Fill - Free fillable The Gulf Coast Ecosystem Restoration Council (National Oceanic and Atmospheric Administration) PDF form

The Gulf Coast Ecosystem Restoration Council

New Orleans, LA 7013

The Gulf Coast Ecosystem Restoration Council

500 Poydras Street, Suite 1117, New Orleans, LA 70130

www.restorethegulf.gov

Certification Instructions

The Gulf Coast Ecosystem Restoration Council (Council) is the independent federal entity responsible for

managing a portion of the Gulf Coast Restoration Trust fund. The Council uses the standards set forth in

Code of Federal Regulations, Title 2 Part 200, Uniform Administrative Requirements, Cost Principles and

Audit Requirements for Federal Awards (2 CFR 200), and which the Council has adopted in Code of Federal

Regulations Title 2, Part 5900.101, Adoption of 2 CFR Part 200.

These certifications are required by federal law, Department of the Treasury (Treasury) regulations and the

Restore Act and must be submitted with each application to the Council for financial assistance under the

RESTORE Act Comprehensive Plan Component and Spill Impact Component. The certifications must be

signed by an authorized senior official of the Applicant who can legally bind the entity and has oversight for

the administration and use of the Restore Act funds.

Please read the forms carefully and complete the required certifying information electronically. Once the

authorized senior official has signed the documents, please scan the signed certification documents and

submit them electronically.

 If submitting the application by email, the completed signed forms must be

returned by

email to:

For SEP: sep-grant_applications@restorethegulf.gov

For FPL: fplproposalsubmissions@restorethegulf.gov

 If the application is submitted through the Council’s automated Restoration Assistance and Award

Management System (RAAMS), the scanned certification documents must be uploaded as part of the

application process.

 DO NOT USE the submit form button that appears at the upper right-hand corner of the form.

Normally, two original certification documents must be submitted with the application, as follows. In addition,

these certifications must be submitted to the Council on at least an annual basis.

 RESTORE Council A p p l i c a n t Certifications - includes the required RESTORE Act certifications,

certification regarding debarment, suspension and other responsibility matters, certification regarding

drug-free workplace requirements, and required certifications regarding lobbying.

 Assurances (SF-424B or SF-424D) – for projects involving construction or real property/ land

acquisition, complete the Assurances for Construction Programs (Standard Form 424D); for

non-construction projects, complete the Assurances – Non-Construction Programs (Standard

Form 424B). Certain of these assurances may not be applicable to your project or program. If

you have questions, please contact the Council Grants Officer.

See also § 200.205, 200.207, 200.300, 200.302, 200.303

See 2 C.F.R. § 200.208

The Gulf Coast Ecosystem Restoration Council

New Orleans, LA 7013

The Gulf Coast Ecosystem Restoration Council

500 Poydras Street, Suite 1117, New Orleans, LA 70130

www.restorethegulf.gov

Additional certifications are required in the following situations throughout the award life cycle

 Disclosure Form to Report Lobbying - in some situations, described in Section D, “Certification

Regarding Lobbying,” on the Council Applicant Certifications, the Applicant must also submit Standard

Form LLL, “Disclosure Form to Report Lobbying”

 Additional Certifications Required for Expenditures - an official signature is required on all expenditures.

The official signature certifies and assures that expenditures are proper and in accordance with the terms

and conditions of the Federal award and approved project budgets. The annual and final fiscal reports

or vouchers requesting payment under the awards must include a certification, signed by an official who

is authorized to legally bind the non-Federal entity, which reads as follows: “By signing this report, I

certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the

expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms

and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or

the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud,

false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-

3730 and 3801-3812).” See 2 C.F.R. § 200.415 “Required certifications.”

Certification of the Applicant's Authorized Representative

For each of the certification documents, identify the individual who has the authority to commit the

organization to the Council's grant management requirements and who can certify the accuracy of the

statements made in the forms.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it

displays a valid OMB control number. This collection is based upon OBM control number 1505-0250. The time required to complete

this information collection is estimated to average 10 hours, including the time to review instructions, search existing data resources,

gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments concerning the

accuracy of the time estimate and suggestions for reducing this burden should be directed to the Department of the Treasury,

RESTORE Act Program, 1500 Pennsylvania Ave., NW, Washington, DC 20005.

