<table>
<colgroup>
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 8%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 14%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="32"><strong>COVER SHEET FOR PROPOSAL TO THE NATIONAL
SCIENCE FOUNDATION</strong></td>
</tr>
<tr class="even">
<td colspan="32"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3"></td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="28">PROGRAM ANNOUNCEMENT/SOLICITATION NO./CLOSING DATE/If
not in response to a program announcement/solicitation enter NSF
00-2</td>
<td colspan="4"><strong>FOR NSF USE ONLY</strong></td>
</tr>
<tr class="odd">
<td colspan="27">     </td>
<td colspan="5">NSF PROPOSAL NUMBER</td>
</tr>
<tr class="even">
<td colspan="28">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="28">FOR CONSIDERATION BY NSF ORGANIZATIONAL UNIT(S)
(Indicate the most specific unit known, i.e., program, division,
etc.)</td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="28">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="2">DATE RECEIVED</td>
<td colspan="5">NUMBER OF COPIES</td>
<td colspan="6">DIVISION ASSIGNED</td>
<td colspan="8">FUND CODE</td>
<td colspan="8">DUNS # (Data Universal Numbering System)</td>
<td colspan="3">FILE LOCATION</td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="5"></td>
<td colspan="6"></td>
<td colspan="8"></td>
<td colspan="8">     </td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="8">EMPLOYER IDENTIFICATION NUMBER (EIN) OR</td>
<td colspan="16">SHOW PREVIOUS AWARD NO. IF THIS IS</td>
<td colspan="8">IS THIS PROPOSAL BEING SUBMITTED TO ANOTHER FEDERAL</td>
</tr>
<tr class="even">
<td colspan="8">TAXPAYER IDENTIFICATION NUMBER (TIN)</td>
<td colspan="16"> A RENEWAL</td>
<td colspan="8">AGENCY? YES NO IF YES, LIST ACRONYM(S)</td>
</tr>
<tr class="odd">
<td colspan="8">     </td>
<td colspan="16"> AN ACCOMPLISHMENT-BASED RENEWAL</td>
<td colspan="8">     </td>
</tr>
<tr class="even">
<td colspan="8">     </td>
<td colspan="16"></td>
<td colspan="8">     </td>
</tr>
<tr class="odd">
<td colspan="14"></td>
<td colspan="18"></td>
</tr>
<tr class="even">
<td colspan="14">NAME OF ORGANIZATION TO WHICH AWARD SHOULD BE MADE</td>
<td colspan="18">ADDRESS OF AWARDEE ORGANIZATION, INCLUDING 9 DIGIT ZIP
CODE</td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
<td colspan="18">     </td>
</tr>
<tr class="even">
<td colspan="14">AWARDEE ORGANIZATION CODE (IF KNOWN)</td>
<td colspan="18">     </td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
<td colspan="18">     </td>
</tr>
<tr class="even">
<td colspan="14">NAME OF PERFORMING ORGANIZATION, IF DIFFERENT FROM
ABOVE</td>
<td colspan="18">ADDRESS OF PERFORMING ORGANIZATION, IF DIFFERENT,
INCLUDING 9 DIGIT ZIP CODE</td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
<td colspan="18">     </td>
</tr>
<tr class="even">
<td colspan="14">PERFORMING ORGANIZATION CODE (IF KNOWN)</td>
<td colspan="18">     </td>
</tr>
<tr class="odd">
<td colspan="14">     </td>
<td colspan="18">     </td>
</tr>
<tr class="even">
<td colspan="11">IS AWARDEE ORGANIZATION (Check All That Apply)</td>
<td colspan="21"></td>
</tr>
<tr class="odd">
<td colspan="32">(See GPG II.D.1 For Definitions) FOR-PROFIT
ORGANIZATION SMALL BUSINESS MINORITY BUSINESS WOMAN-OWNED BUSINESS</td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="29"></td>
</tr>
<tr class="odd">
<td colspan="32">TITLE OF PROPOSED PROJECT      </td>
</tr>
<tr class="even">
<td colspan="32"></td>
</tr>
<tr class="odd">
<td colspan="6"><p>REQUESTED AMOUNT</p>
<p>     <br />
$</p></td>
<td colspan="12"><p>PROPOSED DURATION (1-60 MONTHS)</p>
