**Dear APPLICANT:**

**This is an application package for EPA financial assistance
programs.**

**A PDF read-only version and a Word version may be found on our website
accessed at:**

[**http://www.epa.gov/gmpo/pubinfo/pigrants.html**](http://www.epa.gov/gmpo/pubinfo/pigrants.html)

If you have questions about the assistance program for which you are
applying or need help in completing your application, please contact
Esther Coblentz at the Gulf of Mexico Program Office (228) 688-1281.

**Your completed original application and one copy should be mailed
to:**

**Gulf of Mexico Program Office**

**Mail Code: EPA/GMPO**

**Stennis Space Center, MS 39529-6000**

**Attn: Esther Coblentz**

  -----------------------------------------------------------------------
  **APPLICATION KIT CONTENTS**

  -----------------------------------------------------------------------

**NOTE: Your application kit includes the following attachments:**

**1. Application Submittal Checklist**

2.  **SF 424 -- Application for Federal Assistance**

> **NOTE: Block 10: Catalog of Federal Domestic Assistance for this
> funding is 66-475 titled "Gulf of Mexico Program"**
>
> **SF424A -- Budget Information (Non-construction Programs) including
> Object Class Categories Worksheet**
>
> **SF424B - Assurances (Non-construction Programs)**
>
> **Key Contacts List**
>
> **Supplemental General Instructions and Budget Worksheets**
>
> **3. Intergovernmental Review Process State Points of Contact**
>
> **4. Quality Assurance Statement, if applicable**
>
> **5. Certification Regarding Debarment and Suspension**
>
> **6. Lobbying Certification and Disclosure Forms**
>
> **7. Compliance Report**

**8. Disadvantaged Business Utilization Report (MBE/WBE)**

**9. Regulations and OMB Circulars**

**Note: Many of the OMB Standard Forms may also be accessed through
their web site: http://www.whitehouse.gov/WH/EOP/OMB/Grants/**

+-----------------------------------------------------------------------+
| **[ATTACHMENT 1]{.underline}**                                        |
|                                                                       |
| **APPLICATION SUBMITTAL CHECKLIST**                                   |
+-----------------------------------------------------------------------+

  -----------------------------------------------------------------------
  **APPLICATION PACKAGE SUBMITTAL CHECKLIST**

  -----------------------------------------------------------------------

**NOTE: Your Application submittal should include the following
attachments:**

1.  **SF 424 -- Application for Federal Assistance**

> **NOTE: Block 10: Catalog of Federal DomesticAssistance for the Gulf
> of Mexico Program is 66-475 titled "Gulf of Mexico Program"**
>
> **SF 424A -- Budget Information (Non-construction Programs) including
> Object Class Categories Worksheet**
>
> **SF 424B -- Assurances (Non-construction Programs)**
>
> **Key Contacts List**

2.  **Copy of State Clearinghouse submittal letter (must submit to
    State**

> **Clearinghouse) see block 16 of SF 424**

3.  **Quality Assurance Statement, if applicable**

4.  **Certification Regarding Debarment and Suspension**

5.  **Lobbying Certification and Disclosure Forms**

6.  **Compliance Report**

7.  **Disadvantaged Business Utilization Report (MBE/WBE)**

8.  **Current indirect cost rate negotiation agreement, if applicable**

Note: Many of the OBM Standard Forms may also be accessed through their
web site: http://www.whitehouse.gov/WH/EOP/OMB/Grants/

+-----------------------------------------------------------------------+
| **ATTACHMENT 2**                                                      |
|                                                                       |
| **APPLICATION FORMS**                                                 |
|                                                                       |
| **SF 424, 424A AND 424B**                                             |
|                                                                       |
| **BUDGET WORKSHEETS**                                                 |
|                                                                       |
| **KEY CONTACTS FORM**                                                 |
|                                                                       |
| **SUPPLEMENTAL GENERAL INSTRUCTIONS**                                 |
+-----------------------------------------------------------------------+

