OWNER CERTIFICATIONS - SECTION 811 PROGRAM	U.S. Department of Housing 
and Urban Development
Office of Housing
Federal Housing Commissioner	OMB Control NO. 2502-0470
(exp. 8/31/2013)	
Public reporting burden for this collection of information is estimated to average 0.5 hour (30 minutes) per response, including the time for reviewing instructions, searching existing data sources, gathering and maintain the data needed, and completing and reviewing the collection of information.  HUD may not collect this information and you are not required to complete this form, unless it displays a currently valid OMB control number.

This information collection is necessary to ensure that viable projects are developed.  It is important to obtain information from applicants to assist HUD in determining if nonprofit organizations initially funded continue to have the financial and administrative capacity needed to develop a project and that the project design meets the needs of the residents.  The Department will use this information to determine if the project meets statutory requirements with respect to the development and operation of the project, as well as ensuring the continued marketability of the project.  This information is required in order to obtain benefits.  This information is considered non-sensitive and no assurance of confidentiality is provided.	

The Owner, to the best of its knowledge and belief, hereby assures and certifies that it will comply with respect to the following: 

1.	CERTIFICATION IN CONNECTION WITH THE DEVELOPMENT AND OPERATION OF A SECTION 811 SUPPORTIVE HOUSING FOR PERSONS WITH DISABILITIES PROJECT:

Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794) and the implementing regulations at 24 CFR Part 8; the Fair Housing Act (42 U.S.C. 3600-3619) and the implementing regulations at 24 CFR Part 100,108, 109, and 110; Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d) and the implementing regulations at 24 CFR Part 1; section 3 ofthe Housing and Urban Development Act of 1968 (12 U.S.C. 1701u) and the implementing regulations at 24 CFR Part 135; the Age Discrimination Act of 1975 (42 U.S.C. 6101-6107) and the implementing regulations at 24 CFR Part 146; Executive Order 11246 (as amended) and the implementing regulations at 41 CFR Chapter 60; the regulations implementing Executive Order 11063 (Equal Opportunity in Housing) at 24 CFR Part 107; the Americans with Disabilities Act (42 U.S.C. 12101 et seq.) to the extent applicable; the affirmative fair housing marketing requirements of 24CFR part 200, subpart M and the implementing regulations at 24 CFR part 108; and other applicable Federal, State and local laws prohibiting 	discrimination and promoting equal opportunity.

2.	DRUG-FREE WORKPLACE ACT

	Provide drug-free workplaces in accordance with the Drug-Free Workplace Act of 1988 (41 U.S.C. 701) by:

a.  	publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the sponsor's workplace and specifying the actions that will be taken against employees for violation of such prohibition;

	b.  	establishing an ongoing drug-free awareness program to inform employees about -

		(l)  the dangers of drug abuse in the workplace;

		(2)  the sponsor's policy of maintaining a drug-free workplace;

		(3)  any available drug counseling, rehabilitation, and employee assistance programs; and

		(4)  the penalties that may be imposed upon employees for drug abuse violations occurring in the
		      workplace;

c.  	making it a requirement that each employee to be engaged in the performance of the capital advance be given a copy of the statement required by paragraph (a);

d.  	notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the capital advance, the employee will - 

		(1)  abide by the terms of the statement; and 

(2)  notify the employer in writing of his or her conviction for violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

e. 	notifying HUD in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction.  

f. 	taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d) (2), with respect to any employee who is so convicted -

(1)  taking appropriate personnel action against such an employee, up to and including termination, consistent with the  requirements of the Rehabilitation Act of 1973, as amended; or

(2)  requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for  such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

g.	making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f); 

h.  	providing the street address, city, county, state, and zip code for the site or sites where the performance of work in connection with the grant will take place.  

3.	DESIGN AND COST STANDARDS 

It will comply with HUD's design and cost standards, the Uniform Federal Accessibility Standards and HUD's implementing regulations at 24 CFR  part 40, Section 504 of the Rehabilitation Act of 1973 and HUD's implementing regulations at 24 CFR part 8, and for covered multifamily dwellings designed and constructed for first occupancy after March 13,1991, the design and construction requirements of the Fair Housing Act of 1988 and HUD's implementing regulations at 24 CFR part 100, and the Americans with Disabilities Act of 1990. 

4.	ACQUISITION AND RELOCATION
	
It will comply (or has complied) with the acquisition and relocation 	requirements of the Uniform Relocation Assistance and Real Property   Acquisition Policies Act of 1970, as amended (URA), implemented by    regulations at 49 CFR part 24, and 24 CFR § 891.155(e).

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5.	LEAD-BASED PAINT POISONING PREVENTION ACT

It will comply with the requirements of the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846) and implementing regulations at 24 CFR part 35 (except as superseded in § 891.325(b).

6.	DAVIS-BACON

It will comply with the Davis-Bacon Requirements and the Contract Work Hours and Safety Standards Act.

7.	FLOOD DISASTER PROTECTION ACT OF 1973

It will comply with the requirements under the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001-4128) and the Coastal Barrier Resources Act (16 U.S.C. 3601).

8.	NATIONAL ENVIRONMENTAL POLICY ACT

It will comply with the National Environmental Policy Act of 1969 (NEPA) (42 U.S.C. 4321) and applicable related environmental authorities at 24 CFR Part 50.4 and HUD's implementing regulations at 24 CFR Part 50. 

9.	CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS

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 an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement.

If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its  instructions.

The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.  

This certification is a material representation of fact upon which    reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S.Code.  Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

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10.	COMPLIANCE WITH OMB CIRCULAR A-129

It has complied with OMB Circular A-129, Managing Federal Credit Programs, and that it has been unable to obtain the necessary funds to develop the project from private sources upon terms and conditions equally favorable as the terms and conditions available under the Section 811 program.

11.	CERTIFICATION REGARDING RESIDENTS' ACCEPTANCE OF SUPPORTIVE SERVICES

The owner certifies that it will not require residents to accept any supportive services as a condition of occupancy.

12.	TRUTH AND ACCURACY

It certifies that the information provided to HUD in its application under the Section 811 Supportive Housing for Persons with Disabilities is true and accurate, to the best of its knowledge.

			
Signature of Authorized Certifying Official		Title	

			
Owner Organization		Date	

WARNING

HUD will prosecute false claims and statements.  Convictions may result in criminal and/or civil penalties (18 U.S.C. 1001,1010,1012; 31 U.S.C. 3729/FS3802).