HomeMy WebLinkAboutApplication For Federal Assistance SF-424 OMB Number:4040-0004
Expiration Date:12/3172019
Application for Federal Assistance SF-424
*1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s):
❑ Preapplication []New
®Application ®Continuation *Other(Specify):
Changed/Corrected Application ❑Revision
*3.Date Received: 4.Applicant Identifier:
I I
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
B-19-MC-53-0014
State Use Only:
6.Date Received by State: 7.State Application Identifier:
S.APPLICANT INFORMATION:
*a.Legal Name: City of Auburn
*b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS:
91-6001228 0329425750000
d.Address:
*Steed: 25 West Main Street
Street2:
*City: Auburn
County/Parish:
*State: WA: Washington
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: 98001-4998
e.Organizational Unit:
Department Name: Division Name:
Community Development Community Services
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: *First Name: Joy
Middle Name:
*Last Name: Scott
Suffix:
Title: Community Services Manager
Organizational Affiliation:
*Telephone Number: 253-876-1965 Fax Number:
*Email: jfscott@auburnwa.gov
Application for Federal Assistance SF-424
9.Type of Applicant 1:Select Applicant Type:
C: City or Township Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
United States Department of Housing and Urban Development
11.Catalog of Federal Domestic Assistance Number:
14.218
CFDA Title:
Community Development Block Grants/Entitlement Grants
•12.Funding Opportunity Number:
n/a
*Title:
n/a
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment Delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
City of Auburn Community Development Block Grant
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
1
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 8,9 *b.Program/Project 8,9
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 01/01/2019 *b.End Date: 12/31/2019
18.Estimated Funding($):
*a.Federal 595,742.00
*b.Applicant
*c.State
*d.Local
*e.Other
*f. Program Income
*g.TOTAL 595,742.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
❑ a.This application was made available to the State under the Executive Order 12372 Process for review on •
b.Program is subject to E.O. 12372 but has not been selected by the State for review.
c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
ElYes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
**I AGREE
**The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: *First Name: Nancy
Middle Name:
*Last Name: Backus
Suffix:
*Title: Mayor
*Telephone Number: 253-931-3008 Fax Number: 253-288-3132
*Email: nbackus@auburnwa.gov
*Signature of Authorized Representative: isrU ���� *Date Signed: C�i, i L
CERTIFICATIONS
In accordance with the applicable statutes and the regulations governing the consolidated plan regulations,
the jurisdiction certifies that:
Affirmatively Further Fair Housing--The jurisdiction will affirmatively further fair housing.
Uniform Relocation Act and Anti-displacement and Relocation Plan --It will comply with the
acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, as amended, (42 U.S.C.4601-4655)and implementing regulations at 49
CFR Part 24. It has in effect and is following a residential anti-displacement and relocation assistance
plan required under 24 CFR Part 42 in connection with any activity assisted with funding under the
Community Development Block Grant or HOME programs.
Anti-Lobbying--To the best of the jurisdiction's knowledge and belief:
1. No Federal appropriated funds have been paid or will be paid,by or on behalf of it,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 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,it will complete and submit Standard Form-LLL,
"Disclosure Form to Report Lobbying," in accordance with its instructions; and
3. It will require that the language of paragraph 1 and 2 of this anti-lobbying 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 subrecipients shall certify and disclose
accordingly.
Authority of Jurisdiction--The consolidated plan is authorized under State and local law(as applicable)
and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding,
in accordance with applicable HUD regulations.
Consistency with plan--The housing activities to be undertaken with Community Development Block
Grant,HOME,Emergency Solutions Grant,and Housing Opportunities for Persons With AIDS funds are
consistent with the strategic plan in the jurisdiction's consolidated plan.
Section 3 --It will comply with section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C.
1701u)and implementing regulations at 24 CFR Part 135.
4,2311q
ignature of horized Official Date
Mayo r
Title
APPROVED AS TO FORM
5�
Specific Community Development Block Grant Certifications
The Entitlement Community certifies that:
Citizen Participation--It is in full compliance and following a detailed citizen participation plan that
satisfies the requirements of 24 CFR 91.105.
Community Development Plan --Its consolidated plan identifies community development and housing
needs and specifies both short-term and long-term community development objectives that that have been
developed in accordance with the primary objective of the CDBG program(i.e.,the development of
viable urban communities,by providing decent housing and expanding economic opportunities,primarily
for persons of low and moderate income) and requirements of 24 CFR Parts 91 and 570.
Following a Plan-- It is following a current consolidated plan that has been approved by HUD.