+---------+---------+------------+--------------+---------------------+
| **APPL  |         |            | **2. DATE    | Applicant           |
| ICATION |         |            | SUBMITTED**  | Identifier          |
| FOR**   |         |            |              |                     |
|         |         |            |              |                     |
| **      |         |            |              |                     |
| FEDERAL |         |            |              |                     |
| ASSIS   |         |            |              |                     |
| TANCE** |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **1.    |         | Prea       | **3. DATE    | State Application   |
| TYPE OF |         | pplication | RECEIVED BY  | Identifier          |
| SUBMI   |         |            | STATE**      |                     |
| SSION** |         |            |              |                     |
|         |         |            |              |                     |
| Appl    |         |            |              |                     |
| ication |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **     |         | **        | **4. DATE    | Federal Identifier  |
| Constru |         | Cons       | RECEIVED BY  |                     |
| ction** |         | truction** | FEDERAL      |                     |
|         |         |            | AGENCY**     |                     |
| **     |         | **        |              |                     |
| Non-    |         | Non-Cons   |              |                     |
| Constru |         | truction** |              |                     |
| ction** |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **5.    |         |            |              |                     |
| AP      |         |            |              |                     |
| PLICANT |         |            |              |                     |
| INFORM  |         |            |              |                     |
| ATION** |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| Legal   |         |            | Or           |                     |
| Name:   |         |            | ganizational |                     |
|         |         |            | Unit:        |                     |
+---------+---------+------------+--------------+---------------------+
| Address |         |            | Name and     |                     |
| (give   |         |            | telephone    |                     |
| city,   |         |            | number of    |                     |
| county, |         |            | the person   |                     |
| state,  |         |            | to be        |                     |
| and zip |         |            | contacted on |                     |
| code):  |         |            | matters      |                     |
|         |         |            | involving    |                     |
|         |         |            | this         |                     |
|         |         |            | application  |                     |
|         |         |            | (give area   |                     |
|         |         |            | code)        |                     |
+---------+---------+------------+--------------+---------------------+
| **6.    |         |            | **7. TYPE OF |                     |
| E       |         |            | APPLICANT:** |                     |
| MPLOYER |         |            | (enter       |                     |
| IDENTIF |         |            | appropriate  |                     |
| ICATION |         |            | letter here) |                     |
| (       |         |            |              |                     |
| EIN):** |         |            | > A. State   |                     |
|         |         |            | > H.         |                     |
| **--**  |         |            | >            |                     |
|         |         |            |  Independent |                     |
| **DUN & |         |            | > School     |                     |
| BRA     |         |            | > District   |                     |
| DSTREET |         |            | >            |                     |
| DUNS    |         |            | > B. County  |                     |
| #:**    |         |            | > I. State   |                     |
|         |         |            | > Controlled |                     |
|         |         |            | >            |                     |
|         |         |            |  Institution |                     |
|         |         |            | > of Higher  |                     |
|         |         |            | > Learning   |                     |
|         |         |            | >            |                     |
|         |         |            | > C.         |                     |
|         |         |            | > Municipal  |                     |
|         |         |            | > J. Private |                     |
|         |         |            | > University |                     |
|         |         |            | >            |                     |
|         |         |            | > D.         |                     |
|         |         |            | > Township   |                     |
|         |         |            | > K. Indian  |                     |
|         |         |            | > Tribe      |                     |
|         |         |            | >            |                     |
|         |         |            | > E.         |                     |
|         |         |            | > Interstate |                     |
|         |         |            | > L.         |                     |
|         |         |            | > Individual |                     |
|         |         |            | >            |                     |
|         |         |            | > F.         |                     |
|         |         |            | > In         |                     |
|         |         |            | termunicipal |                     |
|         |         |            | > M. Profit  |                     |
|         |         |            | >            |                     |
|         |         |            | Organization |                     |
|         |         |            | >            |                     |
|         |         |            | > G. Special |                     |
|         |         |            | > District   |                     |
|         |         |            | > N. Other   |                     |
|         |         |            | > (Specify): |                     |
+---------+---------+------------+--------------+---------------------+
| **8.    |         |            |              |                     |
| TYPE OF |         |            |              |                     |
| APPLICA |         |            |              |                     |
| TION:** |         |            |              |                     |
|         |         |            |              |                     |
|  New  |         |            |              |                     |
| Conti   |         |            |              |                     |
| nuation |         |            |              |                     |
|        |         |            |              |                     |
| R       |         |            |              |                     |
| evision |         |            |              |                     |
|         |         |            |              |                     |
| !       |         |            |              |                     |
| [](medi |         |            |              |                     |
| a/image |         |            |              |                     |
| 1.wmf){ |         |            |              |                     |
| width=" |         |            |              |                     |
| 0.33888 |         |            |              |                     |
| 8888888 |         |            |              |                     |
| 8889in" |         |            |              |                     |
| he      |         |            |              |                     |
| ight="0 |         |            |              |                     |
| .354861 |         |            |              |                     |
| 1111111 |         |            |              |                     |
| 111in"} |         |            |              |                     |
|         |         |            |              |                     |
| !       |         |            |              |                     |
| [](medi |         |            |              |                     |
| a/image |         |            |              |                     |
| 1.wmf){ |         |            |              |                     |
| width=" |         |            |              |                     |
| 0.33888 |         |            |              |                     |
| 8888888 |         |            |              |                     |
| 8889in" |         |            |              |                     |
| he      |         |            |              |                     |
| ight="0 |         |            |              |                     |
| .354861 |         |            |              |                     |
| 1111111 |         |            |              |                     |
| 111in"} |         |            |              |                     |
|         |         |            |              |                     |
| If      |         |            |              |                     |
| Re      |         |            |              |                     |
| vision, |         |            |              |                     |
| enter   |         |            |              |                     |
| appr    |         |            |              |                     |
| opriate |         |            |              |                     |
| le      |         |            |              |                     |
| tter(s) |         |            |              |                     |
| in      |         |            |              |                     |
| b       |         |            |              |                     |
| ox(es): |         |            |              |                     |
|         |         |            |              |                     |
| > A.    |         |            |              |                     |
| > I     |         |            |              |                     |
| ncrease |         |            |              |                     |
| > Award |         |            |              |                     |
| > B.    |         |            |              |                     |
| > D     |         |            |              |                     |
| ecrease |         |            |              |                     |
| > Award |         |            |              |                     |
| >       |         |            |              |                     |
| > C.    |         |            |              |                     |
| > I     |         |            |              |                     |
| ncrease |         |            |              |                     |
| > D     |         |            |              |                     |
| uration |         |            |              |                     |
| > D.    |         |            |              |                     |
| > D     |         |            |              |                     |
| ecrease |         |            |              |                     |
| > D     |         |            |              |                     |
| uration |         |            |              |                     |
| >       |         |            |              |                     |
| > Other |         |            |              |                     |
| > S     |         |            |              |                     |
| pecify: |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
|         |         |            | **9. NAME OF |                     |
|         |         |            | FEDERAL      |                     |
|         |         |            | AGENCY:**    |                     |
+---------+---------+------------+--------------+---------------------+
| **10.   |         |            | **11.        |                     |
| CATALOG |         |            | DESCRIPTIVE  |                     |
| OF      |         |            | TITLE OF     |                     |
| FEDERAL |         |            | APPLICANT\'S |                     |
| D       |         |            | PROJECT:**   |                     |
| OMESTIC |         |            |              |                     |
| ASS     |         |            |              |                     |
| ISTANCE |         |            |              |                     |
| NU      |         |            |              |                     |
| MBER:** |         |            |              |                     |
|         |         |            |              |                     |
| \-\-\-- |         |            |              |                     |
|         |         |            |              |                     |
| TITLE:  |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **12.   |         |            |              |                     |
| AREAS   |         |            |              |                     |
| A       |         |            |              |                     |
| FFECTED |         |            |              |                     |
| BY      |         |            |              |                     |
| PROJECT |         |            |              |                     |
| (       |         |            |              |                     |
| cities, |         |            |              |                     |
| co      |         |            |              |                     |
| unties, |         |            |              |                     |
| states, |         |            |              |                     |
| e       |         |            |              |                     |
| tc.):** |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
|         |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **13.   |         | **14.      |              |                     |
| P       |         | CONGR      |              |                     |
| ROPOSED |         | ESSIONAL** |              |                     |
| PRO     |         |            |              |                     |
| JECT:** |         | **DISTRICT |              |                     |
|         |         | OF:**      |              |                     |
+---------+---------+------------+--------------+---------------------+
| Start   | End     | a\.        |              | b\. Project         |
| Date    | Date    | Applicant: |              |                     |
+---------+---------+------------+--------------+---------------------+
| **15.   |         |            | **16. IS     |                     |
| Es      |         |            | APPLICATION  |                     |
| timated |         |            | SUBJECT TO   |                     |
| Fun     |         |            | REVIEW BY    |                     |
| ding:** |         |            | STATE        |                     |
|         |         |            | EXECUTIVE    |                     |
|         |         |            | ORDER**      |                     |
|         |         |            |              |                     |
|         |         |            | > **12372    |                     |
|         |         |            | > PROCESS?** |                     |
|         |         |            |              |                     |
|         |         |            | a\. YES.     |                     |
|         |         |            | THIS         |                     |
|         |         |            | PR           |                     |
|         |         |            | EAPPLICATION |                     |
|         |         |            | /APPLICATION |                     |
|         |         |            | WAS MADE     |                     |
|         |         |            | AVAILABLE TO |                     |
|         |         |            | THE STATE    |                     |
|         |         |            | EXECUTIVE    |                     |
|         |         |            | ORDER 12372  |                     |
|         |         |            | PROCESSES    |                     |
|         |         |            | FOR REVIEW   |                     |
|         |         |            | ON:          |                     |
|         |         |            |              |                     |
|         |         |            | > DATE       |                     |
|         |         |            |              |                     |
|         |         |            | b\. NO.     |                     |
|         |         |            | PROGRAM IS   |                     |
|         |         |            | NOT COVERED  |                     |
|         |         |            | BY E.O.      |                     |
|         |         |            | 12372        |                     |
|         |         |            |              |                     |
|         |         |            | >  OR       |                     |
|         |         |            | > PROGRAM    |                     |
|         |         |            | > HAS NOT    |                     |
|         |         |            | > BEEN       |                     |
|         |         |            | > SELECTED   |                     |
|         |         |            | > BY STATE   |                     |
|         |         |            | > FOR REVIEW |                     |
+---------+---------+------------+--------------+---------------------+
| a\.     |         | \$         |              |                     |
| Federal |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| b\.     |         | \$         |              |                     |
| Ap      |         |            |              |                     |
| plicant |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| c\.     |         | \$         |              |                     |
| State   |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| d\.     |         | \$         |              |                     |
| Local   |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| e\.     |         | \$         |              |                     |
| Other   |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| f\.     |         | \$         | **17. IS THE |                     |
| Program |         |            | APPLICANT    |                     |
| Income  |         |            | DELINQUENT   |                     |
|         |         |            | ON ANY       |                     |
|         |         |            | FEDERAL      |                     |
|         |         |            | DEBT?**      |                     |
|         |         |            |              |                     |
|         |         |            |  YES If     |                     |
|         |         |            | \"Yes\"      |                     |
|         |         |            | attach an    |                     |
|         |         |            | explanation. |                     |
|         |         |            |  NO         |                     |
+---------+---------+------------+--------------+---------------------+
| g\.     |         | \$         |              |                     |
| TOTAL   |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| **18.   |         |            |              |                     |
| TO THE  |         |            |              |                     |
| BEST OF |         |            |              |                     |
| MY      |         |            |              |                     |
| KN      |         |            |              |                     |
| OWLEDGE |         |            |              |                     |
| AND     |         |            |              |                     |
| BELIEF, |         |            |              |                     |
| ALL     |         |            |              |                     |
| DATA IN |         |            |              |                     |
| THIS    |         |            |              |                     |
| APPLI   |         |            |              |                     |
| CATION/ |         |            |              |                     |
| PREAPPL |         |            |              |                     |
| ICATION |         |            |              |                     |
| ARE     |         |            |              |                     |
| TRUE    |         |            |              |                     |
| AND     |         |            |              |                     |
| C       |         |            |              |                     |
| ORRECT, |         |            |              |                     |
| THE     |         |            |              |                     |
| D       |         |            |              |                     |
| OCUMENT |         |            |              |                     |
| HAS     |         |            |              |                     |
| BEEN    |         |            |              |                     |
| DULY    |         |            |              |                     |
| AUT     |         |            |              |                     |
| HORIZED |         |            |              |                     |
| BY THE  |         |            |              |                     |
| GO      |         |            |              |                     |
| VERNING |         |            |              |                     |
| BODY OF |         |            |              |                     |
| THE     |         |            |              |                     |
| AP      |         |            |              |                     |
| PLICANT |         |            |              |                     |
| AND THE |         |            |              |                     |
| AP      |         |            |              |                     |
| PLICANT |         |            |              |                     |
| WILL    |         |            |              |                     |
| COMPLY  |         |            |              |                     |
| WITH    |         |            |              |                     |
| THE     |         |            |              |                     |
| A       |         |            |              |                     |
| TTACHED |         |            |              |                     |
| ASS     |         |            |              |                     |
| URANCES |         |            |              |                     |
| IF THE  |         |            |              |                     |
| ASS     |         |            |              |                     |
| ISTANCE |         |            |              |                     |
| IS      |         |            |              |                     |
| AWA     |         |            |              |                     |
| RDED.** |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| a\.     |         |            | b\. Title:   | c\. Telephone       |
| Typed   |         |            |              | Number              |
| Name of |         |            |              |                     |
| Aut     |         |            |              |                     |
| horized |         |            |              |                     |
| R       |         |            |              |                     |
| epresen |         |            |              |                     |
| tative. |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+
| d\.     |         |            |              | e\. Date Signed     |
| Si      |         |            |              |                     |
| gnature |         |            |              |                     |
| of      |         |            |              |                     |
| Aut     |         |            |              |                     |
| horized |         |            |              |                     |
| Represe |         |            |              |                     |
| ntative |         |            |              |                     |
+---------+---------+------------+--------------+---------------------+

Previous Editions Not Usable **AUTHORIZED FOR LOCAL REPRODUCTION**
Standard Form 424 (REV 7-97)Prescribed by OMB Circular 2

