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Fort Walton Beach Council agenda — 03-08-05 — reading text

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requirements of any other nondiscrimination statute( s) which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform 2/ 21/ 2005 https:/ Iportal.fema. gov/ firegrant/jsp/ fire2004/ application/print_ app.jsp?print= true& app _nu... Print Application Page 15 of20 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 e acquired as a result of Federal or Federally assisted programs. These requirements apply to all interest in real property acquired for project purposes regardless of Federal participation in purchase~. 8. Will comply with provisions of the Hatch Act ( 5 U. S. C. Sections 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. 9. Will comply, as applicable, with the provisions of the Davis- Bacon Act (40 U. S. C. Sections 276a to 276a- 7), the Copeland Act (40 U. S. C. Section 276c and 18 U. S. C. Sections 874), and the Contract Work Hours and Safety Standards Act (40 U. S. C. Sections 327- 333), regarding labor standards for Federally assisted construction sub agreements. 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. Section 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. Section 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, e as amended, ( P. L. 93- 205). 12. Will comply with the Wild and Scenic Rivers Act of 1968 ( 16 U. S. C. Section 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 with 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. Section 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 of 1984. 18. Will comply with QII applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act ( 29 U. S. C. 201), as they apply to employees of institutions of higher education, hospitals, and other non- profit organizations. 2/ 21/ 2005 https: llporta1.fema.gov/ firegrant/j sp/ fire20041 application/print_app.j sp? print= true& app _. nu... Print Application Page 16 of20 Signed by Robert Alden on 03/ 03/ 2004 e e e https:// porta1.fema.gov/ firegrant/jsp/ fire2004/ applicationlprint_ app.jsp?print= true& app _nu... 2/ 21/ 2005 Print Application Page 17 of20 Form 20- 16C w,'_."..,~. m,...' Y_'_;.-, 0:>..._.'*_.{.,,',> 1W_""' V>>>:-:-"......,..,..,_ x..,.,.:_.>:~.-:.. J.:. y~>>~ 4': o~:>>>:.:.>">'*',....,~__..:.;._"',....') I:*"/.*':.{.>' M<<~."' W..,>>>>, W"".~: iX'MW..""""'''''~_,.._:.,'''''''''''''". m:l(~.'.M<,,*_~ m~x. N:.'~ 1',*,.. n..:_~=-......_-:>....~""~/h}>: 0: 0)!>"'....../#,';*)w.~ O)<~,..,... P.-~_~~.,..~~..:.:<<-:> j*__..')='~'- I' Wi~'-';: j>_ A;-:-v.-~*>>:"",,,".:-,__)(; w-;<)>> You must read and sign these assurances by providing your password and checking the box at the e bottom of this page. Note: Fields marked with an * are required. Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibily Matters and Drug- Free Workplace Requirements. Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 44 CFR Part 18, " New Restrictions on Lobbying; and 28 CFR Part 17, " Government-wide Debarment and Suspension ( Non- procurement) and Government- wide Requirements for Drug- Free Workplace ( Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Homeland Security ( DHS) determines to award the covered transaction, grant, or cooperative agreement. 1. Lobbying A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons entering) into a grant or cooperative agreement over $ 100, 000, as defined at 44CFR Part 18, the applicant certifies that: a) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of any of a Member agency, a Member of Congress, an officer or employee of congress, or an employee of Congress in connection with the making of any Federal grant, the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of any Federal grant or cooperative agreement. e b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an

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