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CSBG APPLICATION STATEMENT OF ASSURANCES Page `--- of 1---0—.�.- The applicant hereby assures and.certifies as a condition of receipt of Community Services Block Grant (CSBG) funds, that' -it and its subgrantees will comply with the requirements of Federal and State laws, rules, regulations and guidelines. As a part -of this application and as a part of acceptance and use of CS I; fucMs, the applicant assures and certifies that:" 1. It possesses legal authority to apply for the grant, that the application has been approved by the applicant's governing body, including all assurances contained herein. 2. :It will utlH ie `dSeG•funds to provide a range of services and activities i'having measurable and potentially major impact on causes of poverty in the community and those areas of the community where poverty,is a particularly acute problem. , 3. In the case of a• community action agency or non-profi.t private organization, it assures and provides documentation that each hoard of Directors is con- stituted so that: a. one-third of the members of the board are elected pubic officials currently holding office or their representatives, except that if the number of elected officials reasonably. available and willing to serve is less than one-thyrd of the membership of the board, member- ship on the board of appointive,public officials may be counted in meeting such one-third requiremgnt. ba at least one-third of the members of the board are persons chosen in accordance.with democratic selection procedures adequate to assure * that they are representatives of the poor in the area served; and C. the remainder of"the members of the board are officials or members of business, labor, industry, religious; welfare; eiiucatidn;'or other major groups and interests in the"community. 4. In the case of a seasonal and migrant farmworker organization, it assures and provides documentation that the Board of Directors consists of at least 51% representatives of seasonal and migrant farmworkers. 5. Funds will not be used for political -'activities and will prohibit any activities to provide voters and prospective voters with transportation to the pulls or provide similiar assistance in connection with an election or any voter registration activity. " 6. It will provide.for coordination among antipoverty programs•in each comounity, where appropriate, with emergency energy crisis intervention programs under Title XXVI of the Low -Income Home Energy Assistance Act conducted in each community. , 7. -it possesses the sound fiscal control and -fund accounting procedures necessary to assure the proper disbursal of and accounting for Federal funds received under the Community Services Block Grant. 8. It will permit and cooperate with Federal and State investigations designed to evaluate compliance with the law. 9. It will give the Department, the Auditor General or any authorized representa- tive complete access -to examine all records, books, papers, or documents related to the grant, including those of any subgrantee. 10. It will, in accordance -with Florida Statutes and Section 677 of}Public Law 97-35, comply with non-discrimination provisions. 11. it will comply with the match requirements of the CSBG and maintain verification of type and source. FEB 16 1983 .__