Form HUD 424-B (1/27/2023)
<br />Applicant and Recipient
<br />Assurances and Certifications
<br />U.S. Department of Housing
<br />and Urban Development
<br />OMB Number: 2501-0044
<br />Expiration Date: 2/28/2027
<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 or as an individual,
<br />must provide the following assurances and certifications. The Responsible Civil Rights Official has specified this form for use for
<br />purposes of general compliance with 24 CFR §§ 1.5, 3.115, 8.50, and 146.25, as applicable. The Responsible Civil Rights Official
<br />may require specific civil rights assurances to be furnished consistent with those authorities and will specify the form on which such
<br />assurances must be made. A failure to furnish or comply with the civil rights assurances contained in this form may result in the
<br />procedures to effect compliance at 24 CFR §§ 1.8, 3.115, 8.57, or 146.39.
<br />By submitting this form, you are stating that all assertions made in this form are true, accurate, and correct.
<br />As the duly representative of the applicant, I certify that the
<br />applicant: [Insert below the Name and title of the Authorized
<br />Representative, name of Organization and the date of
<br />signature]:
<br />*Authorized Representative Name:
<br />*Title:
<br />*Applicant/Recipient Organization:
<br />1. Has the legal authority to apply for Federal assistance,
<br />has the institutional, managerial and financial capability
<br />(including funds to pay the non-Federal share of program
<br />costs) to plan, manage and complete the program as
<br />described in the application and the governing body has duly
<br />authorized the submission of the application, including these
<br />assurances and certifications, and authorized me as the
<br />official representative of the application to act in connection
<br />with the application and to provide any additional information
<br />as may be required.
<br />2. Will administer the grant in compliance with Title VI of
<br />the Civil Rights Act of 1964 (42 U.S.C 2000(d)) and
<br />implementing regulations (24 CFR part 1), which provide that
<br />no person in the United States shall, on the grounds of race,
<br />color or national origin, be excluded from participation in, be
<br />denied the benefits of, or otherwise be subject to
<br />discrimination under any program or activity that receives
<br />Federal financial assistance OR if the applicant is a
<br />Federally recognized Indian tribe or its tribally designated
<br />housing entity, is subject to the Indian Civil Rights Act (25
<br />U.S.C. 1301-1303).
<br />3. Will administer the grant in compliance with Section 504
<br />of the Rehabilitation Act of 1973 (29 U.S.C. 794), as
<br />amended, and implementing regulations at 24 CFR part 8,
<br />the American Disabilities Act (42 U.S.C. §§ 12101 et.seq.),
<br />and implementing regulations at 28 CFR part 35 or 36, as
<br />applicable, and the Age Discrimination Act of 1975 (42
<br />U.S.C. 6101-07) as amended, and implementing regulations
<br />at 24 CFR part 146 which together provide that no person in
<br />the United States shall, on the grounds of disability or age,
<br />be excluded from participation in, be denied the benefits of,
<br />or otherwise be subjected to discrimination under any
<br />program or activity that receives Federal financial
<br />assistance; except if the grant program authorizes or limits
<br />participation to designated populations, then the applicant
<br />will comply with the nondiscrimination requirements within
<br />the designated population.
<br />4. Will comply with the Fair Housing Act (42 U.S.C. 3601-
<br />19), as amended, and the implementing regulations at 24
<br />CFR part 100, which prohibit discrimination in housing on the
<br />basis of race, color, religion sex (including gender identity
<br />and sexual orientation), disability, familial status, or national
<br />origin and will affirmatively further fair housing; except an
<br />applicant which is an Indian tribe or its instrumentality which
<br />is excluded by statute from coverage does not make this
<br />certification; and further except if the grant program
<br />authorizes or limits participation to designated populations,
<br />then the applicant will comply with the nondiscrimination
<br />requirements within the designated population.
<br />5. Will comply with all applicable Federal nondiscrimination
<br />requirements, including those listed at 24 CFR §§ 5.105(a)
<br />and 5.106 as applicable.
<br />6. Will comply with the acquisition and relocation
<br />requirements of the Uniform Relocation Assistance and Real
<br />Property Acquisition Policies Act of 1970, as amended (42
<br />U.S.C. 4601) and implementing regulations at 49 CFR part
<br />24 and, as applicable, Section 104(d) of the Housing and
<br />Community Development Act of 1974 (42 U.S.C. 5304(d))
<br />and implementing regulations at 24 CFR part 42, subpart A.
<br />7. Will comply with the environmental requirements of the
<br />National Environmental Policy Act (42 U.S.C. 4321 et.seq.)
<br />and related Federal authorities prior to the commitment or
<br />expenditure of funds for property.
<br />8. That no Federal appropriated funds have been paid, or
<br />will be paid, by or on behalf of the applicant, to any person
<br />for influencing or attempting to influence an officer or
<br />employee of any agency, a Member of Congress, and officer
<br />or employee of Congress, or an employee of a Member of
<br />Congress, in connection with the awarding of this Federal
<br />grant or its extension, renewal, amendment or modification.
<br />If funds other than Federal appropriated funds have or will
<br />be paid for influencing or attempting to influence the persons
<br />listed above, I shall complete and submit Standard Form-
<br />LLL, Disclosure Form to Report Lobbying. I certify that I shall
<br />require all subawards at all tiers (including sub-grants and
<br />contracts) to similarly certify and disclose accordingly.
<br />Federally recognized Indian Tribes and tribally designated
<br />housing entities (TDHEs) established by Federally-
<br />recognized Indian tribes as a result of the exercise of the
<br />Byrd Amendment, but State-recognized Indian tribes and
<br />TDHs established under State law are not excluded from the
<br />I/We, the undersigned, certify under penalty of perjury
<br />that the information provided above is true and correct.
<br />WARNING: Anyone who knowingly submits a false claim
<br />or makes a false statement is subject to criminal and/or
<br />civil penalties, including confinement for up to 5 years,
<br />fines, and civil and administrative penalties. (18 U.S.C.
<br />§§287, 1001, 1010, 1012, 1014; 31 U.S.C. §3729, 3802; 24
<br />CFR §28.10(b)(iii)).
<br />* Signature:
<br />* Date: (mm/dd/yyyy):
<br />06/03/2025
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