Sf_424

U.S. Department of Housing
and Urban Development

Applicant Assurances
and Certifications

OMB Approval No. 2501-0017
(expires 01/31/2016)

Instructions for the HUD-424-B Assurances and Certifications
As part of your application for HUD funding, you, as the official authorized to sign on behalf of your organization
or as an individual must provide the following assurances and certifications. By submitting this form, you are stating that to the
best of your knowledge and belief, all assertions are true and correct.

As the duly authorized representative of the applicant, I certify that the
applicant [Insert below the Name and title of the Authorized Representative,

requirements of the Uniform Relocation Assistance

name of Organization and the date of signature]:
Name:
, Title:

.

as amended (42 U.S.C. 4601) and implementing

.

regulations at 49 CFR Part 24 and 24 CFR 42,

Organization:

, Date:

5. Will comply with the acquisition and relocation
and Real Property Acquisition Policies Act of 1970,

1. Has the legal authority to apply for Federal assistance, has the

Subpart A.

institutional, managerial and financial capability (including funds to pay

6. Will comply with the environmental

the non-Federal share of program costs) to plan, manage and complete

requirements of the National Environmental

the program as described in the application and the governing body

Policy Act (42 U.S.C.4321 et seq.) and related

has duly authorized the submission of the application, including these

Federal authorities prior to the commitment or

assurances and certifications, and authorized me as the official

expenditure of funds for property acquisition and

representative of the applicant to act in connection with the application

physical development activities subject to

and to provide any additional information as may be required.
2. Will administer the grant in compliance with Title VI of the Civil Rights

implementing regulations at 24 CFR parts 50 or 58.
7. That no Federal appropriated funds have been

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,

Part 1), which provide that no person in the United States shall, on the

to any person for influencing or attempting to

grounds of race, color or national origin, be excluded from participation

influence an officer or employee of any agency, a

in, be denied the benefits of, or otherwise be subjected to discrimination

Member of Congress, and officer or employee of

under any program or activity that receives Federal financial assistance
OR if the applicant is a Federally recognized Indian tribe or its tribally

Congress, or an employee of a Member of Congress,

designated housing entity, is subject to the Indian Civil Rights Act

or its extension, renewal, amendment or modification.

(25 U.S.C. 1301-1303).

If funds other than Federal appropriated funds have

3. Will administer the grant in compliance with Section 504 of the

or will be paid for influencing or attempting to

in connection with the awarding of this Federal grant

Rehabilitation Act of 1973 (29 U.S.C. 794), as amended, and implement-

influence the persons listed above, I shall complete

ing regulations at 24 CFR Part 8, and the Age Discrimination Act of 1975

and submit Standard Form-LLL, Disclosure Form to

(42 U.S.C. 6101-07), as amended, and implementing regulations at 24

Report Lobbying. I certify that I shall require all sub

CFR Part 146 which together provide that no person in the United States

awards at all tiers (including sub-grants and contracts)

shall, on the grounds of disability or age, be excluded from participation

to similarly certify and disclose accordingly.

in, be denied the benefits of, or otherwise be subjected to discrimination

Federally recognized Indian Tribes and tribally

under any program or activity that receives Federal financial assistance;

designated housing entities (TDHEs) established by

except if the grant program authorizes or limits participation to designat-

Federally-recognized Indian tribes as a result of the

ed populations, then the applicant will comply with the nondiscrimination

exercise of the tribe's sovereign power are excluded

requirements within the designated population.

from coverage by the Byrd Amendment, but State-

4. Will comply with the Fair Housing Act (42 U.S.C. 3601-19), as

recognized Indian tribes and TDHEs established

amended, and the implementing regulations at 24 CFR Part 100, which

under State law are not excluded from the statute's

prohibit discrimination in housing on the basis of race, color, religion,
sex, disability, familial status, or national origin; except an applicant

These certifications and assurances are material

coverage.

which is an Indian tribe or its instrumentality which is excluded by
statute from coverage does not make this certification; and further

representations of the fact upon which HUD can rely

except if the grant program authorizes or limits participation

I the applicant, knowingly made an erroneous

to designated populations, then the applicant will comply with the

certification or assurance, I may be subject to

nondiscrimination requirements within the designated population.

criminal prosecution. HUD may also terminate the

when awarding a grant. If it is later determined that,

grant and take other available remedies.