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' ~ ~ CHECKLIST OF APPLICATION . <br /> ITEMS TO BE SUBMITTED <br /> (Send Original and One Copy of Each of the Following) <br /> X KEY CONTACTS LIST , <br /> APPLICATION FOR FEDERAL ASSISTANCE (SF-424) WITH ORIGINAL <br /> SIGNATURES <br /> BUDGET INFORMATION (SF-424A) <br /> _ ASSURANCES (SF-424B) WITH ORIGINAL SIGNATURES <br /> BUDGET NARRATIVE* <br /> _ ~ NARRATIVE STATEMENT/WORKPLAN* (including statement on how this project <br /> supports your environmental program) <br /> X RESUMES AND BIOGRAPHICAL INFORMATION (if requested. in Request for <br /> Proposals)* <br /> COPY OF NEGOTIATED INDIRECT COST RATE AGREEMENT - If you aze <br /> requesting Indirect Costs,.you must submit a copy of your current Negotiated Indirect <br /> ---Cost-Rate..-Agreement.__.If.youu_are <br /> a.local_government,_a_non-.profit organization~_or Smal_1_ <br /> - ~ ----------.-.-------Grant-applicant* <br /> wathout,anapgro~esl_Indir~c~ <br /> Gpst Aereemen a copy of your current <br /> Cost Allocation Plan must be on file with your agency and available upon request. <br /> CERTIFICATIONS WITH ORIGINAL SIGNATURES. <br /> 5700-45 PROCUREMENT SYS'T'EM CERTIFICATION (required far States anal Incli~n <br /> T-ribos-if applying for-Super-fund assistance) <br /> <br /> i <br /> X 5700=49 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION <br /> 4700-4 PREAWARD COMPLIANCE REVIEW REPORT - <br /> i _ <br /> - - <br /> _ -X- QUALITY ASSURANCE REQUIREMENT-FORM _ - <br /> ALA ANTI-LOBBYING CERTIFICATION (if applying for grant over $100,000). <br /> ~A SF LLL DISCLOSURE OF LOBBYING ACTIVITIES (if applying for grant over <br /> $100,000 and if applicable) <br /> _ LOBBYING CERTIFICATION FOR NON-PROFITSOl(c)(4) ORGANIZATIONS <br /> ONLY <br /> X SURVEY OF MANAGEMENT SYSTEMS (State applicants aze not required to submit <br /> this form) <br /> *Refer to pages B 1-B2 and C2-C3 for more information on the Small Grants Policy and to determine if <br /> your application fits the guidelines in the policy. <br /> D1 <br /> <br />