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Instructions <br /> Under Executive Order 12549 , an individual or organization debarred or excluded from <br /> participation in Federal assistance or benefit programs may not receive any assistance award <br /> under a Federal program , or a subagreement thereunder for $25 , 000 or more. <br /> Accordingly , each prospective recipient of an EPA grant, loan , or cooperative agreement and any <br /> contract or subagreement participant thereunder must complete the attached certification or <br /> provide an explanation why they cannot. For further details, see 40 CFR 32. 510, Participants ' <br /> responsibilities, In the attached regulation. <br /> Where To Submit <br /> The prospective EPA grant, loan , or cooperative agreement recipient must return the signed <br /> certification or explanation with its application to the appropriate EPA Headquarters or Regional <br /> office , as required in the application instructions . <br /> A prospective prime contractor must submit a completed certification or explanation to the <br /> individual or crganization awarding the contract. <br /> Each prosper ;Ve subcontractor must submit a completed certification or explanation to the prime <br /> contractor for the project. <br /> How To Obi _ in Forms : <br /> EPA includas the certification form, instructions , and a copy of its implementing regulation (40 CFR : . <br /> Part 32) . in each application kit. Applicants may reproduce these materials as needed and provide <br /> them to . their prospective prime contractor, who, In tum, may reproduce and provide them to . <br /> prospective subcontractors . <br /> Additional ccples /assistance may be requested from: <br /> Compliance Branch <br /> Grants Administration Division (PM -21617) <br /> U . S . Environmental Protection Agency <br /> 4ot M Street, SW <br /> tNashington, DC 20460 <br /> ?eiephone : 202 /475 -8025 ) <br /> EPA Form 57 ' - <br />