1994-081-RES WHEREAS, the U.S. Department of Housing and Urban Development, Office of Public and Indian

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III (a)(2)--TAB 2 CERTIFICATION ASSURANCES The offers assurances that: (Housing Authority Name) The applicant will supplement the amount provided by a grant under this program with an amount of funds from non-federal sources equal to or greater than 50 percent of the amount provided by the granL Section III(a) (2) (i) Yes No The activities or facilities funded by the Youth Sports grant will serve primarily youth from the public or Indian housing developments in which the activities or facilities are operated. Section m(a)(2)(ii) Yes No The facilities receiving Youth Sports funding conform to all applicable local or tribal building requirements for recreational facilities, if any. Section III(a)(2)(iii) Yes No The applicant maintains a Drug-Free Workplace in accordance with the requirements of 24 CPR Part 24, Subpan F. (Complete form HUD-5oo70) Section III(a)(2)(iv) Yes No The applicant will provide certification and disclosure in accordance with the requirements of Public Law 101-121 (approved October 23, 1989) as implemented by HUD's interim final rule published in the Federal Reruter of February 26, 1990 (55FR 6736) using the Anti-Lobbying Certification Standard Form SF-llL or form HUD-5oon, which ever is applicable. Section III(a)(2)(v) Yes No The grant funds provided under this program and any State, tn'bal, or local funds used to supplement grant funds under this program will not be used to replace other public funds previously used, or designated for use, for the purpose of this program. Section III(a) (2) (vi) Yes No The applicant has assessed its potential liability under State, local or tn'ballaw, and that, upon being notified of a Youth Sports grant award, the applicant will obtain adequate insurance coverage to protect itself against any potential liability arising out of the eligible activities under this program. Section III (a) (2) (vii) Yes No The applicant will comply with TItle VI of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973. Section III (a)(2) (viii) Yes No Signed this day of ,1994 by: Housing Authority CEO or Other Authorized Representative