<p>     <br />
months</p></td>
<td colspan="10">REQUESTED STARTING DATE<br />
<br />
     </td>
<td colspan="4"><p>SHOW RELATED PREPROPOSAL NO.,</p>
<p>IF APPLICABLE</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="32"></td>
</tr>
<tr class="odd">
<td colspan="32">CHECK APPROPRIATE BOX(ES) IF THIS PROPOSAL INCLUDES ANY
OF THE ITEMS LISTED BELOW</td>
</tr>
<tr class="even">
<td colspan="17"></td>
<td colspan="15"></td>
</tr>
<tr class="odd">
<td colspan="17">BEGINNING INVESTIGATOR (GPG I.A.3)</td>
<td colspan="14"> VERTEBRATE ANIMALS (GPG II.D.12) IACUC App. Date</td>
<td>     </td>
</tr>
<tr class="even">
<td colspan="17"> DISCLOSURE OF LOBBYING ACTIVITIES (GPG II.D.1)</td>
<td colspan="15"> HUMAN SUBJECTS (GPG II.D.12)</td>
</tr>
<tr class="odd">
<td colspan="17"> PROPRIETARY &amp; PRIVILEGED INFORMATION (GPG I.B,
II.D.7)</td>
<td colspan="13">Exemption Subsection<u>    </u>or IRB App. Date</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="17"> NATIONAL ENVIRONMENTAL POLICY ACT (GPG II.D.10)</td>
<td colspan="15"> INTERNATIONAL COOPERATIVE ACTIVITIES:
COUNTRY/COUNTRIES</td>
</tr>
<tr class="odd">
<td colspan="17"> HISTORIC PLACES (GPG II.D.10)</td>
<td colspan="3"></td>
<td colspan="12">     </td>
</tr>
<tr class="even">
<td colspan="17"> SMALL GRANT FOR EXPLOR. RESEARCH (SGER) (GPG
II.D.12)</td>
<td colspan="15"> FACILITATION FOR SCIENTISTS/ENGINEERS WITH
DISABILITIES (GPG V.G.)</td>
</tr>
<tr class="odd">
<td colspan="17"></td>
<td colspan="15"> RESEARCH OPPORTUNITY AWARD (GPG V.H)</td>
</tr>
<tr class="even">
<td colspan="17"></td>
<td colspan="15"></td>
</tr>
<tr class="odd">
<td colspan="10"></td>
<td colspan="22"></td>
</tr>
<tr class="even">
<td colspan="10">PI/PD DEPARTMENT</td>
<td colspan="22">PI/PD POSTAL ADDRESS</td>
</tr>
<tr class="odd">
<td colspan="10"></td>
<td colspan="22"></td>
</tr>
<tr class="even">
<td colspan="10">     </td>
<td colspan="22">     </td>
</tr>
<tr class="odd">
<td colspan="10">PI/PD FAX NUMBER</td>
<td colspan="22">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="22"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="22">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">NAMES (TYPED)</td>
<td colspan="5">High Degree</td>
<td colspan="7">Yr of Degree</td>
<td colspan="4">Telephone Number</td>
<td colspan="6">Electronic Mail Address</td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">PI/PD NAME</td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="5">     </td>
<td colspan="7">     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">CO-PI/PD</td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="5">     </td>
<td colspan="7">     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">CO-PI/PD</td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="5">     </td>
<td colspan="7">     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">CO-PI/PD</td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="5">     </td>
<td colspan="7">     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">CO-PI/PD</td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td colspan="10"></td>
<td colspan="5"></td>
<td colspan="7"></td>
<td colspan="4"></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td colspan="10">     </td>
<td colspan="5">     </td>
<td colspan="7">     </td>
<td colspan="4">     </td>
<td colspan="6">     </td>
</tr>
<tr class="even">
<td colspan="32"><h1 id="nsf-form-1207-1099-page-1-of-2">NSF Form 1207
(10/99) Page 1 of 2</h1>
<h1 id="section"></h1>
<h1 id="section-1"></h1>
<h1 id="section-2"> </h1></td>
</tr>
<tr class="odd">
<td colspan="32"></td>
</tr>
</tbody>
</table>

