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Applicant Assurances U . S . Department of Housing OMB Approval No . 2501 -0017
<br /> and Certifications
<br /> and Urban Development (expires 01 /31 /2008)
<br /> Instructions for the HUD-424-B Assurances and Certifications
<br /> As part of your application for HUD funding , you, as the official authorized to sign on behalf of your organization
<br /> or as an Individual must provide the following assurances and certifications. By submitting this form , you are stating that to the
<br /> best of your knowledge and belief, all assertions are true and correct.
<br /> As the duly authorized representative of the applicant, I certify that the 5 . Will comply with the acquisition and relocation
<br /> applicant [Insert below the Name and title of the Authorized Representative , requirements of the Uniform Relocation Assistance
<br /> name of Organization and signature] : and Real Property Acquisition Policies Act of 1970 ,
<br /> Name : May 17 , 2 itte : CHAIR as amended (42 U .S . C . 4601 ) and implementing
<br /> Organization : COUNTY COMMISSION . Date : 05/19/2005 . regulations at 49 CFR Part 24 and 24 CFR 42 ,
<br /> 1 . Has the legal authority to apply for Federal assistance , has the Subpart A.
<br /> Institutional , managerial and financial capability (Including funds to pay 6 . Will comply with the environmental
<br /> the non-Federal share of program costs) to plan , manage and complete requirements of the National Environmental
<br /> the program as described In the application and the governing body Policy Act (42 U .S .C .4321 at seq. ) and related
<br /> has duly authorized the submission of the application, Including these Federal authorities prior to the commitment or
<br /> assurances and certifications, and authorized me as the official expenditure of funds for property acquisition and
<br /> representative of the applicant to act in connection with the application physical development activities subject to
<br /> and to provide any additional Information as may be required . implementing regulations at 24 CFR parts 50 or 58 .
<br /> 2 . Will administer the grant in compliance with Title VI of the Clvll Rights 7 . That no Federal appropriated funds have been
<br /> Act of 1964 (42 U .S .C . 2000 (d )) and implementing regulations (24 CFR paid , or will be paid , by or on behalf of the applicant,
<br /> Part 1 ), which provide that no person in the United States shall , on the to any person for Influencing or attempting to
<br /> grounds of race , color or national origin, be excluded from participation influence an officer or employee of any agency, a
<br /> in, be denied the benefits of, or otherwise be subjected to discrimination Member of Congress, and officer or employee of
<br /> under any program or activity that receives Federal financial assistance Congress , or an employee of a Member of Congress,
<br /> OR if the applicant is a Federally recognized Indian tribe or its tribally in connection with the awarding of this Federal grant
<br /> designated housing entity, is subject to the Indian CMI Rights Act or Its extension , renewal, amendment or modification .
<br /> (25 U .S. C . 1301 -1303). If funds other than Federal appropriated funds have
<br /> 3 . Will administer the grant in compliance with Section 504 of the or Will be paid for Influencing or attempting to
<br /> Rehabilitation Act of 1973 (29 U .S . C . 794), as amended , and Implement- influence the persons listed above , I shall complete
<br /> ing regulations at 24 CFR Part 8 , and the Age Discrimination Act of 1975 and submit Standard Form-LLL, Disclosure Forth to
<br /> (42 U .S . C . 6101 -07 ), as amended , and implementing regulations at 24 Report Lobbying . I certify that I shall require all sub
<br /> CFR Part 146 which together provide that no person in the United States awards at all tiers (including sub-grants and contracts)
<br /> shall , on the grounds of disability or age, be excluded from participation to Similarly certify and disclose accordingly.
<br /> in, be denied the benefits of, or otherwise be subjected to discrimination Federally recognized Indian Tribes and tribally
<br /> under any program or activity that receives Federal financial assistance; designated housing entities (TDHEs) established by
<br /> except If the grant program authorizes or limits participation to designat- Federally-recognized Indian tribes as a result of the
<br /> ed populations , then the applicant will comply with the nondiscrimination exercise of the tribe's sovereign power are excluded
<br /> requirements within the designated population . from coverage by the Byrd Amendment, but State-
<br /> r . Will comply with the Fair Housing Act (42 U .S .C. 3601 -19 ), as recognized Indian tribes and TDHEs established
<br /> amended , and the implementing regulations at 24 CFR Part 100 , which under State law are not excluded from the statute's
<br /> prohibit discrimination in housing on the basis of race , color, religion, coverage.
<br /> sex , disability, familial status, or national origin ; except an applicant These certifications and assurances are material
<br /> which is an Indian tribe or its instrumentality which is excluded by representations of the fact upon which HUD can rely
<br /> statute from coverage does not make this certification ; and further when awarding a grant. If it is later determined that,
<br /> except if the grant program authorizes or limits participation I the applicant, knowingly made an erroneous
<br /> to designated populations, then the applicant will comply with the certification or assurance; I may be subject to
<br /> nondiscrimination requirements within the designated population. criminal prosecution. HUD may also terminate the
<br /> grant and take other available remedies.
<br /> form HUD-424-B (0212004)
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