+--------+---------+---------+---------+---------+---------+--------+
| **     |         |         |         |         |         |        |
| BUDGET |         |         |         |         |         |        |
| I      |         |         |         |         |         |        |
| NFORMA |         |         |         |         |         |        |
| TION - |         |         |         |         |         |        |
| Non-   |         |         |         |         |         |        |
| Constr |         |         |         |         |         |        |
| uction |         |         |         |         |         |        |
| Prog   |         |         |         |         |         |        |
| rams** |         |         |         |         |         |        |
| **OMB  |         |         |         |         |         |        |
| Ap     |         |         |         |         |         |        |
| proval |         |         |         |         |         |        |
| No.    |         |         |         |         |         |        |
| 0348-  |         |         |         |         |         |        |
| 0044** |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| **S    |         |         |         |         |         |        |
| ECTION |         |         |         |         |         |        |
| A -    |         |         |         |         |         |        |
| BUDGET |         |         |         |         |         |        |
| SUM    |         |         |         |         |         |        |
| MARY** |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| Grant  | Catalog | Es      |         | New or  |         |        |
| P      | of      | timated |         | Revised |         |        |
| rogram | Federal | Unob    |         | Budget  |         |        |
|        |         | ligated |         |         |         |        |
| Fu     | D       | Funds   |         |         |         |        |
| nction | omestic |         |         |         |         |        |
|        |         |         |         |         |         |        |
| or     | Ass     |         |         |         |         |        |
| Ac     | istance |         |         |         |         |        |
| tivity | Number  |         |         |         |         |        |
|        |         |         |         |         |         |        |
| \(a\)  | \(b\)   |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
|        |         | Federal | Non-    | Federal | Non-    | Total  |
|        |         |         | Federal |         | Federal |        |
|        |         | \(c\)   |         | \(e\)   |         | \(g\)  |
|        |         |         | \(d\)   |         | \(f\)   |        |
+--------+---------+---------+---------+---------+---------+--------+
| 1\.    |         | \$      | \$      | \$      | \$      | \$     |
+--------+---------+---------+---------+---------+---------+--------+
| 2\.    |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| 3\.    |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| 4\.    |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| 5\.    |         | \$      | **\$**  | **\$**  | **\$**  | \$     |
| TOTALS |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| **S    |         |         |         |         |         |        |
| ECTION |         |         |         |         |         |        |
| B -    |         |         |         |         |         |        |
| BUDGET |         |         |         |         |         |        |
| CATEGO |         |         |         |         |         |        |
| RIES** |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| 6\.    |         | **GRANT |         |         |         | **T    |
| OBJECT |         | P       |         |         |         | otal** |
| CLASS  |         | ROGRAM, |         |         |         |        |
| CATE   |         | F       |         |         |         | *      |
| GORIES |         | UNCTION |         |         |         | *(5)** |
|        |         | OR      |         |         |         |        |
|        |         | ACT     |         |         |         |        |
|        |         | IVITY** |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
|        |         | **(1)** | **(2)** | **(3)** | **(4)** |        |
+--------+---------+---------+---------+---------+---------+--------+
| a\.    |         | **\$**  | **\$**  | **\$**  | **\$**  | \$     |
| Per    |         |         |         |         |         |        |
| sonnel |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| b\.    |         |         |         |         |         |        |
| Fringe |         |         |         |         |         |        |
| Be     |         |         |         |         |         |        |
| nefits |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| c\.    |         |         |         |         |         |        |
| Travel |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| d\.    |         |         |         |         |         |        |
| Equ    |         |         |         |         |         |        |
| ipment |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| e\.    |         |         |         |         |         |        |
| Su     |         |         |         |         |         |        |
| pplies |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| f\.    |         |         |         |         |         |        |
| Contr  |         |         |         |         |         |        |
| actual |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| g\.    |         |         |         |         |         |        |
| Constr |         |         |         |         |         |        |
| uction |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| h\.    |         |         |         |         |         |        |
| Other  |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| i\.    |         |         |         |         |         |        |
| Total  |         |         |         |         |         |        |
| Direct |         |         |         |         |         |        |
| C      |         |         |         |         |         |        |
| harges |         |         |         |         |         |        |
| (sum   |         |         |         |         |         |        |
| of     |         |         |         |         |         |        |
| 6a-h)  |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| j\.    |         |         |         |         |         |        |
| In     |         |         |         |         |         |        |
| direct |         |         |         |         |         |        |
| C      |         |         |         |         |         |        |
| harges |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| k\.    |         | **\$**  | **\$**  | **\$**  | **\$**  | \$     |
| TOTALS |         |         |         |         |         |        |
| (sum   |         |         |         |         |         |        |
| of 6i  |         |         |         |         |         |        |
| and    |         |         |         |         |         |        |
| 6j)    |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
|        |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+
| 7\.    |         | **\$**  | \$      | \$      | \$      | \$     |
| P      |         |         |         |         |         |        |
| rogram |         |         |         |         |         |        |
| Income |         |         |         |         |         |        |
+--------+---------+---------+---------+---------+---------+--------+

Previous Edition Usable **Authorized for Local Reproduction** Standard
Form 424A (Rev. 7-97)

Prescribed by OMB Circular A-102

  ------------------- ------------ ------------- ----------- ----------- -----------
  **SECTION C -                                                          
  NON-FEDERAL                                                            
  RESOURCES**                                                            

  **(a) Grant                      **(b)         **(c)       **(d) Other **(e)
  Program**                        Applicant**   State**     Sources**   TOTALS**

  8\.                              \$            \$          \$          \$

  9\.                                                                    

  10\.                                                                   

  11\.                                                                   

  12\. TOTAL *(sum of              \$            \$          \$          \$
  lines 8 and 11)*                                                       

  **SECTION D -                                                          
  FORECASTED CASH                                                        
  NEEDS**                                                                

  13\. Federal        **(Total for **1st         **2nd       **3rd       **4th
                      1stYear)**   Quarter**     Quarter**   Quarter**   Quarter**

                      \$           \$            \$          \$          \$

  14\. Non-Federal                                                       

  15\. TOTAL *(sum of \$           \$            \$          \$          \$
  lines 13 and 14)*                                                      

  SECTION E - BUDGET                                                     
  ESTIMATES OF                                                           
  FEDERAL FUNDS                                                          
  NEEDED FOR BALANCE                                                     
  OF THE PROJECT                                                         

  \(a\) Grant Program              FUTURE                                
                                   FUNDING                               
                                   PERIODS                               
                                   (Years)                               

                                   \(b\) First   \(c\)       \(d\) Third \(e\)
                                                 Second                  Fourth

  16\.                             \$            \$          \$          \$

  17                                                                     

  18\.                                                                   

  19\.                                                                   

  20\. TOTALS *(sum                \$            \$          \$          \$
  of lines 16 - 19)*                                                     

  **SECTION F - OTHER                                                    
  BUDGET                                                                 
  INFORMATION**                                                          

  21\. Direct                                    22\.                    
  Charges:                                       Indirect                
                                                 Charges:                

  23\. Remarks:                                                          
  ------------------- ------------ ------------- ----------- ----------- -----------

**SF 424A (7-97) Page 2**

**AUTHORIZED FOR LOCAL REPRODUCTION**

**INSTRUCTIONS FOR THE SF 424**

This is a standard form used by applicants as a required facesheet for
preapplications and applications submitted for Federal assistance. It
will be used by Federal agencies to obtain applicant certification that
States which have established a review and comment procedure in response
to Executive Order 12372 and have selected the program to be included in
their process, have been given an opportunity to review the applicant\'s
submission.

Item: Entry:

1\. Self-explanatory.

2\. Date application submitted to Federal agency (or State if
applicable) & applicant\'s control number (if applicable).

3\. State use only (if applicable).

4\. If this application is to continue or revise an existing award,
enter present Federal identifier number. If for a new project, leave
blank.

5\. Legal name of applicant, name of primary organizational unit which
will undertake the assistance activity, complete address of the
applicant, and name and telephone number of the person to contact on
matters related to this application.

6\. Enter Employer Identification Number (EIN) as assigned by the
Internal Revenue Service.

7\. Enter the appropriate letter in the space provided.

8\. Check appropriate box and enter appropriate letter(s) in the
space(s) provided:

> \"New\" means a new assistance award.
>
> \"Continuation\" means an extension for an additional funding/budget
> period for a project with a projected completion date.
>
> \"Revision\" means any change in the Federal Government\'s financial
> obligation or contingent liability from an existing obligation.

9\. Name of Federal agency from which assistance is being requested with
this application.

10\. Use the Catalog of Federal Domestic Assistance number and title of
the program under which assistance is requested.

11\. Enter a brief descriptive title of the project. If more than one
program is involved, you should append an explanation on a separate
sheet. If appropriate (e.g., construction or real property projects),
attach a map showing project location. For preapplications, use a
separate sheet to provide a summary description of this project.

Item: Entry:

12\. List only the largest political entities affected (e.g., State
counties, cities).

13\. Self explanatory.

14\. List the applicant\'s Congressional District and any District(s)
affected by the program or project.

15\. Amount requested or to be contributed during the first
funding/budget period by each contributor. Value of in-kind
contributions should be included on appropriate lines as applicable. If
the action will result in a dollar change to an existing award, indicate
[only]{.underline} the amount of the change. For decreases, enclose the
amounts in parentheses. If both basic and supplemental amounts are
included, show breakdown on an attached sheet. For multiple program
funding, use totals and show breakdown using same categories as item 15.

16\. Applicants should contact the State Single Point of Contact (SPOC)
for Federal Executive Order 12372 to determine whether the application
is subject to the State intergovernmental review process.

17\. This question applies to the applicant organization, not the person
who signs as the authorized representative. Categories of debt include
delinquent audit disallowances, loans and taxes.

18\. To be signed by the authorized representative of the applicant. A
copy of the governing body\'s authorization for you to sign this
application as official representative must be on file in the
applicant\'s office. (Certain Federal agencies may require that this
authorization be submitted as part of the application.)

SF 424 (REV 7-97) Back

**INSTRUCTIONS FOR THE SF-424A**

**General Instructions**

This form is designed so that application can be made for funds from one
or more grant programs. In preparing the budget, adhere to any existing
Federal grantor agency guidelines which prescribe how and whether
budgeted amounts should be separately shown for different functions or
activities within the program. For some programs, grantor agencies may
require budgets to be separately shown by function or activity. For
other programs, grantor agencies may require a breakdown by function or
activity. Sections A, B, C, and D should include budget estimates for
the whole project except when applying for assistance which required
Federal authorization in annual or other funding period increments. In
the latter case, Section A, B, C, and D should provide the budget for
the first budget period (usually a year) and Section E should present
the need for Federal assistance in the subsequent budget periods. All
applications should contain a breakdown by the object class categories
show in Lines a - k of Section B.

**Section A. Budget Summary Lines 1 - 4, Columns (a) and (b)**

For applications pertaining to a *single* federal grant program (Federal
Domestic Assistance Catalog number) and *not requiring* a functional or
activity breakdown, enter on Line 1 under Column (a) the catalog program
title and the catalog number in Column (b).

For applications pertaining to a *single* program *requiring* budget
amounts by multiple functions or activities, enter the name of each
activity or function on each line in Column (a), and enter the catalog
number in Column (b). For applications pertaining to multiple programs
where none of the programs require a breakdown by function or activity,
enter the catalog program title on each line in Column (a) and the
respective catalog number on each line in Column (b).

For applications pertaining to *multiple* programs where one or more
programs require a breakdown by function or activity, prepare a separate
sheet for each program requiring the breakdown. Additional sheets should
be used when one form does not provide adequate space for all breakdown
of data required. However, when more than one sheet is used, the first
page should provide the summary totals by programs.

**Lines 1 - 4, Columns (c) through (g).**

For *new* applications, leave Columns (c) and (d) blank. For each line
entry in Columns (a) and (b), enter in Columns (e), (f), and (g) the
appropriate amounts of funds needed to support the project for the first
funding period (usually a year).

For *continuing grant program* applications, submit these forms before
the end of each funding period as required by the grantor agency. Enter
in Columns (c) and (d) the estimated amounts of funds which will remain
unobligated at the end of the grant funding period only if the Federal
grantor agency instructions provide for this. Otherwise, leave these
columns blank. Enter in columns (e) and (f) the amounts of funds needed
for the upcoming period. The amount(s) in Column (g) should be the sum
of amounts in Columns (e) and (f).