  ------------------ ----------- --------------- ----------- -------------- -------- ----- ------ ------- -----------
  **CERTIFICATION                                                                                         
  PAGE**                                                                                                  

                                                                                                          

  **Certification                                                                                         
  for Principal                                                                                           
  Investigators and                                                                                       
  Co-Principal                                                                                            
  Investigators**                                                                                         

                                                                                                          

  I certify to the                                                                                        
  best of my                                                                                              
  knowledge that:                                                                                         

                                                                                                          

  \(1\) the                                                                                               
  statements herein                                                                                       
  (excluding                                                                                              
  scientific                                                                                              
  hypotheses and                                                                                          
  scientific                                                                                              
  opinions) are true                                                                                      
  and complete, and                                                                                       

  \(2\) the text and                                                                                      
  graphics herein as                                                                                      
  well as any                                                                                             
  accompanying                                                                                            
  publications or                                                                                         
  other documents,                                                                                        
  unless otherwise                                                                                        
  indicated, are the                                                                                      
  original work of                                                                                        
  the                                                                                                     

  signatories or                                                                                          
  individuals                                                                                             
  working under                                                                                           
  their supervision.                                                                                      
  I agree to accept                                                                                       
  responsibility for                                                                                      
  the scientific                                                                                          
  conduct of the                                                                                          
  project and to                                                                                          
  provide the                                                                                             

  required project                                                                                        
  reports if an                                                                                           
  award is made as a                                                                                      
  result of this                                                                                          
  proposal.                                                                                               

                                                                                                          

  I understand that                                                                                       
  the willful                                                                                             
  provision of false                                                                                      
  information or                                                                                          
  concealing a                                                                                            
  material fact in                                                                                        
  this proposal or                                                                                        
  any other                                                                                               
  communication                                                                                           
  submitted to NSF                                                                                        
  is a                                                                                                    

  criminal offense                                                                                        
  (U.S.Code, Title                                                                                        
  18, Section 1001).                                                                                      

                                                                                                          

                                                                                                          

  Name (Typed)       Signature                               Social                        Date           
                                                             Security No.\*                               

  PI/PD                                                                                                   

                                                                                                          

  Co-PI/PD                                                                                                

                                                                                                          

  Co-PI/PD                                                                                                

                                                                                                          

  Co-PI/PD                                                                                                

                                                                                                          

  Co-PI/PD                                                                                                

                                                                                                          

                                                                                                          

  **Certification                                                                                         
  for Authorized                                                                                          
  Organizational                                                                                          
  Representative or                                                                                       
  Individual                                                                                              
  Applicant**                                                                                             

                                                                                                          

  By signing and                                                                                          
  submitting this                                                                                         
  proposal, the                                                                                           
  individual                                                                                              
  applicant or the                                                                                        
  authorized                                                                                              
  official of the                                                                                         
  applicant                                                                                               
  institution is:                                                                                         
  (1) certifying                                                                                          
  that statements                                                                                         
  made herein                                                                                             

  are true and                                                                                            
  complete to the                                                                                         
  best of his/her                                                                                         
  knowledge; and (2)                                                                                      
  agreeing to accept                                                                                      
  the obligation to                                                                                       
  comply with NSF                                                                                         
  award terms and                                                                                         
  conditions if an                                                                                        
  award is                                                                                                

  made as a result                                                                                        
  of this                                                                                                 
  application.                                                                                            
  Further, the                                                                                            
  applicant is                                                                                            
  hereby providing                                                                                        
  certifications                                                                                          
  regarding Federal                                                                                       
  debt status,                                                                                            
  debarment and                                                                                           
  suspension,                                                                                             
  drug-free                                                                                               

  workplace, and                                                                                          
  lobbying                                                                                                
  activities (see                                                                                         
  below), as set                                                                                          
  forth in the                                                                                            
  *Grant Proposal                                                                                         
  Guide (GPG),* NSF                                                                                       
  00-2. Willful                                                                                           
  provision of false                                                                                      
  information in                                                                                          
  this application                                                                                        

  and its supporting                                                                                      
  documents or in                                                                                         
  reports required                                                                                        
  under an ensuing                                                                                        
  award is a                                                                                              
  criminal offense                                                                                        
  (U.S. Code, Title                                                                                       
  18, Section 1001).                                                                                      

                                                                                                          

