes

regardless

of

Federal

participation

in

purchases.

Will

comply,

as

applicable,

with provisions

of

the

Hatch Act

(5 U.S.C.

§§1501-1508 and 7324-7328)

which limit

the political

activities of

employees whose

principal

employment

activities are funded in whole or

in part with Federal funds.

1.

2.

3.

4.

5.

6.

7.

8.

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL

TITLE

APPLICANT ORGANIZATION

DATE SUBMITTED

Standard Form 424B (Rev. 7-97) Back

Will

comply, as applicable, with the provisions of the Davis-

Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act

(40 U.S.C.

§276c and 18 U.S.C.

§874),

and the Contract

Work Hours and Safety Standards Act

(40 U.S.C.

§§327-

333),

regarding

labor

standards

for

federally-assisted

construction subagreements.

Will

comply,

if

applicable,

with flood insurance purchase

requirements

of

Section 102(a)

of

the

Flood

Disaster

Protection

Act

of

1973

(P.L.

93-234)

which

requires

recipients in a special flood hazard area to participate in the

program and to purchase flood insurance if the total

cost of

insurable construction and acquisition is $10,000 or more.

Will

comply with environmental

standards which may be

prescribed pursuant

to

the following:

(a)

institution

of

environmental

quality control

measures under the National

Environmental

Policy

Act

of

1969

(P.L.

91-190)

and

Executive Order

(EO)

11514;

(b)

notification of

violating

facilities pursuant

to EO 11738;

(c)

protection of

wetlands

pursuant

to EO 11990;

(d)

evaluation of

flood hazards in

floodplains in accordance with EO 11988;

(e) assurance of

project

consistency with the approved State management

program developed under

the Coastal

Zone Management

Act

of

1972 (16 U.S.C.

§§1451 et

seq.);

(f)

conformity of

Federal

actions to State (Clean Air)

Implementation Plans

under

Section 176(c)

of

the Clean Air

Act

of

1955,

as

amended (42 U.S.C.

§§7401 et

seq.);

(g)

protection of

underground sources of

drinking water

under

the Safe

Drinking Water

Act

of

1974,

as amended (P.L.

93-523);

and,

(h)

protection

of

endangered species

under

the

Endangered Species Act

of

1973,

as amended (P.L.

93-

205).

Will

comply with the Wild and Scenic Rivers Act

of

1968 (16 U.S.C.

§§1271 et

seq.)

related to protecting

components or

potential

components of

the national

wild and scenic rivers system.

Will

assist the awarding agency in assuring compliance

with Section 106 of

the National

Historic Preservation

Act

of

1966,

as amended (16 U.S.C.

§470),

EO 11593

(identification and protection of historic properties), and

the Archaeological

and Historic

Preservation Act

of

1974 (16 U.S.C. §§469a-1 et seq.).

Will

comply with P.L. 93-348 regarding the protection of

human subjects involved in research, development, and

related activities supported by this award of assistance.

Will

comply with the Laboratory Animal

Welfare Act

of

1966 (P.L.

89-544,

as amended,

7 U.S.C.

§§2131 et

seq.) pertaining to the care, handling,

and treatment

of

warm blooded animals held for

research,

teaching,

or

other activities supported by this award of assistance.

Will

comply

with

the

Lead-Based Paint

Poisoning

Prevention Act

(42

U.S.C.

§§4801

et

seq.)

which

prohibits the use of

lead-based paint

in construction or

rehabilitation of residence structures.

Will

cause to be performed the required financial

and

compliance audits in accordance with the Single Audit

Act Amendments of 1996 and OMB Circular No. A-133,

"Audits of

States,

Local

Governments,

and Non-Profit

Organizations."

Will

comply with all

applicable requirements of all

other

Federal laws, executive orders, regulations, and policies

governing this program.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

March 16, 2006

File Typeapplication/pdf
File TitleOMB Standard Form 424B
SubjectOMB Standard Forms
AuthorRosemary Ruff
File Modified2006-03-16
File Created1997-11-12

© 2024 OMB.report | Privacy Policy