2003-087-RES RATIFY APPLICATION FOR US FIRE ADMIN FROM FEMA TO PURCHASE EQUIPMENT

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Print Application Page 11 of 13 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 19. It will comply with the minimum wage and maximum hours provisions of the Federal Fair Labor Standards Act (29 U.S.C. 201), as they apply to employees of institutions of higher education, hospitals, and other non-profit organizations. FEMA Form 20-16C You must read and sign these assurances by providing your password and checking the box at the bottom of this page. Note: Fields marked with an . are required. Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibilities Matters; and Drug-Free Workplace Requirements. Applicants should refer to the regulations cited below to determine the certification to which they are required to atLest. Appiicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 44 CFR Part 18. "New Restrictions on Lobbying: and 28 CFR Part 17. "Government-wide Debarment and suspension (Non-procurement) and Governmel1't-wide Requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Federal Emergency Management Agency (FEMA) determines to award the covered transaction. grant. or cooperative agreement. 1. LOBBYING A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons into a grant or cooperative agreement over S 100,000, as defined at 44CFR Part 18, the applicant certifies that: (a) No federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the making of any federal grant, the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of any Federal Grant or cooperative agreement. (b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency. a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities". in accordance with its instructions. Standard Form LLL Disclosure of Lobbying Activities Attached (This form must be attached to certification if non-appropriated funds are to be used to influence activities.) (c) The undersigned shall require that the language of this certification be included In the award documents for all the sub awards at all tiers (including sub grants. contracts under grants and cooperative agreements and sub contract(s)) and that all sub recipients shall certify and disclose accordingly. 2. Debarment. Suspension and Other Responsibility Matters (Direct Recipient) As required by Executive Order 12549, Debarment and Suspension. and implemented at 44CFR Part 67. for prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.510-A, the h nps ://portal. fema. go\' ltiregrant/j sp/fire/print_ app.j sp ?print=true&app _ number= 4/1 0/2003