  In addition, if                                                                                         
  the applicant                                                                                           
  institution                                                                                             
  employs more than                                                                                       
  fifty persons, the                                                                                      
  authorized                                                                                              
  official of the                                                                                         
  applicant                                                                                               
  institution is                                                                                          
  certifying that                                                                                         
  the institution                                                                                         
  has                                                                                                     

  implemented a                                                                                           
  written and                                                                                             
  enforced conflict                                                                                       
  of interest policy                                                                                      
  that is consistent                                                                                      
  with the                                                                                                
  provisions of                                                                                           
  *Grant Policy                                                                                           
  Manual* Section                                                                                         
  510; that to the                                                                                        
  best of his/her                                                                                         

  knowledge, all                                                                                          
  financial                                                                                               
  disclosures                                                                                             
  required by that                                                                                        
  conflict of                                                                                             
  interest policy                                                                                         
  have been made;                                                                                         
  and that all                                                                                            
  identified                                                                                              
  conflicts of                                                                                            
  interest will have                                                                                      
  been                                                                                                    

  satisfactorily                                                                                          
  managed, reduced                                                                                        
  or eliminated                                                                                           
  prior to the                                                                                            
  institution's                                                                                           
  expenditure of any                                                                                      
  funds under the                                                                                         
  award, in                                                                                               
  accordance with                                                                                         
  the institution's                                                                                       
  conflict of                                                                                             

  interest policy.                                                                                        
  Conflicts that                                                                                          
  cannot be                                                                                               
  satisfactorily                                                                                          
  managed, reduced                                                                                        
  or eliminated must                                                                                      
  be disclosed to                                                                                         
  NSF.                                                                                                    

                                                                                                          

  **Debt and                                                                                              
  Debarment                                                                                               
  Certifications**                                                                                        
  (If answer "yes"                                                                                        
  to either, please                                                                                       
  provide                                                                                                 
  explanation.)                                                                                           

                                                                                                          

  Is the                                                                             Yes                  No
  organization                                                                                            
  delinquent on any                                                                                       
  Federal debt?                                                                                           

                                                                                                          

  Is the                                                                                                  
  organization or                                                                                         
  its principals                                                                                          
  presently                                                                                               
  debarred,                                                                                               
  suspended,                                                                                              
  proposed for                                                                                            
  debarment,                                                                                              
  declared                                                                                                
  ineligible,                                                                                             

  or voluntarily                                                                     Yes                  No
  excluded from                                                                                           
  covered                                                                                                 
  transactions by                                                                                         
  any Federal                                                                                             
  Department or                                                                                           
  agency?                                                                                                 

                                                                                                          

  **Certification                                                                                         
  Regarding                                                                                               
  Lobbying**                                                                                              

                                                                                                          

  This certification                                                                                      
  is required for an                                                                                      
  award of a Federal                                                                                      
  contract, grant or                                                                                      
  cooperative                                                                                             
  agreement                                                                                               
  exceeding                                                                                               
  \$100,000 and for                                                                                       
  an award of a                                                                                           
  Federal loan or                                                                                         

  a commitment                                                                                            
  providing for the                                                                                       
  United States to                                                                                        
  insure or                                                                                               
  guarantee a loan                                                                                        
  exceeding                                                                                               
  \$150,000.                                                                                              

                                                                                                          

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

  connection with                                                                                         
  the awarding of                                                                                         
  any federal                                                                                             
  contract, the                                                                                           
  making of any                                                                                           
  Federal grant, the                                                                                      
  making of any                                                                                           
  Federal loan, the                                                                                       
  entering into of                                                                                        
  any cooperative                                                                                         

  agreement, and the                                                                                      
  extension,                                                                                              
  continuation,                                                                                           
  renewal,                                                                                                
  amendment, or                                                                                           
  modification of                                                                                         
  any Federal                                                                                             
  contract, grant,                                                                                        
  loan, or                                                                                                
  cooperative                                                                                             
  agreement.                                                                                              

                                                                                                          

  \(2\) If any funds                                                                                      
  other than Federal                                                                                      
  appropriated funds                                                                                      
  have been paid or                                                                                       
  will be paid to                                                                                         
  any person for                                                                                          
  influencing or                                                                                          
  attempting to                                                                                           
  influence an                                                                                            
  officer or                                                                                              

  employee of any                                                                                         
  agency, a Member                                                                                        
  of Congress, and                                                                                        
  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 of                                                                                          
  Lobbying                                                                                                

  Activities," 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.                                                                                           

                                                                                                          

                                                                                                          

  AUTHORIZED                                     SIGNATURE                                        DATE    
  ORGANIZATIONAL                                                                                          
  REPRESENTATIVE                                                                                          

  NAME/TITLE (TYPED)                                                                                      

                                                                                                          

  TELEPHONE NUMBER               ELECTRONIC MAIL                            FAX                           
                                 ADDRESS                                    NUMBER                        

