OMB Approval No. 0348-0042

ASSURANCES - CONSTRUCTION PROGRAMS

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing 

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

information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for 

reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. 

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

SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.

NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding 

Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, 

you will be notified. 

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

1. Has the legal authority to apply for Federal 

assistance, and the institutional, managerial and 

financial capability (including funds sufficient 

to pay the non-Federal share of project costs) to 

ensure proper planning, management and 

completion of 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 assistance; and will 

establish a proper accounting system in 

accordance with generally accepted accounting 

standards or agency directives. 

3. Will not dispose of, modify the use of, or 

change the terms of the real property title, or 

other interest in the site and facilities without 

permission and instructions from the awarding 

agency. Will record the Federal interest in the 

title of real property in accordance with 

awarding agency directives and will include a 

covenant in the title of real property acquired in 

whole or in part with Federal assistance funds 

to assure non-discrimination during the useful 

life of the project. 

4. Will comply with the requirements of the 

assistance awarding agency with regard to the 

drafting, review and approval of construction 

plans and specifications. 

5. Will provide and maintain competent and 

adequate engineering supervision at the 

construction site to ensure that the complete 

work conforms with the approved plans and 

8. Will comply with the Intergovernmental 

Personnel Act of 1970 (42 U.S.C. 4728-4763) 

relating to prescribed standards for merit 

systems for programs funded under one of the 

19 statutes or regulations specified in 

Appendix A of OPM=s Standards for a Merit 

System of Personnel Administration (5 C.F.R. 

900, Subpart F). 

9. Will comply with the Lead-Based Paint 

Poisoning Prevention Act (42 U.S.C. 4801 et 

seq.) which prohibits the use of lead-based 

paint in construction or rehabilitation of 

residence structures. 

10. Will comply with all Federal statutes relating 

to non-discrimination. These include but are 

not limited to: (a) Title VI of the Civil Rights 

Act of 1964 (P.L. 88-352) which prohibits 

discrimination on the basis of race, color or 

national origin; (b) Title IX of the Education 

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

1681-1683, and 1685-1686), which prohibits 

discrimination on the basis of sex; (c) Section 

504 of the Rehabilitation Act of 1973, as 

amended (29 U.S.C. 794), which prohibits 

discrimination on the basis of handicaps; (d) 

the Age Discrimination Act of 1975, as 

amended (42 U.S.C. 6101-6107), which 

prohibits discrimination on the basis of age; 

(e) the Drug Abuse Office and Treatment Act 

of 1972 (P.L. 92-255), as amended, relating to 

nondiscrimination on the basis of drug abuse; 

(f) the Comprehensive Alcohol Abuse and 

Alcoholism Prevention, Treatment and 

Rehabilitation Act of 1970 (P.L. 91-616), as 

amended, relating to nondiscrimination on the 

basis of alcohol abuse or alcoholism; (g) 523 

and 527 of the Public Health Service Act of 
specifications and will furnish progress reports 

and such other information as may be required 

by the assistance awarding agency or State. 

6. Will initiate and complete the work within the 

applicable time frame after receipt of approval 

of the awarding agency. 

7. 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. 

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. 

11. Will comply, or has already complied, with the 

requirements of Titles II and III of the Uniform 

Relocation Assistance and Real Property 

Acquisition Policies Act of 1970 (P.L. 91-646) 

which provide for fair and equitable treatment 

of persons displaced or whose property is 

acquired as a result of Federal and federallyassisted programs. These requirements apply to 

all interests in real property acquired for project 

purposes regardless of Federal participation in 

purchases. 

12. Will comply with the provisions of the Hatch 

Act (5 U.S.C. 1501-1508 and 7324-7328) 

which limit the political activities of employees 

whose principal employment activities are 

funded in whole or in part with Federal funds. 

13. Will comply, as applicable, with the provision 

of the Davis-Bacon Act (40 U.S.C. 276a to 

276a-7), the Copeland Act (40 U.S.C. 276c and 

18 U.S.C.874), and the Contract Work Hours 

and Safety Standards Act (40 U.S.C. 327-333) 

regarding labor standards of federally assisted 

construction sub-agreements. 

14. Will comply with flood insurance purchase 

requirements of Section 102(a) of the Flood 

Disaster Protection Act of 1973 (P.L. 93-234) 

which requires recipients in a special flood 

hazard area to participate in the program and to 

purchase flood insurance if the total cost of 

insurable construction and acquisition is 

$10,000 or more. 

15. Will comply with environmental standards 

which may be prescribed pursuant to the 

following: (a) institution of environmental 

quality control measures under the 

National Environmental Policy Act of 1969 

(P.L. 91- 

 190) and Executive Order (EO) 11514; (b) 

 notification of violating facilities pursuant to 

EO 

 11738; (c) protection of wetlands pursuant to 

EO 

 11990; (d) evaluation of flood hazards in 

flood plains 

 in accordance with EO 11988; (e) assurance 

of project 

 consistency with the approved State 

management 

 program developed under the Coastal Zone 

 Management Act of 1972 (16 U.S.C. 1451 et 

seq.); (f) 

 conformity of Federal actions to State (Clean 

Air) 

 Implementation Plans under Section 176(c) 

of the 

 Clean Air Act of 1955, as amended (42 

U.S.C. 7401 et 

 seq.); (g) protection of underground sources 

of 

 drinking water under the Safe Drinking 

Water Act of 

 1974, as amended (P.L. 93-523); and (h) 

protection of 

 endangered species under the Endangered 

Species Act 

 of 1973, as amended (P.L. 93-205). 

16. Will comply with the Wild and Scenic Rivers 

Act of 1968 (16 U.S.C. 1271 et seq.) related 

to protecting components or potential 

components of the national wild and scenic 

rivers system. 

17. Will assist the awarding agency in assuring 
compliance with Section 106 of the National 

Historic Preservation Act of 1966, as 

amended (16 U.S.C. 470), EO 11593 

(identification and protection of historic 

properties), and the Archaeological and 

Historic Preservation Act of 1974 (16 U.S.C. 

469a-1 et seq.). 

18. Will cause to be performed the required 

financial and compliance audits in accordance 

with the Single Audit Act Amendments of 

1996 and OMB Circular No. A-133, AAudits 

of States, Local Governments, and Non-Profit 

Organizations.@

19. Will comply with all applicable requirements 

of all other Federal laws, executive orders, 

regulations, and policies governing this 

program. 

SIGNATURE OF AUTHORIZED CERTIFYING 

OFFICIAL 

TITLE 

APPLICANT ORGANIZATION DATE SUBMITTED 

Standard Form 424D (Rev 4-2012)

Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102