Use of Funds--It has complied with the following criteria:
1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG
funds,it has developed its Action Plan so as to give maximum feasible priority to activities which
benefit low-and moderate-income families or aid in the prevention or elimination of slums or
blight. The Action Plan may also include CDBG-assisted activities which the grantee certifies
are designed to meet other community development needs having particular urgency because
existing conditions pose a serious and immediate threat to the health or welfare of the community,
and other financial resources are not available(see Optional CDBG Certification).
2. Overall Benefit. The aggregate use of CDBG funds,including Section 108 guaranteed loans,
during program year(s) [a period specified by the grantee of one,
two, or three specific consecutive program years],shall principally benefit persons of low and
moderate income in a manner that ensures that at least 70 percent of the amount is expended for
activities that benefit such persons during the designated period.
3. Special Assessments. It will not attempt to recover any capital costs of public improvements
assisted with CDBG funds,including Section 108 loan guaranteed funds,by assessing any
amount against properties owned and occupied by persons of low and moderate income,
including any fee charged or assessment made as a condition of obtaining access to such public
improvements.
However,if CDBG funds are used to pay the proportion of a fee or assessment that relates to the
capital costs of public improvements(assisted in part with CDBG funds)financed from other
revenue sources,an assessment or charge may be made against the property with respect to the
public improvements financed by a source other than CDBG funds.
In addition,in the case of properties owned and occupied by moderate-income(not low-income)
families,an assessment or charge may be made against the property for public improvements
financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds
to cover the assessment.
Excessive Force--It has adopted and is enforcing:
1. A policy prohibiting the use of excessive force by law enforcement agencies within its
jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and
2. A policy of enforcing applicable State and local laws against physically barring entrance to or
exit from a facility or location which is the subject of such non-violent civil rights demonstrations
within its jurisdiction.
Compliance with Anti-discrimination laws--The grant will be conducted and administered in
conformity with title VI of the Civil Rights Act of 1964(42 U.S.C. 2000d)and the Fair Housing Act(42
U.S.C. 3601-3619) and implementing regulations.
Lead-Based Paint--Its activities concerning lead-based paint will comply with the requirements of 24
CFR Part 35, Subparts A,B,J, K and R.
Compliance with Laws--It will comply with applicable laws.
v.
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.ignature o' orized II fficial Date
14\ r
Title Clar
APPROVED AS TO FORM
SLS
Specific HOME Certifications
The HOME participating jurisdiction certifies that:
Tenant Based Rental Assistance --If it plans to provide tenant-based rental assistance,the tenant-based
rental assistance is an essential element of its consolidated plan.
Eligible Activities and Costs--It is using and will use HOME funds for eligible activities and costs,as
described in 24 CFR§§92.205 through 92.209 and that it is not using and will not use HOME funds for
prohibited activities,as described in §92.214.
Subsidy layering--Before committing any funds to a project,it will evaluate the project in accordance
with the guidelines that it adopts for this purpose and will not invest any more HOME funds in
combination with other Federal assistance than is necessary to provide affordable housing;
6.46v,44 4' ,
ignature of thorized Official Date
Or
Title
APPROVED AS TO FORM
OMB Number:4040-0007
Expiration Date: 02/28/2022
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:
1. 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)
(including funds sufficient to pay the non-Federal share the Age Discrimination Act of 1975,as amended(42 U.
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
2. Will give the awarding agency,the Comptroller General abuse;(f)the Comprehensive Alcohol Abuse and
of the United States and,if appropriate,the State, Alcoholism Prevention,Treatment and Rehabilitation
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
accepted accounting standards or agency directives. ee-3),as amended, relating to confidentiality of alcohol
and drug abuse patient records;(h)Title VIII of the Civil
3. Will establish safeguards to prohibit employees from Rights Act of 1968(42 U.S.C.§§3601 et seq.),as
using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale,
presents the appearance of personal or organizational rental or financing of housing;(i)any other
conflict of interest,or personal gain. nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
4. Will initiate and complete the work within the applicable made;and,(j)the requirements of any other
time frame after receipt of approval of the awarding nondiscrimination statute(s)which may apply to the
agency. application.