RESTORE Council Applicant Certifications

Gulf Coast Ecosystem Restoration Council

Based on OMB Approval No. 1505-0250

Directions: These certifications are required by federal law and Department of the Treasury (Treasury) regulations to be submitted

with each application to The Gulf Coast Ecosystem Restoration Council (the Council) for financial assistance under the RESTORE

Act Council-Selected Restoration Component or Spill Impact Component. The certifications must be signed by an authorized senior

official of the Applicant who can legally bind the entity and has oversight for the administration and use of the Comprehensive Plan

or Spill Impact Component funds.

A. RESTORE Act Certification

Pursuant to the RESTORE Act, I certify that for any award Agreement

resulting from this application:

1. Each activity funded under this Agreement has been primarily

designed to plan for or undertake activities to restore and protect the

natural resources, ecosystems, fisheries, marine and wildlife habitats,

beaches, coastal wetlands, or economy of the Gulf Coast region.

2. Each activity funded under this Agreement is designed to carry out

one or more of the eligible activities for the Council Selected

Restoration Component or Spill Impact Component.

3. Each activity funded under this Agreement, other than planning

assistance, was part of a plan made available for public review and

comment in a manner calculated to obtain broad-based participation

from individuals, businesses, Indian tribes, and nonprofit organizations,

and that the activity was selected after consideration of meaningful

input from the public, as described in the grant application.

4. Each activity funded under this Agreement that protects or restores

natural resources is based on the best available science, as that term

is defined in 31 C.F.R. Part 34.

5. This recipient has procedures in place for procuring property and

services under this award that are consistent with the procurement

standards applying to Federal grants. This recipient will not request

funds under this award for any contract unless this certification remains

true and accurate.

6. Pursuant to 2 C.F.R. § 200.303, this recipient will establish and

maintain effective internal control over any award made based on this

application that provides reasonable assurance that this recipient is

managing the award in compliance with Federal statutes, regulations,

and the terms and conditions of the award. No material deficiencies in

this recipient’s internal controls are known.

7. A conflict of interest policy consistent with 2 C.F.R. § 200.318(c) is in

effect and covering each activity funded under this Agreement.

8. This recipient will comply with Title VI of the Civil Rights Act of 1964,

the Rehabilitation Act of 1973, and all other applicable federal laws and

regulations concerning anti-discrimination.

I make each of these certifications based on my personal knowledge

and belief after reasonable and diligent inquiry, and I affirm that this

Applicant maintains written documentation sufficient to support each

certification made above, and that this Applicant’s compliance with

each of these certifications is a condition of this Applicant’s initial and

continuing receipt and use of the funds provided under this Agreement.

B. Certification Regarding Debarment, Suspension,

and Other Responsibility Matters -- Primary Covered

Transactions

Instructions: The inability of an applicant to provide the certification

required below will not necessarily result in the denial of participation in

this covered transaction. The prospective Applicant shall submit an

explanation of why it cannot provide the certification set out below. The

certification or explanation will be considered in connection with the

Council’s approval of the proposed Application. However, failure of the

Applicant to furnish a certification or an explanation shall disqualify

such person/entity from participation in this transaction. Please be

advised of the following:

1. This certification is a material representation of fact upon which

reliance is placed when the Council determines to enter into this

transaction. If it is later determined that the Applicant knowingly

rendered an erroneous certification, in addition to other remedies

available to the Federal government, the Council may terminate this

transaction for cause or default.

2. The Applicant shall provide immediate written notice to the Council if

at any time the Applicant learns that its certification was erroneous

when submitted or has become erroneous by reason of changed

circumstances.

3. The terms “covered transactions,” “debarred,” “suspended,”

“ineligible,” “lower tier covered transaction,” “participant,” “person,”

“primary covered transaction,” “principal,” “proposal”, and “voluntarily

excluded,” as used in this clause (certification), have the meanings set

out in the Definitions and Coverage sections of the rules implementing

Executive Order 12549. You may contact the Council for assistance in

obtaining a copy of those regulations (31 C.F.R. Part 19).

4. The Applicant agrees by submitting this Application that, should the

proposed covered transaction be entered into, it shall not knowingly

enter into any lower tier covered transaction with a person who is

debarred, suspended, declared ineligible, or voluntarily excluded from

participation in this covered transaction, unless authorized by the

Council.

5. The Applicant further agrees by submitting this Application that it will

include the clause titled “Certification Regarding Debarment,

Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered

Transaction,” to be provided by the Council, without modification, in all

lower tier covered transactions and in all solicitations for lower tier

covered transactions (see 31 C.F.R. Part 19, Appendix).