For *supplemental grants and changes to existing grants*, do not use
Columns (c) and (d). Enter in Column (e) the amount of the increase or
decrease of Federal funds and enter in Column (f) the amount of the
increase or decrease of non-Federal funds. In Column (g) enter the new
total budgeted amount (Federal and non-Federal) which includes the total
previous authorized budgeted amounts plus or minus, as appropriate, the
amounts shown in Columns (e) and (f). The amount(s) in Column (g) should
not equal the sum of amounts in Columns (e) and (f).

**Line 5 -** Show the totals for all columns used.

**Section B. Budget Categories**

In the column headings (1) through (4), enter the titles of the same
programs, functions, and activities shown on Lines 1 - 4, Column (a),
Section A. When additional sheets are prepared for Section A, provide
similar column headings on each sheet. For each program, function, or
activity, fill in the total requirements for funds (both Federal and
non-Federal) by object class categories.

**Lines 6a-i -** Show the totals of Lines 6 a to 6h in each column.

**Line 6j -** Show the amount of indirect cost.

**Line 6k -** Enter the total of amounts on Lines 6i and 6j. For all
applications for new grants and continuation grants the total amount in
column (5), Line 6k, should be the same as the total shown in Section A,
Column (g), Line 5. For supplemental grants and changes to grants, the
total amount of the increase or decrease as shown in Columns (1)-(4),
Line 6k should be the same as the sum of the amounts in Section A,
Columns (e) and (f) on Line 5.

SF 424A (7-97) page 3

**INSTRUCTIONS FOR THE SF-424A** (continued)

**Line 7 -** Enter the estimated amount of income, if any, expected to
be generated from this project. Do not add or subtract this amount from
the total project amount. Show under the program narrative statement the
nature and source of income. The estimated amount of program income may
be considered by the federal grantor agency in determining the total
amount of the grant.

**Section C. Non-Federal-Resources**

**Lines 8-11 -** Enter amounts of non-Federal resources that will be
used on the grant. If in-kind contributions are included, provide a
brief explanation on a separate sheet.

> **Column (a) -** Enter the program titles identical to Column (a),
> Section A. A breakdown by function or activity is not necessary.
>
> **Column (b) -** Enter the contribution to be made by the applicant.
>
> **Column (c) -** Enter the amount of the State\'s cash and in-kind
> contribution if the applicant is not a State or State agency.
> Applicants which are a State or State agency should leave this column
> blank.
>
> **Column (d) -** Enter the amount of cash and in-kind contributions to
> be made from all other sources.
>
> **Column (e) -** Enter totals of Columns (b), (c), and (d).

**Line 12 -** Enter the total for each of Columns (b)-(e). The amount in
Column (e) should be equal to the amount on Line 5, Column (f), Section
A.

**Section D. Forecasted Cash Needs**

**Line 13 -** Enter the amount of cash needed by quarter from the
grantor agency during the first year.

**Line 14 -** Enter the amount of cash from all other sources needed by
quarter during the first year.

**Line 15 -** Enter the totals of amounts on Lines 13 and 14.

**Section E. Budget Estimates of Federal Funds Needed for Balance of the
Project**

**Lines 16-19 -** Enter in Column (a) the same grant program titles
shown in Column (a), Section A. A breakdown by function or activity is
not necessary. For new applications and continuation grant applications,
enter in the proper columns amounts of Federal funds which will be
needed to complete the program or project over the succeeding funding
periods (usually in years). This section need not be completed for
revisions (amendments, changes, or supplements) to funds for the current
year.

If more than four lines are needed to list the program titles, submit
additional schedules as necessary.

**Line 20 -** Enter the total for each of the Columns (b)-(e). When
additional schedules are prepared for this Section, annotate accordingly
and show the overall totals on this line.

**Section F. Other Budget Information**

**Line 21 -** Use this space to explain amounts for individual direct
object-class cost categories that may appear to be out of the ordinary
or to explain the details as required by the Federal grantor agency.

**Line 22 -** Enter the type of indirect rate (provisional,
predetermined, final or fixed) that will be in effect during the funding
period, the estimated amount of the base to which the rate is applied,
and the total indirect expense.

**Line 23 -** Provide any other explanations or comments deemed
necessary.

SF 424 (7-97) page 4

OMB Approval No. 0348-0040

**ASSURANCES - NON-CONSTRUCTION PROGRAMS**

**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:]{.underline}

1\. 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 the project costs) to ensure
proper planning, management and completion of the project described in
this application.

2\. 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.

3\. 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.

4\. Will initiate and complete the work within the applicable time frame
after receipt of approval of the awarding agency.

5\. 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 nineteen 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).

6\. Will comply with all Federal statues 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
sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29
U.S.C. § 795), 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 of 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.

7\. 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.

8\. Will comply with the provision 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.

9\. Will comply, as applicable, with the provisions of the Davis-Bacon
Act (40 U.S.C. §§ 276a-7), the Copeland Act (40 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.

Previous Edition Usable

Standard Form 424B (7-97)

Prescribed by OMB Circular A-102

**AUTHORIZED FOR LOCAL REPRODUCTION**

10\. 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.

11\. Will comply with environmental standards which may be prescribed 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
pursuance to EO 11738; (c) protection of wetlands pursuant to EO 11990;
(d) evaluation of flood hazards in floodplain 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 (Clear Air) Implementation Plans under Section 176(c) of the Clear
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\. 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.

13\. 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.)

14\. 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.

15\. 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.

16\. 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.

17\. Will cause to be performed the required financial and compliance
audits in accordance with the Single Audit Act of 1984.

18\. Will comply with all applicable requirements of all other Federal
laws, executive orders, regulations and policies governing this program.

  -------------------------------------- --------------------------------
  SIGNATURE OF AUTHORIZED CERTIFYING     TITLE
  OFFICIAL                               

  APPLICANT ORGANIZATION                 DATE SUBMITTED
  -------------------------------------- --------------------------------

Standard Form 424B (Rev 7-97) Back

**APPLICATION FOR FEDERAL ASSISTANCE**

The following application forms prescribed by Office of Management and
Budget's (OMB) grants management circular A-102 may be obtained via
Internet (PDF read-only format) at:

[http://www.whitehouse.gov/WH/EOP/OMB/Grants/]{.underline}

**STANDARD FORM 424 (REV 7-97) - Application for Federal Assistance**

**STANDARD FORM 424A (REV 7-97) - Budget Information (Non-construction
Programs)**

**STANDARD FORM 424B (REV 7-97) - Assurances (Non-construction
Programs)**

**STANDARD FORM 424C (REV 7-97) - Budget Information (Construction
Programs)**

**STANDARD FORM 424D (REV 7-97) - Assurances (Construction Programs)**

**OBJECT CLASS CATEGORIES WORKSHEET**

> **\[NOTE: Please indicate any pre-award costs with a star (\*).\]**

**a. PERSONNEL**

+------------------------------+--------+----------+------+-----------+
| **POSITION**                 | **NU   | **       | **WO | *         |
|                              | MBER** | SALARY** | RK** | *AMOUNT** |
|                              |        |          |      |           |
|                              |        |          | *    |           |
|                              |        |          | *YEA |           |
|                              |        |          | RS** |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
|                              |        |          |      |           |
+------------------------------+--------+----------+------+-----------+
| **a. PERSONNEL TOTAL**       |        |          |      |           |
+------------------------------+--------+----------+------+-----------+

**b. FRINGE BENEFITS**

  ----------------------------------------- -----------------------------
  **BASE**                                  

  **RATE**                                  **x**

  **b. FRINGE BENEFITS TOTAL**              
  ----------------------------------------- -----------------------------

**c. TRAVEL**

+-----------------------------------------------------------------------+
| **Explain:                                                            |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                            |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
|                                                                       |
| **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                          |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
|                                                                       |
| **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                          |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
|                                                                       |
| **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                          |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
+-----------------------------------------------------------------------+
| **c. TRAVEL TOTAL:**                                                  |
+-----------------------------------------------------------------------+

**Page 1**

**OBJECT CLASS CATEGORIES WORKSHEET**

**d. EQUIPMENT: Tangible, non-expendable, personal property having a
useful life of more than one year and an acquisition cost of \$5,000 or
more per unit. Applicant\'sdefinition of equipment may be used provided
the definition at least includes all items previously defined above.**

  ------------------------------ ------------ ----------- -------------------
  **ITEM**                       **NUMBER**   **COST PER  **TOTAL**
                                              UNIT**      

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

  **d. EQUIPMENT TOTAL:**                                 
  ------------------------------ ------------ ----------- -------------------

**e. SUPPLIES**

  ---------------------------------------------------- ------------------
  **List supplies by groups, as appropriate:**         

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

                                                       

  **e. SUPPLIES**                                      
  ---------------------------------------------------- ------------------

**Page 2**

**OBJECT CLASS CATEGORIES WORKSHEET**

**f. CONTRACTUAL**

  -------------------------------------------------------- --------------
  **List each planned contract or type of service to be    
  procured. Agreements/contracts with other governmental   
  agencies (state, local or Federal) should be listed      
  under category h. OTHER.**                               

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

                                                           

  **f. CONTRACTUAL TOTAL**                                 
  -------------------------------------------------------- --------------

**g. CONSTRUCTION (N/A)**

**h. OTHER**

  ---------------------------------------------------------- ------------
  **Other: Explain by major categories.**                    

                                                             

                                                             

                                                             

                                                             

                                                             
  ---------------------------------------------------------- ------------

+----------------------------------------------------------+-----------+
| **i. TOTAL DIRECT COSTS:**                               |           |
+----------------------------------------------------------+-----------+
| **j. INDIRECT COSTS: (RATE: %)**                         |           |
+----------------------------------------------------------+-----------+
| **k. TOTAL PROPOSED COSTS:**                             |           |
+----------------------------------------------------------+-----------+
| **FEDERAL FUNDS REQUESTED:**                             |           |
|                                                          |           |
| **\_\_\_\_\_\_\_\_\_\_\_\_%**                            |           |
|                                                          |           |
| **RECIPIENT SHARE OF TOTAL PROPOSED COSTS:**             |           |
|                                                          |           |
| **\_\_\_\_\_\_\_\_\_\_\_\_\_%**                          |           |
+----------------------------------------------------------+-----------+

**Page 3**

**[KEY CONTACTS]{.underline}**

**AGENCY/ORGANIZATION DIRECTOR**

**(Individual who is authorized to sign the assistance agreement
application and award acceptance.)**

**NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TITLE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TELEPHONE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
EMAIL\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**PROGRAM/PROJECT DIRECTOR**