5. Will comply with the Intergovernmental Personnel Act of 7. Will comply,or has already complied,with the
1970(42 U.S.C.§§4728-4763)relating to prescribed requirements of Titles II and III of the Uniform
standards for merit systems for programs funded under Relocation Assistance and Real Property Acquisition
Policies Act of 1970(P.L.91-646)which provide for
one of the 19 statutes or regulations specified in
Appendixfair and equitable treatment of persons displaced or
A of OPM's Standards for a Merit System of
Personnelwhose property is acquired as a result of Federal or
Administration(5 C.F.R.900,Subpart F).
federally-assisted programs.These requirements
apply to all interests in real property acquired for
6. 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
9. Will comply,as applicable,with the provisions of the Davis- 13. Will assist the awarding agency in assuring compliance
Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act with Section 106 of the National Historic Preservation
(40 U.S.C.§276c and 18 U.S.C.§874),and the Contract Act of 1966, as amended(16 U.S.C.§470), EO 11593
Work Hours and Safety Standards Act(40 U.S.C.§§327- (identification and protection of historic properties),and
333),regarding labor standards for federally-assisted the Archaeological and Historic Preservation Act of
construction subagreements. 1974(16 U.S.C.§§469a-1 et seq.).
10. Will comply,if applicable,with flood insurance purchase 14. Will comply with P.L.93-348 regarding the protection of
requirements of Section 102(a)of the Flood Disaster human subjects involved in research,development,and
Protection Act of 1973(P.L.93-234)which requires related activities supported by this award of assistance.
recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of 15. Will comply with the Laboratory Animal Welfare Act of
insurable construction and acquisition is$10,000 or more. 1966(P.L. 89-544,as amended,7 U.S.C.§§2131 et
seq.)pertaining to the care, handling,and treatment of
11. Will comply with environmental standards which may be warm blooded animals held for research,teaching,or
prescribed pursuant to the following:(a)institution of other activities supported by this award of assistance.
environmental quality control measures under the National
Environmental Policy Act of 1969(P.L.91-190)and 16. Will comply with the Lead-Based Paint Poisoning
Executive Order(EO)11514;(b)notification of violating Prevention Act(42 U.S.C.§§4801 et seq.)which
facilities pursuant to EO 11738;(c)protection of wetlands prohibits the use of lead-based paint in construction or
pursuant to EO 11990; (d)evaluation of flood hazards in rehabilitation of residence structures.
floodplains in accordance with EO 11988;(e)assurance of 17. Will cause to be performed the required financial and
project consistency with the approved State management compliance audits in accordance with the Single Audit
program developed under the Coastal Zone Management Act Amendments of 1996 and OMB Circular No.A-133,
Act of 1972(16 U.S.C.§§1451 et seq.);(f)conformity of "Audits of States,Local Governments, and Non-Profit
Federal actions to State(Clean Air)Implementation Plans Organizations."
under Section 176(c)of the Clean Air Act of 1955,as
amended(42 U.S.C.§§7401 et seq.);(g)protection of 18. Will comply with all applicable requirements of all other
underground sources of drinking water under the Safe Federal laws,executive orders, regulations,and policies
Drinking Water Act of 1974,as amended(P.L.93-523); governing this program.
and,(h)protection of endangered species under the
Endangered Species Act of 1973,as amended(P.L.93- 19. Will comply with the requirements of Section 106(g)of
205). the Trafficking Victims Protection Act(TVPA)of 2000,as
amended(22 U.S.C.7104)which prohibits grant award
12. Will comply with the Wild and Scenic Rivers Act of recipients or a sub-recipient from(1)Engaging in severe
1968(16 U.S.C.§§1271 et seq.)related to protecting forms of trafficking in persons during the period of time
components or potential components of the national that the award is in effect(2)Procuring a commercial
wild and scenic rivers system. 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.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
IICOJNAMilUsti er I.
APPLICANT O IZAaeTION DATE SUBMITTED
I C A \ C -Aa\OtAYIn i I 4. t . i Q
Standard Form 4248(Rev.7-97)Back
APPROVED AS TO FORM
ASSURANCES -CONSTRUCTION PROGRAMS OMB Number:4040-0009
Expiration Date:02/28/2022
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.
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 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:
1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act
and the institutional, managerial and financial capability of 1970(42 U.S.C.§§4728-4763)relating to prescribed
(including funds sufficient to pay the non-Federal share standards of merit systems for programs funded
of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in
management and completion of project described in Appendix A of OPM's Standards for a Merit System of
this application. Personnel Administration(5 C.F.R.900,Subpart F).
