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<br />
<br />Certifications
<br />
<br />Certifications
<br />Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Drug-Free Workplace
<br />Requirements Coordination with Affected Agencies.
<br />
<br />Although the Department of Justice has made every effort to simplify the application process, other provisions of federal law require us to
<br />seek your agency's certification regarding certain matters. Applicants should read the regulations cited below and the instructions for
<br />certification included in the regulations to understand the requirements and whether they apply to a particular applicant. Signing this form
<br />complies with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," 28 CPR Part 67, "Government-Wide
<br />Debarment and Suspension (Nonprocurement)", 28 CPR Part 83 "Government-Wide Requirements for Drug-Free Workplace (Grants),"
<br />and the coordination requirements of the Public Safety Partnership and Community Policing Act of 1994. The certifications shall be treated
<br />as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award the covered
<br />grant.
<br />
<br />1. Lobbying
<br />
<br />As required by Section 1352, Title 31 of the U.S. Code, and
<br />implemented at 2..8 CPR., PllIt 6~, fo~ persons ent~giIJto a grant
<br />or cooperative agreement over $100,000, as defined at 28 CPR
<br />Part 69, the applicant certifies that:
<br />
<br />A. No federal appropriated funds have been paid or will be paid,
<br />by or on behalf of the undersigned, to any person for influencing
<br />or attempting to influence an officer or employee of any agency, a
<br />member of Congress, an officer or employee of Congress, or an
<br />employee of a member of Congress in connection with the
<br />making of any federal grant; the entering into of any cooperative
<br />agreement; and the extension, continuation, renewal, amendment
<br />or modification of any federal grant or cooperative agreement;
<br />
<br />B. If any funds other than federal appropriated funds have been
<br />paid or wiU be paid to any person for influencing or attempting to
<br />influence an officer or employee of any agency, a member of
<br />Congress, an officer or employee of Congress, or an employee of
<br />a member of Congress in connection with this federal grant or
<br />cooperative agreement, the undersigned shall complete and submit
<br />Standard Form - LU., "Disclosure of Lobbying Activities," in
<br />accordance with its instructions;
<br />
<br />C. The undersigned shall require that the language of this
<br />certification be included in the award documents for all subawards
<br />at all tiers (including subgrants, conttllcts under grants and
<br />cooperative agreements, and subcontracts) and that all sub-
<br />recipients shall certify and disclose accordingly;
<br />
<br />2. Debarment, Suspension and Other Responsibility Matters
<br />(Direct Recipient)
<br />
<br />As required by Executive Order 12549, Debarment and
<br />Suspension, and implemented at 28 CFR Part 67, for prospective
<br />participants in primary covered transactions, as defined at 28 CFR '
<br />Part 67, Section 67.440 -
<br />
<br />A. The applicant certifies that it and its principals:
<br />
<br />(i) Are not presently debarred, suspended, proposed for
<br />debarment, declared ineligible, sentenced to a denial of federal
<br />benefits by a state or federal court, or volwltarily excluded from
<br />covered transactions by any federal department or agency;
<br />
<br />(u) Have not within a three-year period preceding this application
<br />been convicted of or had a civil judgment rendered against them
<br />for commission of fraud or a criminal offense in connection with
<br />ohtaining, attempting to obtain. or pmorming a public (fed~
<br />state or local) or private agreement or. transaction; violation of
<br />federal or state antitrust statutes or commission of embezzlement,
<br />theft, forgery, bribery, falsification or destruction of records,
<br />making false statements, tax evasion, or receiving stolen property,
<br />making false claims, or obsruction of justice, or commission of
<br />any offense indicating a Jack of business integrity or business
<br />honesty that seriously affects your present responsibility.
<br />
<br />(ill) Are not presently indicted for or otherwise criminally or
<br />civilly charged by a governmental entity (fedet'al, state or local)
<br />with commission of any of the offenses enumerated in paragraph
<br />(A)(.t.i) of this certification; and
<br />
<br />(iv) Have not within a three-year period preceding this application
<br />had one or more public transactions (federal, state or local)
<br />terminated for cause or default; and
<br />
<br />B. Where the applicant is unable to certify to any of the
<br />statements in this certification, he or she shall attach an
<br />explanadon to this application.
<br />
<br />3. Drug-Fr.ee Workplace (Grantees Other Than Individuals)
<br />
<br />As required by the Drug-Free Workplace Act of 1988, and
<br />implemented at 28 CPR Part 83, for grantees, as defined at 28
<br />CPR Part 83, Sections 83 and 83.510 -
<br />
<br />A. The applicant certifies that it will, or will continue to, provide a
<br />drug-free workplace by:
<br />
<br />(i) Publishing a statement notifying employees that the unlawful
<br />manufacture, distribution, dispensing, possession or use of a
<br />controlled substance i.s prohibited in the grantee's workplace and ,.
<br />specifyiilg the actions that will be taken against employees for
<br />violation of such prohibition;
<br />
<br />(u) Establishing an on-going drug-free awareness program to
<br />inform employees about -
<br />
<br />(a) The dangers of drug abuse in the workplace;
<br />
<br />(b) The grantee's policy of maintaining a drug-free workplace;
<br />
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