North American Wetlands Conservation Act and Neotropical Migratory Brid Conservation Act January 2006

• Description: related to PRRIP
• Date: 1/1/2006
• Author: US Grant Administration
• Title: North American Wetlands Conservation Act and Neotropical Migratory Brid Conservation Act January 2006
• Water Supply Pro - Doc Type: Legislation

U.S. GRANT ADMINISTRATION STANDARDS — JANUARY 2006
North American Wetlands Conservation Act and Neotropical Migratory Bird Conservation Act
Appendix A
Certifications and Assurances
Through acceptance of the Assistance Award, in addition to the assurances appended to Standard Form 424,
the Recipient's Authorized Representative certifies to the best of his or her knowledge and belief that:
A. Certification Regarding Proposal Submission The Assistance Award is for the support and stimulation
of the recipient's project; that the request for financial assistance and the related proposal have not
been submitted in response to a request from the Government to undertake work to support a specific
Government project; and that the proposal has been prepared without the assistance and/or input of
Federal personnel. However, this statement excludes the general technical assistance provided by
FWS staff to all applicants and grantees as needed or requested.
B. Certification Re ag rding Conflict of Interest There are no relevant facts or circumstances which could
give rise to an individual or organizational conflict of interest. Such conflict of interest could involve
such things as Government employees being associated with or being a member of the requesting
organization and being in a position to influence the awarding of a Grant Agreement. The Recipient
agrees that if an actual or potential conflict of interest is discovered, the Recipient shall make a full
disclosure in writing to the Service Program Officer. This disclosure shall include a description of
actions, which the Recipient has taken or proposes to take, after consultation with the Service Program
Officer, to avoid, mitigate or neutralize the actual or potential conflict.
C. Certification Regarding Debarment Suspension and Other Responsibility Matters (13I2010 June 1995)
(1) The prospective primary participant certifies to the best of its knowledge and belief, that it, its
principals and lower tier participants:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded by any Federal department or agency;
(b) Have not within a three -year period preceding this proposal been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract
under a public transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements,
or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a government
entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b)
of this certification; and
(d) Have not within a three -year period preceding this application /proposal had one or more
public transactions (Federal, State or local) terminated for cause or default.
(2) Where the prospective primary or lower tier participant is unable to certify to any of the statements
in this certification, such prospective participant(s) shall attach an explanation to this proposal and
send it to the FWS Program Officer.
D. Certification Regarding Lobbying (DI2010 June 1995) [applicable if award exceeds $100,000]
(1) 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, and officer or employee of Congress, of an employee of a Member of Congress
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