2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning
of the United States and, if appropriate,the State, Prevention Act(42 U.S.C.§§4801 et seq.)which
the right to examine all records, books, papers,or prohibits the use of lead-based paint in construction or
documents related to the assistance;and will establish rehabilitation of residence structures.
a proper accounting system in accordance with
generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non
directives. discrimination.These include but are not limited to:(a)
Title VI of the Civil Rights Act of 1964(P.L.88-352)
3. Will not dispose of, modify the use of,or change the which prohibits discrimination on the basis of race,
terms of the real property title or other interest in the color or national origin;(b)Title IX of the Education
site and facilities without permission and instructions Amendments of 1972,as amended(20 U.S.C.§§1681
from the awarding agency.Will record the Federal 1683,and 1685-1686),which prohibits discrimination
awarding agency directives and will include a covenant on the basis of sex;(c)Section 504 of the
in the title of real property acquired in whole or in part Rehabilitation Act of 1973,as amended(29)U.S.C.
with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of
discrimination during the useful life of the project. handicaps;(d)the Age Discrimination Act of 1975,as
4. Will comply with the requirements of the assistance amended(42 U.S.C.§§6101-6107),which prohibits
awarding agency with regard to the drafting, review and discrimination on the basis of age;(e)the Drug Abuse
approval of construction plans and specifications. Office and Treatment Act of 1972(P.L.92-255),as
amended relating to nondiscrimination on the basis of
5. Will provide and maintain competent and adequate drug abuse;(f)the Comprehensive Alcohol Abuse and
engineering supervision at the construction site to Alcoholism Prevention,Treatment and Rehabilitation
ensure that the complete work conforms with the Act of 1970(P.L.91-616),as amended,relating to
approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or
progressive reports and such other information as may be alcoholism;(g)§§523 and 527 of the Public Health
required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C.§§290 dd-3 and 290 ee
3),as amended, relating to confidentiality of alcohol
6. Will initiate and complete the work within the applicable and drug abuse patient records;(h)Title VIII of the
time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C.§§3601 et seq.),as
amended, relating to nondiscrimination in the sale,
7. Will establish safeguards to prohibit employees from
rental or financing of housing;(i)any other
using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s)
presents the appearance of personal or organizational under which application for Federal assistance is being
conflict of interest,or personal gain. 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 Federal actions to State(Clean Air)implementation
requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of
Assistance and Real Property Acquisition Policies Act of 1955,as amended(42 U.S.C. §§7401 et seq.);(g)
1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water
treatment of persons displaced or whose property is under the Safe Drinking Water Act of 1974,as
acquired as a result of Federal and federally-assisted amended(P.L.93-523);and,(h)protection of
programs.These requirements apply to all interests in real endangered species under the Endangered Species
property acquired for project purposes regardless of Act of 1973,as amended(P.L.93-205).
Federal participation in purchases.
16. Will comply with the Wild and Scenic Rivers Act of
12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C.§§1271 et seq.)related to protecting
§§1501-1508 and 7324-7328)which limit the political components or potential components of the national
activities of employees whose principal employment wild and scenic rivers system.
activities are funded in whole or in part with Federal funds.
17. Will assist the awarding agency in assuring compliance
13. Will comply,as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation
Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966,as amended(16 U.S.C.§470), EO 11593
(40 U.S.C.§276c and 18 U.S.C.§874),and the Contract (identification and protection of historic properties),and
Work Hours and Safety Standards Act(40 U.S.C.§§327- the Archaeological and Historic Preservation Act of
333)regarding labor standards for federally-assisted 1974(16 U.S.C.§§469a-1 et seq).
construction subagreements.
18. Will cause to be performed the required financial and
14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit
Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133,
(P.L.93-234)which requires recipients in a special flood "Audits of States,Local Governments,and Non-Profit
hazard area to participate in the program and to purchase Organizations."
flood insurance if the total cost of insurable construction
and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other
Federal laws,executive orders, regulations,and policies
15. Will comply with environmental standards which may be governing this program.
prescribed pursuant to the following:(a)institution of
environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of
Environmental Policy Act of 1969(P.L.91- the Trafficking Victims Protection Act(TVPA)of 2000,as
190)and Executive Order(E0)11514;(b)notification amended(22 U.S.C.7104)which prohibits grant award
of violating facilities pursuant to EO 11738;(c) recipients or a sub-recipient from(1)Engaging in severe
protection of wetlands pursuant to EO 11990;(d) forms of trafficking in persons during the period of time
evaluation of flood hazards in floodplains in accordance that the award is in effect(2)Procuring a commercial
with EO 11988;(e)assurance of project consistency • sex act during the period of time that the award is in
with the approved State management program effect or(3)Using forced labor in the performance of the
developed under the Coastal Zone Management Act of award or subawards under the award.
1972(16 U.S.C.§§1451 et seq.);(f)conformity of
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE
t to J pr
op eLdp04,6
APPLICANT 01 IZATION DATE SUBMITTED
C lk�Oc- .A\mlv`cl
SF-424D(Rev.7-97)Back
APPROVED AS TO FORM