6. A participant in a covered transaction may rely upon a certification of

a prospective participant in a lower tier covered transaction that it is not

debarred, suspended, ineligible, or voluntarily excluded from the

covered transaction, unless it knows that the certification is erroneous.

A participant may decide the method and frequency by which it

determines the eligibility of its principals. Each participant may, but is

not required to, check the Nonprocurement List.

7. Nothing contained in the foregoing shall be construed to require

establishment of a system of records in order to render in good faith

the certification required by this clause. The knowledge and

information of a participant is not required to exceed that which is

normally possessed by a prudent person in the ordinary course of

business dealings.

8. Except for transactions authorized under paragraph 4 of this

certification, if a participant in a covered transaction knowingly enters

into a lower tier covered transaction with a person who is suspended,

debarred, ineligible, or voluntarily excluded from participation in this

Page 2

transaction, in addition to other remedies available to the Federal

government, the Council may terminate this transaction for cause or

default.

By signing and submitting this Application, the prospective primary

participants (the Applicant) is providing the certification set out below.

The prospective primary participant (the Applicant) certifies to the

best of its knowledge and belief, that it and its principals:

1. Are not presently debarred, suspended, proposed for debarment,

declared ineligible, or voluntarily excluded from covered transactions

by any Federal department or agency;

2. Have not within a three-year period preceding this Application been

convicted of or had a civil judgment rendered against them for

commission of fraud or a criminal offense in connection with obtaining,

attempting to obtain, or performing a public (Federal, State or local)

transaction or contract under a public transaction; violation of Federal

or State antitrust statutes or commission of embezzlement, theft,

forgery, bribery, falsification or destruction of records, making false

statements, or receiving stolen property;

3. Are not presently indicted for or otherwise criminally or civilly

charged by a governmental entity (Federal, State or local) with

commission of any of the offenses enumerated in paragraph (1)(b) of

this certification; and

4. Have not within a three-year period preceding this Application had

one or more public transactions (Federal, State or local) terminated for

cause or default.

Where the Applicant is unable to certify to any of the statements in this

certification, such Applicant shall attach an explanation to this

proposal.

C. Certification Regarding Drug-Free Workplace

Requirements

The Applicant certifies that it will provide a drug-free workplace

by:

1. Publishing a statement notifying employees that the unlawful

manufacture, distribution, dispensing, possession, or use of a

controlled substance is prohibited in the Applicant’s workplace and

specifying the actions that will be taken against employee for violations

of such prohibition;

2. Establishing a drug-free awareness program to inform employees

about:

a. The dangers of drug abuse in the workplace;

b. The Applicant’s policy of maintaining a drug-free workplace;

c. Any available drug counseling, rehabilitation, and employee

assistance program;

d. The penalties that may be imposed upon employees for drug

abuse violations occurring in the workplace

3. Making it a requirement that each employee to be engaged in the

performance of the award be given a copy of the statement required by

paragraph (1) of this certification;

4. Notifying the employee in the statement required by paragraph (1) of

this certification that, as a condition of employment in such grant, the

employee will:

a. Abide by the terms of the statement; and

b. Notify the employer of any criminal drug use statute conviction

for a violation occurring in the workplace no later than five

calendar days after such conviction;

5. Notifying the granting agency in writing, within ten calendar days

after receiving notice of a conviction under paragraph (4)(b) of this

certification from an employee or otherwise receiving actual notice of

such conviction;

6. Taking one of the following actions, within 30 days of receiving

notice under paragraph (4)(b) of this certification, with respect to any

employee who is so convicted:

a. Taking appropriate personnel action against such an employee,

up to and including termination, consistent with the requirements

of the Rehabilitation Act of 1973, as amended; or

b. Requiring such employee to participate satisfactorily in a drug

abuse assistance or rehabilitation program approved for such

purposes by a Federal, State, or local health, law enforcement, or

other appropriate agency; and

7. Making a good faith effort to continue to maintain a drug-free

workplace through implementation of paragraphs 1 through 6 above.

D. Certification Regarding Lobbying

The Applicant certifies, to the best of his or her knowledge and belief,

that:

1. No Federal appropriated funds have been paid or will be paid, by or

on behalf of the Applicant, to any person for influencing or attempting

to influence an officer or employee of an agency, a Member of

Congress, an officer or employee of Congress, or an employee of a

Member of Congress in connection with the awarding of any Federal

contract, the making of any Federal grant, the making of any Federal

loan, the entering into of any cooperative agreement, and the

extension, continuation, renewal, amendment, or modification of any

Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid

or will be paid to any person for influencing or attempting to influence

an officer or employee of any agency, a Member of Congress, an

officer or employee of Congress, or an employee of a Member of

Congress in connection with this Federal contract, grant, loan, or

cooperative agreement, the undersigned shall complete and submit

Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in

accordance with its instructions.

