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NOTE: Required if applying for Superfund assistance. UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, OC 20460 Forrn Approved OMB No. 2000.0453 \~/EPA PROCUREMENT SYSTEM CERTIFICATION . 'I APPLICANT'S NAME ASSISTANCE APPLICATION NUMBER ' APPLCANT'S ADDRESS I SECTION 1-INSTRUCTIONS j The applicant must complete and submit a copy of this form with each application for EPA Assistance. If the applicant has certified its procurement system to EPA within the past 2 years and the system has not been substantially revised, complete Part A in Section II, then sign and date the form. If the system has not been certified within the past 2 years, complete Part B, then sign and date the form. SECTION II - CERTIFlCATION ' A. 1 affirm that the applicant has within-the. past2 years certified. to EPA that its MoNrwYEAR ____procuremeni_s_y tem. com°iLes_~ciSh~O CFR Part 35 and that the system meets the r uirements in 40 CFR Part 35: The date of the applicants latest certi#ication is: B. Based upon my evaluation of the applicant's procurement system, I, as authorized representative of the a _licant: Check one of the followin : ~ i ? 1. CERTIFY that the applicants procurement system will merit all tyf the requirements of 40 CFR - -Part-35-before undertakin -an - rocurement:aotion-with-EP~4-assis#ance. - - Please furnish citations to applicable procurement ordinances grid regulations i _ _ ~ • _ ? 2. DO NOT CERTIFY THE APPLICANT'S PROCUREMENT SYSTEM. The applicant agrees to follow the requirements of 40 CFR Part 35, including the procedures in Appendix A, and allow EPA preaward review of proposed procurement actions that will use EPA assistance. ' TYPED NAME AND TITLE SIGNATURE DATE EPA Form 5700.48 Previous edition is obsdete See instructions on reverse side I1