**(Technical program director or person responsible for the project as a
contact person in Block #5 of the application.)**

**NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TITLE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TELEPHONE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
EMAIL\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**FINANCE DIRECTOR**

**(Individual responsible for maintaining the accounting and financial
management system supporting expenditures, preparing the financial
reports, etc.)**

**NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TITLE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**TELEPHONE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
EMAIL\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**SUPPLEMENTAL GENERAL INSTRUCTIONS**

> **FOR**

**APPLICATION FORMS SF 424A and B**

> ***Note: Please refer to the instructions for SF-424 on the SF-424
> form. Those items not discussed below are considered self- explanatory
> or adequately covered by the form instructions.***

  -----------------------------------------------------------------------
  **FACE SHEET - SF424**

  -----------------------------------------------------------------------

**[ITEM]{.underline}**

**7. If a non-profit organization, please indicate your IRS
classification. 501(c)(4) organizations [which lobby]{.underline} are
not eligible for Federal financial assistance.**

**9. Please insert the name, if applicable, of the EPA person(s) from
whom you have received pre-application assistance. This ensures your
application will go to the appropriate EPA program office for review.**

**10. Insert the Catalogue of Federal Domestic Assistance number and
title if known. See enclosed list of catalog numbers and titles.**

**11. A BRIEF description of the project or program. A detailed
description is included in the workplan or project narrative.**

**13. The proposed project period should reflect the amount of time that
will be required to complete the ENTIRE scope of work.**

**14.a. Enter Congressional district numbers where office is located.**

**b. Enter district(s) affected by the program/project. If every
district in State, enter**

**"Statewide.\"**

**16. The Intergovernmental Review process is necessary and can delay
funding of your application until completed. You should start this
process as early as possible but not later than 60 days prior to
anticipated award. Contact your State Clearinghouse to determine if an
application review is required. You must submit to EPA either a written
statement that a review of the application is not required or the
Clearinghouse must provide EPA with comments on the application. This
review process may take as long as 60 days. See enclosed list of State
Points of Contact or alternate instructions. *Tribes are encouraged to
comply with the process, but it is not mandatory.***

**18. The application *must* be signed by the person or entity who has
authority to commit the applicant to performance and compliance with the
assurances stated in SF 424B and to execute the assistance agreement on
behalf of the applicant.**

**-2-**

  -----------------------------------------------------------------------
  **SF-424A - BUDGET INFORMATION**

  -----------------------------------------------------------------------

**[SECTION A]{.underline}**

**COLUMNS a, b, c and d- Not required.**

**COLUMNS e, f, and g - Required**

**[SECTION B]{.underline} - Required**

> **Enter the COMBINED Federal and non-Federal funds distributed by
> object class categories. The total should be the same as that shown on
> the face sheet (SF 424). \"BUDGET CATEGORIES INFORMATION\" worksheets
> are provided for assistance in preparing a detailed budget and the
> figures entered in 6.a. through 6.k. should come from these sheets.
> These sheets should be included in your application submittal.**

**[SECTION C]{.underline}**

> **Show Sources of Non‑Federal Funds. See General Instructions, Item
> 15.**

**[SECTION D and E]{.underline} - Not required.**

**[SECTION F]{.underline}**

> **Line 21 - Enter \"See BUDGET CATEGORIES INFORMATION worksheets.\"**

**Line 22 - Enter indirect cost rate and indirect charges.**

  -----------------------------------------------------------------------
  **SF 424B**

  -----------------------------------------------------------------------

**ASSURANCES ‑ NON‑CONSTRUCTION PROGRAMS**

**Please read the assurances carefully before signing. The required
assurances *must* be signed by the official who signed the SF 424
FACE‑SHEET.**

**GRANT PROGRAMS ADMINISTERED BY EPA**

**(Refer to Item #10 of the "Supplemental General Instructions for
Application Forms SF424A and B".)**

The **Catalog of Federal Domestic Assistance** is a government-wide
compendium of Federal programs, projects, services, and activities which
provide assistance or benefits to the American public. The CFDA contains
financial and nonfinancial assistance programs administered by
departments and establishments of the Federal government.

**Gulf of Mexico Program \# = 66.475**

For a listing of the assistance programs administered by EPA as
contained in the CFDA, please refer to the following web site:

http://www.epa.gov/ogd/cfda.htm

**[ATTACHMENT 3]{.underline}**

**[INTERGOVERNMENTAL REVIEW PROCESS STATE]{.underline}**

## POINTS OF CONTACT

**INTERGOVERNMENTAL REVIEW PROCESS**

**STATE POINTS OF CONTACT**

**(Refer to Item #16 of the "Supplemental General Instructions for
Application Forms SF424A and B".)**

**[ALABAMA]{.underline}**

**BACKGROUND:**

**Executive Order 12372 and EPA\'s implementing regulations - 40 CFR
Part 29, 40 CFR 30.12(c), and 40 CFR 31.11 - require that all interested
state, areawide, regional, and local agencies be given the opportunity
to review and to comment on proposed Federal assistance within their
area(s) of jurisdiction or influence. The regulations also provide for
implementation of the requirements of Section 204 of the Demonstration
Cities and Metropolitan Development Act of 1966, as amended, which apply
to all Federal assistance.**

**EPA cannot award assistance until all interested parties (e.g., State
agencies, Planning and Economic Development agencies) have been given
the opportunity to review the proposed project and all concerns of these
agencies about the proposed project have been satisfactorily disposed of
by the applicant.**

**A copy of your application should be submitted to the appropriate
agency(ies) listed below for comment at least 60 days before sending
your application to EPA. It is not necessary to send an application to
all Development Districts and agencies listed but only to those agencies
responsible for the area(s) affected or that may be affected by your
proposed project. Please include with your application to EPA a copy of
all comments received and, if required, an explanation of action taken
to accommodate any concerns of the designated agencies.**

**PROCEDURES:**

**Applicants for projects in Alabama having *state-wide impact* should
submit a copy of their applications to the CENTRAL ALABAMA REGIONAL
PLANNING AND DEVELOPMENT COMMISSION (REGION 9) on the list below. They
are serving as the State Intergovernmental Review Clearinghouse for
these projects. For projects having local impact, applications should be
sent to the appropriate Regional Development Commission listed below.**

**REGION 1**

**NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS**

**Mr. Sam Minor, Executive Director**

**P.O. Box 2603**

**103 Student Drive**

**Muscle Shoals**

**AL 35662**

**205/389-0500 FAX 205/389-0599**

**REGION 2**

**WEST ALABAMA PLANNING AND DEVELOPMENT COUNCIL**

**Mr. Robert B. Lake, Executive Director**

**4200 Highway 69 North, Suite 1**

**Northport**

**AL 35473**

**205/333-2990 FAX 205/333-2713**

**REGION 3**

**BIRMINGHAM REGIONAL PLANNING COMMISSION**

**Mr. Larry W. Watts, Executive Director**

**2112 Eleventh Avenue, South**

**Magnolia Office Park, Suite 220**

**Birmingham**

**AL 36256**

**202/251-8139 FAX 205/328-3304**

**REGION 4**

**EAST ALABAMA REGIONAL PLANNING AND DEVELOPMENT COMMISSION**

**Mr. Bill Curtis, Executive Director**

**P.O. Box 2186**

**1130 Quintard Avenue, Suite 300**

**Anniston**

**AL 36202**

**205/237-6741 FAX 205/237-6763**

**REGION 5**

**SOUTH CENTRAL ALABAMA DEVELOPMENT COMMISSION**

**Tyson Howard, Executive Director**

**5900 Carmichael Place**

**Montgomery**

**AL 36117**

**334/244-6903 FAX 334-270-0038**

**REGION 6**

**ALABAMA-TOMBIGBEE REGIONAL COMMISSION**

**Mr. John C. Riggs, Executive Director**

**107 Broad Street**

**Camden**

**AL 36726**

**334/682-4234 FAX 334/682-4205**

**REGION 7**

**SOUTHEAST ALABAMA REGIONAL PLANNING & DEVELOPMENT COMMISSION**

**Mr. W. Fred Dykes, Executive Director**

**P.O. Box 1406**

**462 North Oates Street**

**Dothan**

**Alabama 36302**

**334/794-4093 FAX 334/794-3288**

**REGION 8**

**SOUTH ALABAMA REGIONAL PLANNING COMMISSION**

**Mr. Russ Wimberly, Executive Director**

**P.O. Box 1665**

**651 Church Street**

**Mobile**

**AL 36633**

**334/433-6542 FAX 334/433-6009**

**REGION 9**

**CENTRAL ALABAMA REGIONAL PLANNING & DEVELOPMENT COMMISSION**

**Ms. Ann B. Harper, Executive Director**

**125 Washington Avenue, 3^rd^ Floor**

**Montgomery**

**AL 36104**

**334/262-4300 FAX 334/262-6976**

**REGION 10**

**LEE-RUSSELL COUNCIL OF GOVERNMENTS**

**Ms. Suzanne G. Burnette, Executive Director**

**2207 Gateway Drive**

**Opelika**

**AL 36801**

**334/749-5264 FAX 334/749-6582**

**REGION 11**

**NORTH CENTRAL ALABAMA REGIONAL COUNCIL OF GOVERNMENTS**

**Mr. C. Ronald Matthews, Executive Director**

**216 Jackson Street, SE**

**P.O. Box C**

**Decatur**

**AL 35602**

**205/355-4515 FAX 205/351-1380**

**REGION 12**

**TOP OF ALABAMA REGIONAL COUNCIL OF GOVERNMENTS**

**Mr. Bob Culver, Executive Director**

**115 Washington Street, SE**

**Huntsville**

**AL 35801**

**205/533-3330 FAX 205/533-3442**

**[FLORIDA]{.underline}**

**Ms. Cindy Cranick, Clearinghouse Coordinator**

**Department of Environmental Protection**

**Florida State Clearinghouse**

**Marjory Stoneman Douglas Building**

**3900 Commonwealth Boulevard**

**MS #47 -- Account #0153**

**Tallahassee, FL 32399-3000**

**850/245-2161**

**[MISSISSIPPI]{.underline}**

**Ms. Mildred Tharp, Clearinghouse Officer**

**Office of Federal Grant Management and Reporting**

**Department of Finance and Administration**

**1301 Woolfolk Bldg., Suite \#**

**501 N.W. Street**

**Jackson, MS 39201**

**601/359-3927**

Number range CHAPTER**[LOUISIANA]{.underline}**

**Mr. James P. Antoon**

**Louisiana Single Point of Contact for USEPA Grants**

**P. O. Box 4303**

**Baton Rouge, LA 70821-4303**

**225/219-3840**

Number range CHAPTER**[TEXAS]{.underline}**

**Denise Francis**

**State of Texas**

**Office of the Governor**

**Office of Budget, Planning and Policy - Grants**

**P. O. Box 12428**

**Austin, TX 78711**

**512/463-8465**

**[ATTACHMENT 4]{.underline}**

**[QUALITY ASSURANCE STATEMENT]{.underline}**

**The attached form should be completed and included with your
application.**

**Information on QA requirements may be found by accessing the following
EPA web site:**

**[http://www.epa.gov/ncerqa/qa]{.underline}**

**or by contacting the Gulf of Mexico Program Quality Assurance
Officer**

**Fred Kopfler at 228-688-2712**

**QUALITY ASSURANCE PLAN**

**\_\_\_\_\_ This program/project does not involve environmentally
related measurements or data generation; therefore, a Quality Assurance
Plan is not required pursuant to the above referenced assistance
regulations.**

