CERTIFICATION OF PROGRAM INTEGRITY
Recipient Name: _______________________________ Recipient Number: _________
I certify that the governing body has received and reviewed a written report from the executive director pertaining to the recipient's compliance with the program integrity requirements of 45 CFR 1610 and authorized me, based on the governing body's review and discussion of the director's report, to certify that:
| 1. | The recipient is a legally separate entity from any
organization which engages in restricted activity; and |
| 2. | Except for funds provided to a bar association, pro
bono program, private attorney or law firm, or other
entity for the sole purpose of funding private attorney
involvement activities (PAI) pursuant to 45 CFR part
1614, since January 1, 1997, the recipient has not
transferred LSC funds to any organization which engages
in restricted activity; and |
| 3. | Since January 1, 1997, the recipient has not utilized
recipient funds or resources to subsidize the restricted
activity of any organization; and |
| 4. | The recipient meets the requirements of 45 C.F.R.
1610.8(a) in that the recipient is physically and
financially separate from any organization which engages
in restricted activity. Factors relevant to the Board's
determination of program independence and integrity
include: |
| a. | The existence of separate personnel; |
|
| b. | The existence of separate accounting and timekeeping
records; |
|
| c. | The degree of separation from facilities in which
restricted activities occur, and the extent of such
restricted activities; |
|
| d. | The extent to which signs and other forms of
identification which distinguish the recipient from the
other organization are present. |
On behalf of the governing body, I acknowledge that compliance with the integrity and independence requirements of 45 C.F.R. 1610.8(a) is a prerequisite to the recipient receiving continued funding from the Legal Services Corporation.
_____________________________(Chair or President of the Board)
_____________________________(Date)
