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u • • 1 <br /> 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 organization awarding the contract. <br /> Each prospectN✓e subcontractor must submit a completed certification or explanation to the prime <br /> contractor for the project. <br /> How. To Ob» in Forms: <br /> EPA. includes . he certification form , instructions , and a copy of its implementing regulation (40 CFR :. . ' <br /> Part .32), in s_ ch 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 copies %assistance may be requested from : <br /> Compliance Branch - - _- - � — <br /> Grants Administration Division (PM -216F) <br /> U. S . Environmental Protection Agency <br /> 401 M Street, SW <br /> v'Vashington, DC 20460 <br /> (Tei ephone : 202 /475 -8025 ) <br /> EFA Form 57 " - . <br />