**\_\_\_\_\_ This program/project involves environmentally related
measurements or data generation; therefore a Quality Assurance Plan
which meets the requirements of:**

> **\_\_\_ 40 CFR 30.54 for Universities and Non-Profit Organizations is
> attached or will be developed before field work begins; or,**
>
> **\_\_\_ 40 CFR 31.45 for State and Local Governments is attached or
> will be developed before field work begins.**
>
> **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> **Authorized Representative**
>
> **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**
>
> **Date**

**[ATTACHMENT 5]{.underline}**

**[CERTIFICATION ON DEBARMENT]{.underline}**

**[AND]{.underline}**

**[SUSPENSION]{.underline}**

**This form certifies that you are not included in the "List of Parties
Excluded from Federal Procurement of Nonprocurement Programs." You must
also obtain this certification from each contractor or vendor when
acquiring goods and services in excess of \$100,000 during the project
period of the award.**

**Your Prime Contractors must submit this certification to you for
retention in your project file. Subcontractors must submit the
certification to their Prime Contractor for retention in the Prime
Contractor's project files.**

#  U.S. Environmental Protection Agency

**CERTIFICATION REGARDING**

**DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY**

**MATTERS**

The prospective participant 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;

\(b\) Have not within a three year period preceding this proposal been
convicted of or had a civil judgement 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;

\(c\) Are not presently indicted for or otherwise criminally or civilly
charged by a government entity (Federal. State, or ocal) with commission
of any of the offenses enumerated in paragraph (1)(b) of this
certification; and

\(d\) Have not within a three-year period preceding this
application/proposal had one or more public transactions (Federal,
State, or local) terminated for cause or default.

I understand that a false statement on this certification may be grounds
for rejection of this proposal or termination of the award. In addition,
under 18 USC Sec. 1001, a false statement may result in a fine of up to
\$10,000 or imprisonment for up to 5 years, or both.

Typed Name & Title of Authorized Representative

Signature of Authorized Representative Date

I am unable to certify to the above statements. My explanation is
attached.

**[ATTACHMENT 6]{.underline}**

**[LOBBYING CERTIFICATION]{.underline}**

**The attached Anti-Lobbying Recipient Certification must**

**be completed and returned if you are requesting \$100,000**

**or more in federal funds.**

**Please use the Disclosure of Lobbying Activities form (SF-LLL)**

**for reporting Lobbying activities to the EPA**

**pursuant to 31 U.S.C. 1352.**

**CERTIFICATION REGARDING LOBBYING**

**Certification for Contracts, Grants,**

**Loans, and Cooperative Agreements**

The undersigned 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 undersigned, 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 undersigned 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 subrecipients
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 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.

TYPED NAME & TITLE OF AUTHORIZED REPRESENTATIVE

SIGNATURE OF AUTHORIZED REPRESENTATIVE DATE

\_\_\_\_ I am unable to certify to the above statements. My explanation
is attached.

**DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB**

**0348-0046**

**Complete this form to disclose lobbying activities pursuant to 31
U.S.C. 1352**

**(See reverse for public burden disclosure.)**

+------------------------+---------------------+-----------------------+
| **1. Type of Federal   | **2. Status of      | **3. Report Type:**   |
| Action:**              | Federal Action:**   |                       |
|                        |                     | ![](media             |
| ![](med                | ![](media/ima       | /image2.wmf){width="0 |
| ia/image2.wmf){width=" | ge2.wmf){width="0.3 | .32569444444444445in" |
| 0.32569444444444445in" | 2569444444444445in" | height="0             |
| height="               | height="0.3         | .3597222222222222in"} |
| 0.3597222222222222in"} | 597222222222222in"} |                       |
|                        |                     | **a. initial filing** |
| **a. contract**        | **a.                |                       |
|                        | bid/                | **b. material         |
| **b. grant**           | offer/application** | change**              |
|                        |                     |                       |
| **c. cooperative       | **b. initial        | **For material Change |
| agreement**            | award**             | Only:**               |
|                        |                     |                       |
| **d. loan**            | **c. post-award**   | **year\_\_\_\_\_\_\_  |
|                        |                     | quarter\_\_\_\_\_**   |
| **e. loan guarantee**  |                     |                       |
|                        |                     | **date of last        |
| **f. loan insurance**  |                     | rep                   |
|                        |                     | ort\_\_\_\_\_\_\_\_** |
+------------------------+---------------------+-----------------------+

+-----------------------------------+-----------------------------------+
| **4. Name and Address of          | **5. If Reporting Entity in No. 4 |
| Reporting Entity:**               | is Subawardee,**                  |
|                                   |                                   |
| **Prime Subawardee**              | **enter Name and Address of       |
|                                   | Prime:**                          |
| **Tier \_\_\_\_\_\_, *if          |                                   |
| known.***                         | **Congressional District, *if     |
|                                   | known:***                         |
| **Congressional District, *if     |                                   |
| known:***                         |                                   |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **6. Federal Department/Agency:** | **7. Federal Program              |
|                                   | Name/Description:**               |
|                                   |                                   |
|                                   | **CFDA Number, *if applicable:    |
|                                   | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*** |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **8. Federal Action Number, *if   | **9. Award Amount, *if known:***  |
| known:***                         |                                   |
|                                   | **\$**                            |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **10. a. Name and Address of      | **b. Individuals Performing       |
| Lobbying Registrant**             | Services *(including ***          |
|                                   |                                   |
| ***(If individual, last name,     | ***address if different from No.  |
| first name, MI):***               | 10a)***                           |
|                                   |                                   |
|                                   | ***(last name, first name,        |
|                                   | MI):***                           |
+-----------------------------------+-----------------------------------+

+-----------------------------------+-----------------------------------+
| **11. Information requested       | **Signature:\_\_                  |
| through this form is authorized   | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| by title 31 U.S.C. section 1352.  | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
| This disclosure of lobbying       |                                   |
| activities is a material          | **Print                           |
| representation of fact upon which | Name:                             |
| reliance was placed by the tier   | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| above when this transaction was   | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
| made or entered into. This        |                                   |
| disclosure is required pursuant   | **Title:                          |
| to 31 U.S.C. 1352. This           | \_\_\_\_\_                        |
| information will be reported to   | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| the Congress semi-annually and    | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |
| will be available for public      |                                   |
| inspection. Any person who fails  | **Telephone No.:                  |
| to file the required disclosure   | \_\_\_\_\_\_\_\_\_\_\_            |
| shall be subject to a civil       | \_\_\_\_\_\_Date:\_\_\_\_\_\_\_** |
| penalty of not less than \$10,000 |                                   |
| and not more than \$100,000 for   |                                   |
| each such failure.**              |                                   |
+-----------------------------------+-----------------------------------+

  -----------------------------------------------------------------------
  **Federal Use Only:**

  -----------------------------------------------------------------------

**Authorized for Local Reproduction**

**Standard Form LLL (Rev. 7-97)**

**INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING
ACTIVITIES**

**This disclosure form shall be completed by the reporting entity,
whether subawardee or prime Federal recipient, at the initiation or
receipt of a covered Federal action, or a material change to a previous
filing, pursuant to title 31 U.S.C. section 3152. The filing of a form
is required for each payment or agreement to make payment to any
lobbying entity for influencing or attempting to influence an officer or
employee of any agency, a member of Congress, an officer or amployee of
Congress, or an employee of a member of Congress in connection with a
covered Federal action. Complete all items that apply for both the
initial filing and material change report. Refer to the implementing
guidance published by the Office of Management and Budget for additional
information.**

> **1. Identify the type of covered Federal action for which lobbying
> activity is and/or has been secured to influence the outcome of a
> covered Federal action.**
>
> **2. Identify the status of the covered Federal action.**
>
> **3. Identify the appropriate classification of this report. If this
> is a follow-up report caused by a material change to the information
> previously reported, enter the year and quarter in which the change
> occurred. Enter the date of the last previously submitted report by
> this reporting entity for this covered Federal action.**
>
> **4. Enter the full name, address, city, State and zip code of the
> reporting entity. Include Congressional District, if known. Check the
> appropriate classification of the reporting entity that designates if
> it is, orexpects to be, a prime or subaward recipient. Identify the
> tier of the subawardee, e.g., the first subawardee of the prime is the
> 1^st^ tier. Subawards include but are not limited to subcontracts,
> subgrants and contract awards under grants.**
>
> **5. If the organization filing the report in item 4 checks
> "Subawardee," then enter the full name, address, city, State and zip
> code of the prime Federal recipient. Include Congressional District,
> if known.**

**6. Enter the name of the Federal agency making the award or loan
commitment. Include at least one organizational level below agency name,
if known. For example, Department Transportation, US Coast Guard.**

> **7. Enter the Federal program name or description for the covered
> Federal action (item 1). If known, enter the full Catalog of Federal
> Domestic Assistance (CFDA) number for grants, cooperative agreements,
> loans, and loan commitments.**
>
> **8. Enter the most appropriate Federal identifying number available
> for the Federal actin identified in item 1 (e.g., Request for Proposal
> (RFP) number; Invitation for Bid (IFB) number; grant announcement
> number; the contract, grant, or loan award number; the
> application/proposal control number assigned by the Federal agency).
> Include prefixes, e.g., "RFP-DE-90-001."**
>
> **9. For a covered Federal action where there has been an award or
> loan commitment by the Federal agency, enter the Federal amount of the
> award/loan commitment for the prime entity identified in item 4 or
> 5.**