                                                                                                          

  \*SUBMISSION OF                                                                                         
  SOCIAL SECURITY                                                                                         
  NUMBERS IS                                                                                              
  VOLUNTARY AND WILL                                                                                      
  NOT AFFECT THE                                                                                          
  ORGANIZATION'S                                                                                          
  ELIGIBILITY FOR AN                                                                                      
  AWARD. HOWEVER,                                                                                         
  THEY ARE AN                                                                                             
  INTEGRAL PART OF                                                                                        
  THE NSF                                                                                                 
  INFORMATION SYSTEM                                                                                      
  AND ASSIST IN                                                                                           
  PROCESSING THE                                                                                          
  PROPOSAL. SSN                                                                                           
  SOLICITED UNDER                                                                                         
  NSF ACT OF 1950,                                                                                        
  AS AMENDED.                                                                                             
  ------------------ ----------- --------------- ----------- -------------- -------- ----- ------ ------- -----------

Page 2 of 2

**DO NOT DUPLICATE THIS PAGE AS PART OF THE PROPOSAL**

Every prospective grantee must complete the section on certification on
the Cover Sheet (NSF Form 1207 (Rev. 10/99) submitted with each
proposal. Instructions for the two certifications are below:

**INSTRUCTIONS ON CERTIFICATION OF NON-DELINQUENCY BY APPLICANTS FOR
FEDERAL ASSISTANCE**

The certification of non-delinquency applies only to the organization
requesting financial assistance and not to the individual Principal
Investigator.

For the purposes of this certification, the following definitions of
delinquency apply:

**Direct loans** a debt more than 31 days past due on a scheduled
payment

**Grants** recipients of a \"Notice of Grants

Cost Disallowance\" who have not repaid the disallowed amount or who
have not resolved the disallowance.

**Guaranteed and insured loans** recipients of a loan guaranteed by the
Federal Government that the Federal Government has repurchased from a
lender because the borrower breached the loan agreement and is in
default.

Examples of debts include delinquent taxes, audit disallowances,
guaranteed and direct student loans, housing loans, farm loans, business
loans, Department of Education institutional loans, benefit overpayments
and other miscellaneous administrative debts.

**INSTRUCTIONS ON CERTIFICATION REGARDING DEBARMENT AND SUSPENSION**

1\. By signing and submitting this proposal, the prospective primary
participant is providing the certification set out below.

2\. The inability of a person to provide the certification required
below will not necessarily result in denial of participation in this
covered transaction. The prospective participant shall submit an
explanation of why it cannot provide the certification set out below.
The certification or explanation will be considered in connection with
the department or agency\'s determination whether to enter into this
transaction. However, failure of the prospective primary participant to
furnish a certification or an explanation shall disqualify such person
from participation in this transaction.

3\. The certification in this clause is any material representation of
fact upon which reliance was placed when the department or agency
determined to enter into this transaction. If it is later determined
that the prospective primary participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for
cause of default.

4\. The prospective primary participant shall provide immediate written
notice to the department or agency to whom this proposal is submitted if
at any time the prospective primary participant learns that its
certification was erroneous when submitted or has

become erroneous by reason of changed circumstances.

5\. The terms covered transaction, debarred, suspended ineligible, lower
tier-covered transaction, participant, person, primary covered
transaction, principal, proposal, and voluntarily excluded, as used in
this clause, have the meanings set out in the Definitions and Coverage
sections of the rules implementing Executive Order 12549. You may
contact the department or agency to which this proposal is being
submitted for assistance in obtaining a copy of those regulations.

6\. The prospective primary participant agrees by submitting this
proposal that, should the proposed covered transaction be entered into,
it shall not knowingly enter into any lower tier covered transaction
with a person who is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency entering into this
transaction.

7\. The prospective primary participant further agrees by submitting
this proposal that it will include the clause titled \"Certification
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -
Lower Tier Covered Transaction,\" provided by the department or agency
entering into this covered transaction, without modification, in all
lower tier covered transactions.

8\. A participant in a covered transaction may rely upon a certification
of a prospective participant in a lower tier covered transaction that it
is not debarred, suspended, ineligible, or voluntarily excluded from the
covered transaction, unless it knows that the certification is
erroneous. A participant may decide the method and frequency by which it
determines the eligibility of its principals. Each participant may, but
is not required to, check the Nonprocurement List.

