OMB Approval No. 0348-0040 

ASSURANCES - NON-CONSTRUCTION PROGRAMS

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

awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. 

If such is the case, you will be notified.

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

1. Has the legal authority to apply for Federal assistance and the 

 institutional, managerial and financial capability (including 

 funds sufficient to pay the non-Federal share of project cost) 

 to ensure proper planning, management and completion of 

 the project described in this application. 

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 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. 

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 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). 

6. Will comply with all Federal statutes relating to 

 nondiscrimination. These include but are not limited to: (a) 

 Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which 

 prohibits discrimination on the basis of race, color or 

 national origin; (b) Title IX of the Education Amendments of 

 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686), 

 which prohibits discrimination on the basis of sex; (c) 

 Section 504 of the Rehabilitation Act of 1973, as amended 

 (29 U.S.C. 794), which prohibits discrimination on the 

 basis of handicaps; (d) the Age Discrimination Act of 

 1975, as amended (42 U.S.C. 6101-6107), which 

 prohibits discrimination of the basis of age; (e) the Drug 

 Abuse Office and Treatment Act of 1972 (P.L. 92-255), 

 as amended, relating to nondiscrimination on the basis of 

 drug abuse; (f) the Comprehensive Alcohol Abuse and 

 Alcoholism Prevention, Treatment and Rehabilitation Act 

 of 1970 (P.L. 91-616), as amended, relating to 

 nondiscrimination on the basis of alcohol abuse or 

 alcoholism; (g) 523 and 527 of the Public Health Service 

 Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as 

 amended, relating to confidentiality of alcohol and drug 

 abuse patient records; (h) Title VII 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, as applicable, with provisions of the Hatch 

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

 political activities of employees whose principal 

 employment activities are funded in whole or in part with 

 Federal funds. 

Previous Edition Usable Standard Form 424B (Rev 4-2012) 

Authorized for Local Reproduction Prescribed by OMB Circular A-102 

 

 

 

 

 

 

 

 

 

 
9. Will comply, as applicable, with the provisions of 

the Davis-Bacon Act (40 U.S.C. 276a to 276a-7), the 

Copeland Act (40 U.S.C. 276c and 18 U.S.C. 874), and 

the Contract Work Hours and Safety Standards Act (40 

U.S.C. 327-333), regarding labor standards for 

federally-assisted construction subagreement. 

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 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). 

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 will 

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 

Amendments of 1996 and OMB Circular No. A-133, AAudits of 

States, Local Governments, and Non-Profit Organizations.@

18. Will comply with all applicable requirements of all other 

Federal laws, executive orders, regulations, and policies governing 

this program. 

SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE 

APPLICANT ORGANIZATION DATE SUBMITTED 

Standard Form 424B (Rev 4-2012) Back