**10. (a) Enter the full name, address, city, State and zip code of the
lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by
the reporting entity identified in item 4 to influence the covered
Federal action.**

> **(b) Enter the full names of the individual(s) performing services,
> and include full address if different from 10(a). Enter Last Name,
> First Name, and Middle Initial (MI).**
>
> **11. The certifying official shall sign and date the form, print
> his/her name, title, and telephone number.**

**[ATTACHMENT 7]{.underline}**

**[COMPLIANCE REPORT - EPA FORM 4700-4]{.underline}**

***[This report must be completed and submitted with your
application.]{.underline}***

**[COMPLIANCE REPORT - EPA FORM 4700-4]{.underline}**

**[TITLE VI, CIVIL RIGHTS ACT OF 1964]{.underline}**

**As required by 40 CFR Part 7, all applicants must include a completed
EPA Form 4700-4, Pre-award Compliance Review Report, with any/all
requests for federal financial assistance. *Grant applications will not
be processed if this form is not submitted.* State applicants may submit
the form annually with the other required yearly certifications.**

**All applicants must complete roman numerals I through V. Sections VI
through IX must be completed if applicable to the assisted program. If
any of the information in Sections VI through IX is not relevant to the
project or program for which assistance is requested, please enter "NA"
for "Not Applicable." Loan recipients under EPA funded grantee revolving
loan programs shall also complete and submit the form to the state
agency authorizing the loan. Applicants for the Hardship Grants Program
for Rural Communities shall also complete and submit the form to the
appropriate State agency.**

**\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--**

**Any questions relating to these requirements should be directed to the
Regional EEO Officer, Rafael Santamaria at 404/562-8312.**

+---------------------------+-------------------------------+-----------+
| **United States           |                               | **FORM    |
| Environmental Protection  |                               | A         |
| Agency**                  |                               | pproved** |
|                           |                               |           |
| **Washington, DC 20460**  |                               | **OMB No. |
|                           |                               | 20        |
| **Preaward Compliance     |                               | 90-0014** |
| Review Report for**       |                               |           |
|                           |                               | **Expires |
| **All Applicants          |                               | 4-30-99** |
| Requesting Federal        |                               |           |
| Financial Assistance**    |                               |           |
+---------------------------+-------------------------------+-----------+
| **Note: Read instructions |                               |           |
| on reverse side before    |                               |           |
| completing form.**        |                               |           |
+---------------------------+-------------------------------+-----------+
| **I. A. Applicant (Name,  | **B. Recipient (Name, City,   | **C. EPA  |
| City, State)**            | State)**                      | Project   |
|                           |                               | No.**     |
+---------------------------+-------------------------------+-----------+
| **II. Brief description   |                               |           |
| of proposed project,      |                               |           |
| program or activity.**    |                               |           |
+---------------------------+-------------------------------+-----------+
| **III. Are any civil      |                               |  **Yes** |
| rights lawsuits or        |                               |  **No**  |
| complaints pending        |                               |           |
| against applicant and/or  |                               |           |
| recipient?**              |                               |           |
|                           |                               |           |
| **If yes, list those      |                               |           |
| complaints and the        |                               |           |
| disposition of each       |                               |           |
| complaint.**              |                               |           |
+---------------------------+-------------------------------+-----------+
| **IV. Have any civil      |                               |  **Yes** |
| rights compliance reviews |                               |  **No**  |
| of the applicant and/or   |                               |           |
| recipient been conducted  |                               |           |
| by any Federal agency     |                               |           |
| during the two years      |                               |           |
| prior to this application |                               |           |
| for activities which      |                               |           |
| would receive EPA         |                               |           |
| assistance?**             |                               |           |
|                           |                               |           |
| **If yes, list those      |                               |           |
| compliance reviews and    |                               |           |
| status of each review.**  |                               |           |
+---------------------------+-------------------------------+-----------+
| **V. Is any other Federal |                               |  **Yes** |
| financial assistance      |                               |  **No**  |
| being applied for or is   |                               |           |
| any other Federal         |                               |           |
| financial assistance      |                               |           |
| being applied to any      |                               |           |
| portion of this project,  |                               |           |
| program or activity?**    |                               |           |
|                           |                               |           |
| **If yes, list the other  |                               |           |
| Federal Agency(s),        |                               |           |
| describe the associated   |                               |           |
| work and the dollar       |                               |           |
| amount of assistance.**   |                               |           |
+---------------------------+-------------------------------+-----------+
| **VI. If entire community |                               |           |
| under the applicant's     |                               |           |
| jurisdiction is not       |                               |           |
| served under the existing |                               |           |
| facilities/services,**    |                               |           |
|                           |                               |           |
| **or will not be served   |                               |           |
| under the proposed plan,  |                               |           |
| give reasons why.**       |                               |           |
+---------------------------+-------------------------------+-----------+
| **VII. Population         |                               | **Number  |
| Characteristics**         |                               | of        |
|                           |                               | People**  |
+---------------------------+-------------------------------+-----------+
| **1. A. Population of     |                               |           |
| Entire Service Area**     |                               |           |
+---------------------------+-------------------------------+-----------+
| > **B. Minority           |                               |           |
| > Population of Entire    |                               |           |
| > Service Area**          |                               |           |
+---------------------------+-------------------------------+-----------+
| **2. A. Population        |                               |           |
| Currently Being Served**  |                               |           |
+---------------------------+-------------------------------+-----------+
| > **B. Minority           |                               |           |
| > Population Currently    |                               |           |
| > Being Served**          |                               |           |
+---------------------------+-------------------------------+-----------+
| **3. A. Population to be  |                               |           |
| Served by Project,        |                               |           |
| Program or Activity**     |                               |           |
+---------------------------+-------------------------------+-----------+
| > **B. Minority           |                               |           |
| > Population to be Served |                               |           |
| > by Project, Program or  |                               |           |
| > Activity**              |                               |           |
+---------------------------+-------------------------------+-----------+
| **4. A. Population to     |                               |           |
| Remain Without Service**  |                               |           |
+---------------------------+-------------------------------+-----------+
| > **B. Minority           |                               |           |
| > Population to Remain    |                               |           |
| > Without Service**       |                               |           |
+---------------------------+-------------------------------+-----------+
| **VIII. Will all new      |                               |  **Yes** |
| facilities or alterations |                               |  **No**  |
| to existing facilities    |                               |           |
| financed by these funds   |                               |           |
| be designed**             |                               |           |
|                           |                               |           |
| **and constructed to be   |                               |           |
| readily accessible to and |                               |           |
| usable by handicapped     |                               |           |
| persons?**                |                               |           |
|                           |                               |           |
| **If no, explain how a    |                               |           |
| regulatory exception (40  |                               |           |
| CFR 7.70) applies.**      |                               |           |
+---------------------------+-------------------------------+-----------+
| **IX. Give the schedule   |                               |           |
| for future projects,      |                               |           |
| programs or activities    |                               |           |
| (or of future plans), by  |                               |           |
| which services will be**  |                               |           |
|                           |                               |           |
| **provided to all         |                               |           |
| beneficiaries within      |                               |           |
| applicant's jurisdiction. |                               |           |
| If there is no schedule,  |                               |           |
| explain why.**            |                               |           |
+---------------------------+-------------------------------+-----------+
| **X. I certify that the   |                               |           |
| statements I have made on |                               |           |
| this form and all         |                               |           |
| attachments thereto are   |                               |           |
| true, accurate and        |                               |           |
| complete. I acknowledge** |                               |           |
|                           |                               |           |
| **that any knowingly      |                               |           |
| false or misleading       |                               |           |
| statement may be          |                               |           |
| punishable by fine or     |                               |           |
| imprisonment or both      |                               |           |
| under applicable law.**   |                               |           |
+---------------------------+-------------------------------+-----------+
| **A. Signature of         | **B. Title of Authorized      | **C.      |
| Authorized Official**     | Official**                    | Date**    |
+---------------------------+-------------------------------+-----------+
| **For the U.S.            |                               |           |
| Environmental Protection  |                               |           |
| Agency**                  |                               |           |
+---------------------------+-------------------------------+-----------+
|  **Approved**           | **Authorized EPA Official**   | **Date**  |
| **Disapproved**           |                               |           |
+---------------------------+-------------------------------+-----------+

**EPA Form 4700-4 (Rev. 1/90) Previous editions are obsolete.**

**Instructions**

**General**

**Recipients of Federal financial assistance from the U.S. Environmental
Protection Agency must comply with the following statutes.**

**Title VI of the Civil Rights Acts of 1964 provides that no person in
the United States shall, on the grounds of race, color, or national
origin, be excluded from participation in, be denied the benefits of, or
be subjected to discrimination under any program or activity receiving
Federal financial assistance. The Act goes on to explain that the title
shall not be construed to authorize action with respect to any
employment practice of any employer, employment agency, or labor
organization (except where the primary objective of the Federal
financial assistance is to provide employment).**

**Section 13 of the 1972 Amendments to the Federal Water Pollution
Control Act provides that no person in the United States shall on the
ground of sex, be excluded from participation in, be denied the benefits
of, or be subjected to discrimination under the Federal Water Pollution
Control Act, as amended. Employment discrimination on the basis of sex
is prohibited in all such programs or activities.**

**Section 504 of The Rehabilitation Act of 1973 provides that no
otherwise qualified handicapped individual shall solely by reason of
handicap be excluded from participation in, be denied the benefit of, or
be subjected to discrimination under any program or activity receiving
Federal financial assistance. Employment discrimination on the basis of
handicap is prohibited in all such programs or activities.**

**The Age Discrimination Act of 1975 provides that no person on the
basis of age shall be excluded from participation under any program or
activity receiving Federal financial assistance. Employment
discrimination is not covered. Age discrimination in employment is
prohibited by the Age Discrimination in Employment Act administered by
the Equal Employment Opportunity Commission.**

**Title IX of the Education Amendments of 1972 provides that no person
on the basis of sex shall be excluded from participation in, be denied
the benefit of, or be subjected to discrimination under any education
program or activity receiving Federal financial assistance. Employment
discrimination on the basis of sex is prohibited in all such education
programs or activities. Note: an education program or activity is not
limited to only those conducted by a formal institution.**