9\. Nothing contained in the foregoing shall be construed to require
establishment of a system of records in order to render in good faith
the certification required by this clause. The knowledge and information
of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business
dealings.

10\. Except for transactions authorized under paragraph 6 of these
instructions, if a participant in a covered transaction knowingly enters
into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal
Government, the department or agency may terminate this transaction for
cause or default.

**CERTIFICATION**

\(1\) The prospective primary participant certifies to the best of its
knowledge and belief, that it and its principals:

\(a\) 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 judgment rendered against them for
commission of fraud or a criminal offense in connection with obtaining,
attempting to

obtain, or performing a public (Federal, State or local) transaction or
contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false
statements, or receiving stolen property;

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

\(d\) 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.

\(2\) Where the prospective primary participant is unable to certify to
any of the statements in this certification, such prospective
participant shall attach an explanation to this proposal.

**Instructions for Certification**

1\. By signing the NSF Proposal Cover Sheet, NSF Form 1207, and
submitting this proposal, the grantee is providing the certifications
set out below.

2\. The certification set out below is a material representation of fact
upon which reliance was placed when the agency determined to award the
grant. If it is later determined that the grantee knowingly rendered a
false certification, or otherwise violates the requirements of the
Drug-Free Workplace Act, the agency, in addition to any other remedies
available to the Federal Government, may take action authorized under
the Drug-Free Workplace Act.

3\. For grantees other than individuals, Alternate I applies.

4\. For grantees who are individuals, Alternate II applies.

**Certification Regarding Drug-Free Workplace Requirements**

**Alternate I (Grantees Other Than Individuals)**

The grantee certifies that it will or will continue to provide a
drug-free workplace by:

\(a\) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession or use of a controlled
substance is prohibited in the grantee\'s workplace and specifying the
actions that will be taken against employees for violation of such
prohibition;

\(b\) Establishing an ongoing drug-free awareness program to inform
employees about

\(1\) The dangers of drug abuse in the workplace;

\(2\) The grantee\'s policy of maintaining a drug-free workplace;

\(3\) Any available drug counseling, rehabilitation and employee
assistance programs; and

\(4\) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;

\(c\) Making it a requirement that each employee to be engaged in the
performance of the grant be given a copy of the statement required by
paragraph (a);

\(d\) Notifying the employee in the statement required by paragraph (a)
that, as a condition of employment under the grant, the employee will

\(1\) Abide by the terms of the statement; and

\(2\) Notify the employer in writing of his or her conviction for a
violation of a criminal drug statute occurring in the workplace, no
later than five calendar days after such conviction;

\(e\) Notifying the agency in writing, within 10 calendar days after
receiving notice under subparagraph (d)(2) from an employee or otherwise
receiving actual notice of such conviction.

Employers of convicted employees must provide notice, including position
title, to every grant officer or other designee on whose grant activity
the convicted employee was working, unless the Federal agency has
designated a central point for the receipt of such notices. Notice shall
include the identification number(s) of each affected grant;

\(f\) Taking one of the following actions, within 30 calendar days of
receiving notice under subparagraph (d)(2), with respect to any employee
who is so convicted

\(1\) Taking appropriate personnel action against such an employee, up
to and including termination, consistent with the requirements of the
Rehabilitation Act of 1973, as amended; or

\(2\) Requiring such employee to participate satisfactorily in a drug
abuse assistance or rehabilitation program approved for such purposes by
a Federal, State, or local health, law enforcement, or other appropriate
agency;

\(g\) Making a good faith effort to continue to maintain a drug-free
workplace through implementation of paragraphs (a), (b), (c), (d), (e)
and (f).

**Alternate II (Grantees Who Are Individuals)**

\(a\) The grantee certifies that, as a condition of the grant, he or she
will not engage in the unlawful manufacture, distribution, dispensing,
possession or use of a controlled substance in conducting any activity
with the grant.

\(b\) If convicted of a criminal drug offense resulting from a violation
occurring during the conduct of any grant activity, he or she will
report the conviction, in writing, within 10 calendar days of the
conviction, to every grant officer or other designee, unless the Federal
agency designates a central point for the receipt of such notices. When
notice is made to such a central point, it shall include the
identification number(s) of each affected grant.

(For NSF, grantee notification should be made to the Cost Analysis/Audit
Resolution Branch, Division of Contracts, Policy & Oversight, NSF,
Arlington, VA 22230)