3. The Applicant shall require that the language of this certification be

included in the award documents for all subawards at all tiers

(including subcontracts, subgrants, and contracts under grants, loans,

and cooperative agreements) and that all sub-recipients shall certify

and disclose accordingly. This certification is a material representation

of fact upon which reliance was placed when this transaction was

made or entered into. Submission of this certification is a prerequisite

for making or entering into this transaction imposed by title 31 U.S.

Code section 1352. Any person who fails to file the required

certification shall be subject to a civil penalty of not less than $10,000

and not more than $100,000 for each such failure.

This certification is a material representation of fact upon which

reliance was placed when this transaction was made or entered into.

Submission of this certification is a prerequisite for making or entering

into this transaction imposed by section 1352, title 31, U.S. Code. Any

person who fails to file the required certification shall be subject to a

civil penalty of not less than $10,000 and not more than $100,000 for

each such failure.

Project Name:

Signature of Authorized Senior Official:

Name:

Date:

Title:

Organization:

OMB Approval No. 0348-0040

ASSURANCES - NON-CONSTRUCTION PROGRAMS

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.

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

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.

Previous Edition Usable Standard Form 424B (Rev. 7-97)

Authorized for Local Reproduction Prescribed by OMB Circular A-102

10.

11.

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).

12.

13.

14.

15.

16.

17.

18.

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.

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE

APPLICANT ORGANIZATION DATE SUBMITTED

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

OMB Number: 4040-0009

Expiration Date: 06/30/2014

ASSURANCES - CONSTRUCTION PROGRAMS

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

AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.

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 (0348-0042), Washington, DC 20503.

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 assistance 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:

NOTE:

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 costs) to ensure proper planning,

management and completion of project described in

this application.

Will give the awarding agency, the Comptroller General

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

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

documents related to the assistance; and will establish

a proper accounting system in accordance with

generally accepted accounting standards or agency

directives.

Will not dispose of, modify the use of, or change the

terms of the real property title or other interest in the

site and facilities without permission and instructions

from the awarding agency. Will record the Federal

awarding agency directives and will include a covenant

in the title of real property acquired in whole or in part

with Federal assistance funds to assure non-

discrimination during the useful life of the project.

Will comply with the requirements of the assistance

awarding agency with regard to the drafting, review and

approval of construction plans and specifications.

Will provide and maintain competent and adequate

engineering supervision at the construction site to

ensure that the complete work conforms with the

approved plans and specifications and will furnish

progressive reports and such other information as may be

required by the assistance awarding agency or State.

Will initiate and complete the work within the applicable

time frame after receipt of approval of the awarding agency.

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 comply with the Intergovernmental Personnel Act

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

standards of 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 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.

10.

Will comply with all Federal statutes relating to non-

discrimination. 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 statue(s)

under which application for Federal assistance is being

made; and (j) the requirements of any other

nondiscrimination statue(s) which may apply to the

application.

Previous Edition Usable

Authorized for Local Reproduction

Standard Form 424D (Rev. 7-97)

Prescribed by OMB Circular A-102

11.

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 and federally-assisted

programs. These requirements apply to all interests in real

property acquired for project purposes regardless of

Federal participation in purchases.

12.

Will comply with the 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.

13.

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.

14.

Will comply 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.

15.

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).

16.

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.

17.

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).

18.

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."

19.

Will comply with all applicable requirements of all other

Federal laws, executive orders, regulations, and policies

governing this program.

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL

TITLE

SF-424D (Rev. 7-97) Back

APPLICANT ORGANIZATION

DATE SUBMITTED

20.

Will comply with the requirements of Section 106(g) of

the Trafficking Victims Protection Act (TVPA) of 2000, as

amended (22 U.S.C. 7104) which prohibits grant award

recipients or a sub-recipient from (1) Engaging in severe

forms of trafficking in persons during the period of time

that the award is in effect (2) Procuring a commercial

sex act during the period of time that the award is in

effect or (3) Using forced labor in the performance of the

award or subawards under the award.

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The Gulf Coast Ecosystem Restoration Council (National Oceanic and Atmospheric Administration)

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