**The information on this form is required to enable the U.S.
Environmental Protection Agency to determine whether applicants and
prospective recipients are developing projects, programs and activities
on a nondiscriminatory basis as required by the above statutes.**

**Submit this form with the original and required copies of
applications, requests for extensions, requests for increase of funds,
etc. Updates of information are all that are required after the initial
application submission.**

**If any item is not relevant to the project for which assistance is
requested, write "NA" for "Not Applicable."**

**In the event applicant is uncertain about how to answer certain
questions, EPA program officials should be contacted for
clarification.**

**EPA FORM 4700-4 (Rev. 1/90) Reverse**

**ITEMS**

**IA. "Applicant" means any entity that files an application or
unsolicited proposal or otherwise requests EPA assistance.**

**IB. "Recipient" means any entity, other than applicant, which will
actually receive EPA assistance.**

**IC. Self-explanatory.**

**II. Self-explanatory.**

**III. "Civil rights lawsuits" means any lawsuit or complaint alleging
discrimination on the basis of race, color, national origin, sex, age,
or handicap pending against the applicant and/or entity which actually
benefits from the grant. For example, if a city is the named applicant
but the grant will actually benefit the Department of Sewage, civil
rights lawsuits involving both the city and the Department of Sewage
should be listed.**

**IV. "Civil rights compliance review" means any review assessing the
applicant's and/or recipient's compliance with laws prohibiting
discrimination on the basis of race, color, national origin, sex, age,
or handicap. If any part of the review covered the entity which will
actually benefit from the grant, it should be listed.**

**V. Self-explanatory.**

**VI. The word "community" refers to the area under the applicant's
and/or recipient's jurisdiction. The "community" might be a university
or laboratory campus, or a community within a large city. If there is
significant disparity between minority and nonminority populations to
receive service, not otherwise satisfactorily explained, the Regional
office may require a map which indicates the minority and nonminority
population served by this project, program or activity.**

**VII. This information is required so that reviewers may determine if a
disparity in the proposed provision of services will exist in the event
the application is approved for funding. Give population of recipient's
jurisdiction, broken out by categories as specified.**

> **In the event the applicant cannot provide the requested information
> because the funds will be distributed over a wide demographic area
> which is yet to be determined, an explanation may be provided on a
> separate sheet. For example, a State applying for a capitalization
> grant under the State Revolving Fund program may not know which cities
> and counties will apply for, and receive, SRF loans.**

**VIII. Self-explanatory.**

**IX. "Jurisdiction" means the geographical area over which applicant
has the authority to provide service.**

**X. Self-explanatory.**

**"Burden Disclosure Statement"**

**EPA estimates public reporting burden for the preparation of this form
to average 30 minutes per response. This estimate includes the time for
reviewing instructions, gathering and maintaining the data needed and
completing and reviewing the form. Send comments regarding the burden
estimate, including suggestions for reducing this burden, to Chief,
Information Policy Branch, PM-223, U.S. Environmental Protection Agency,
401 M Street, S.W., Washington, D.C. 20460; and to the Office of
Information and Regulatory Affairs, Office of Management and Budget,
Washington, D.C. 20503.**

**ATTACHMENT 8**

**DISADVANTAGED BUSINESS ENTERPRISE (DBE)**

**DEVELOPMENT PLAN**

> **You must include a fair share objective for the utilization of
> minority (MBE) and women's (WBE) business enterprises in procurement
> under EPA assistance agreements. These objectives must be based on
> negotiations prior to award of any assistance agreement. Please read
> the attached guidance and contact the DBE coordinator for your state
> as shown below for further information:**
>
> **Dorothy Dimsdale - 404/562-8398 - AL, FL, GA, and MS**

**DISADVANTAGED BUSINESS ENTERPRISE FAIR SHARE**

**COMMITMENT**

**EPA\'s policy is that recipients of Federal assistance award a fair
share of procurement actions to disadvantaged business enterprises
(DBEs), including historically black colleges and universities (HBCUs).
These fair share objectives must be based on availability of qualified
minority businesses enterprises (MBEs) and women's business enterprises
(WBEs)to do work in the relevant market for procurement activities for
four separate categories, [i.e.]{.underline}, construction, equipment,
and services. Please indicate below whether you chose to use the State
negotiated rates as your fair share objective or to develop your own
rates based on availability in your market area. The Region 4 state
rates are attached. For rates outside Region 4 or for questions
concerning the rates, please call Brenda Banks at 404/562-8420 or
Dorothy Dimsdale at 404/562-8398.**

**chooses**

**(Name of applicant)**

**to use the State negotiated rates for procurement activities funded by
any EPA agreement as follows:**

> **MBE WBE**

**Construction**

**Equipment**

**Services**

**Supplies**

**Consolidated goal**

**chooses**

**(Name of applicant)**

**to conduct an availability analysis of the relevant market area and
submit the package to EPA for negotiation prior to any procurement
activity funded by an assistance agreement.**

**APPLICANT\'S CONTACT FOR DBE ISSUES:**

**NAME:**

**TITLE: PHONE:**

**REGION 4 MBE/WBE NEGOTIATED RATES**

**ALABAMA**

> **Supplies (commodities) 2% MBE and 2.6% WBE**
>
> **Services (contractual) 4% MBE and 4.9% WBE**
>
> **Equipment 3.3% MBE and 3.3% WBE**
>
> **Construction 3.1% MBE and 2.4% WBE**

**FLORIDA**

> **SRF Construction 11% MBE and 3% WBE**

**(both SRF)**

> **A & E Services: 10% MBE and 15% WBE**
>
> **Commodities: 7% MBE and 17% WBE**
>
> **Contractual: 14% MBE and 36% WBE**
>
> **Construction: 10% MBE and 11% WBE**

**(non SRF)**

**MISSISSIPPI**

**SRF Construction**

> **Drinking Water: 2.9% MBE and 0.64% WBE**
>
> **Clean Water: 5.9% MBE and 1.6% WBE**
>
> **Equipment: 3.7% MBE and 3.0% WBE**
>
> **Commodities: 1.1% MBE and 1.8% WBE**

**(supplies)**

> **Contractual: 1.7% MBE and 2.3% WBE**

**(services)**

**ATTACHMENT 9**

**REGULATIONS**

**AND**

**OMB CIRCULARS**

**REGULATIONS**

**AND**

**OMB CIRCULARS**

**The general grant regulations and OMB Circulars listed below apply to
*all* EPA assistance programs. (NOTE: General Administrative Regulations
and Cost Principles *apply by type of organization,* e.g. State Agency,
non-profit, etc.) Compliance is a recipient responsibility; accordingly,
applicants/recipients should read and follow these documents. EPA will
provide assistance, if needed, in interpretation and compliance with
these documents. Additional regulations for specific EPA programs (e.g.
40 CFR Parts 35, 39, 45, 47) may also apply to the work for which
funding is requested. Contact your EPA program representative or Project
Officer for details.**

**These documents may be accessed electronically at the following
Internet address:**

**http://www.epa.gov/ogd/regs.htm**

**Hard copies are available upon request. Contact a Grants Specialist
for further information.**

**GENERAL GRANT REGULATIONS:**

**40 CFR -**

> **PART 7 - NON-DISCRIMINATION IN PROGRAMS RECEIVING**

**FEDERAL ASSISTANCE FROM EPA (1990)**

> **PART 29 - INTERGOVERNMENTAL REVIEW OF EPA PROGRAMS AND ACTIVITIES**
>
> **PART 30 - GRANTS AND AGREEMENTS WITH INSTITUTIONS OF HIGHER
> EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS (1996)**
>
> **PART 31 - UNIFORM ADMINISTRATIVE REQUIREMENTS FOR GRANTS AND
> COOPERATIVE AGREEMENTS TO STATE AND LOCAL GOVERNMENTS (1995)**
>
> **PART 32 - GOVERNMENT-WIDE DEBARMENT AND SUSPENSION (NON-PROCUREMENT)
> AND GOVERNMENT-WIDE REQUIREMENTS FOR DRUG-FREE WORKPLACE; CLEAN AIR
> ACT AND CLEAN WATER ACT INELIGIBILITY OF FACILITIES IN PERFORMANCE OF
> FEDERAL CONTRACTS, GRANTS, AND LOANS (1996)**
>
> **PART 34 - NEW RESTRICTION ON LOBBYING (1995)**

**PROGRAM SPECIFIC GRANT REGULATIONS:**

**40 CFR -**

> **PART 35 - STATE AND LOCAL ASSISTANCE (1995)**
>
> **SUBPART A - CONTINUING ENVIRONMENTAL PROGRAMS**

**SUBPART C - CONSTRUCTION OF WASTEWATER**

> **TREATMENT WORKS**
>
> **SUBPART D - REIMBURSEMENT GRANTS**
>
> **SUBPART E - CONSTRUCTION OF TREATMENT WORKS, CWA**
>
> **SUBPART H - FRESHWATER LAKES**
>
> **SUBPART I - CONSTRUCTION OF TREATMENT WORKS**
>
> **SUBPART J - DELEGATION OF CONSTRUCTION GRANTS PROGRAM**
>
> **SUBPART K - STATE REVOLVING FUNDS, CWA**
>
> **SUBPART M - SUPERFUND TECHNICAL ASSISTANCE**
>
> **SUBPART O - SUPERFUND RESPONSE ACTIONS**
>
> **SUBPART P - NATIONAL ESTUARY PROGRAM**
>
> **PART 39 - LOAN GUARANTEES FOR CONSTRUCTION OF TREATMENT WORKS
> (1995)**
>
> **PART 45 - TRAINING ASSISTANCE (1995)**
>
> **PART 47 - NATIONAL ENVIRONMENTAL EDUCATION ACT GRANTS (1995)**

**OMB CIRCULARS**

> **A-21 - COST PRINCIPLES FOR EDUCATIONAL INSTITUTIONS**
>
> **A-87 - COST PRINCIPLES FOR STATE, LOCAL AND TRIBAL GOVERNMENTS**
>
> **A-122 - COST PRINCIPLES FOR NON-PROFIT ORGANIZATIONS**
>
> **A-133 - AUDIT REQUIREMENTS - ALL APPLICANTS**