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<br /> Instructions <br /> Under Executive Order 12549, an Individual or organization debarred or excluded from <br /> participation tn Federal assistance or benefit programs may not receive any assistance award <br /> under a Federal program, or a subagreement thereunder for $25,000 or more. <br /> Accordingly, each prospective recipient of an EPA grant, loan, or cooperative agreement and any <br /> contract or subagreement participant thereunder must complete the attached certification or <br /> provide an explanation why they cannot For further details. see 40 CFR 32.510, Participants' <br /> responsibilities, In the attached regulation. <br /> Where To Submit <br /> The prospective EPA grant, loan, or cooperative agreement recipient must return the signed <br /> certification or explanation with Its application to the appropriate EPA Headquarters or Regional <br /> office, as required In the application instructions. <br /> A prospective prime contractor must submit a completed certification or explanation to the <br /> individual or organization awarding the contract <br /> Each prospective subcontractor must submit a completed certifiCation or explanation to the prime <br /> contractor for the project. <br /> How To Obtain Form.: <br /> EPA Includes the certification form, Instructions, and a copy of Its Implementing regulation (40 CFR <br /> Part 32) In each application kit. Applicants may reproduce these materials as needed and provide <br /> them to their prospective prime contractor, who, In turn, may reproduce and provide them to <br /> prospective subcontractors. <br /> AddItlonaJ copies/assistance may be requested from: <br /> Compliance Branch <br /> Grants AdminIstration 0MsJ0n (PM-"216F) <br /> U.S. EnWonrnerùI Protection Aoerc'I <br /> 401 M Street, SW <br /> Wast*1gton, DC 204m <br /> (I'~: 202/475-æ25) <br /> 1M~IiU. . ttMit <br />