HomeMy WebLinkAboutAttachment IATTACHMENT I
Applicant Certification
These certified statements are required by law.
Previous versions obsolete
form HUD-40090-4
A. For the Supportive Housing (SHP), Shelter Plus Care (S+C), and Single Room Occupancy
(SRO) programs:
Fair Housing and Equal Opportunity.
It will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000(d)) and regulations
pursuant thereto (Title 24 CFR , part I), which state that no • person in the United States shall, on the
ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or
be otherwise subjected to discrimination under any program or activity for which the applicant
receives Federal financial assistance, and will immediately take any measures necessary to effectuate
this agreement. With reference to the real property and structure(s) thereon which are provided or
improved with the aid of Federal financial assistance extended to the applicant, this assurance shall
obligate the applicant, or in the case of any transfer, transferee, for the period during which the real
property and structure(s) are used for a purpose for which the Federal financial assistance is extended
or for another purpose involving the provision of similar services or benefits.
It will comply with the Fair Housing Act (42 U.S.C. 3601-19), as amended, and with implementing
regulations at 24' CFR part 100, which prohibit discrimination in housing on the basis of race, color,
religion, sex, disability, familial status or national origin.
It will comply with Executive Order 11063 on Equal Opportunity in Housing and with implementing
regulations at 24 CFR Part 107 which prohibit discrimination because of race, color, creed, sex or
national origin in housing and related facilities provided with Federal financial assistance.
It will comply with Executive Order 11246 and all regulations pursuant thereto (41 CFR Chapter 60-
1), which state that no person shall be discriminated against on the basis of race, color, religion, sex or
national origin in all phases of employment during the performance of Federal contracts and shall take
affirmative action to ensure equal employment opportunity. The applicant will incorporate, or cause
to be incorporated, into any contract for construction work as defined in Section 130.5 of HUD
regulations the equal opportunity clause required by Section 130.15(b) of the HUD regulations.
It will comply with Section 3 of the Housing and Urban Development Act of 1968, as amended (12
U.S.C. 1701(u)), and regulations pursuant thereto (24 CFR Part 135), which require that to the greatest
extent feasible opportunities for training and employment be given to lower -income residents of the
project and contracts for work in connection with the project be awarded in substantial part to persons
residing in the area of the project.
It will comply with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), as amended, and
with implementing regulations at 24 CFR Part 8, which prohibit discrimination based on disability in
Federally -assisted and conducted programs and activities.
It will comply with the Age Discrimination Act of 1975 (42 U.S.C. 6101-07), as amended, and
implementing regulations at 24 CFR Part 146, which prohibit discrimination because of age in projects
and activities receiving Federal financial assistance.
It will comply with Executive Orders 11625, 12432, and 12138, which state that program participants
shall take affirmative action to encourage participation by businesses owned and operated by members
of minority groups and women.
If persons of any particular race, color, religion, sex, age, national origin, familial status, or disability
who may qualify for assistance are unlikely to be reached, it will establish additional procedures to
ensure that interested persons can obtain information concerning the assistance.
It will comply with the reasonable modification and accommodation requirements and, as appropriate,
the accessibility requirements of the Fair Housing Act and section 504 of the Rehabilitation Act of
1973, as amended.
Additional for S+C:
If applicant has established a preference for targeted populations of disabled persons pursuant to 24
CFR 582.330(a), it will comply with this section's nondiscrimination requirements within the
designated population.
B. For SHP Only.
20-Year Operation Rule.
For applicants receiving assistance for acquisition, rehabilitation or new construction: The project will
be operated for no less than 20 years from the date of initial occupancy or the date of initial service
provision for the purpose specified in the application.
1-Year Operation Rule.
For applicants receiving assistance for supportive services, leasing, or operating costs but not
receiving assistance for acquisition, rehabilitation, or new construction: The project will be operated
for the purpose specified in the application for any year for which such assistance is provided.
C. For S+C Only. Supportive Services.
It will make available supportive services appropriate to the needs of the population served and equal
in value to the aggregate amount of rental assistance funded by HUD for the full term of the rental
assistance.
D. Explanation.
Where the applicant is unable to certify to any of the statements in this certification, such applicant
shall attach an explanation behind this page.
Signature of Authorized Certifying Official:
Date:
Title:
Applicant:
For PHA Applicants Only:
(PHA Number)