NS Contract - EMS-Installation Services Contract at 9-1-1 Center Using 2005 LETPP Funding

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' \.J` Page 10 of 15 Certifications {continued) a 3 • E. Certification that Applicant is Eligible to Receive Federal Funds: Q The project director certifies that neither grant applicant nor any of its officers, directors or consultants are presently debarred, proposed for debarment, suspended, declared ineUgibfe ar voluntarily exctuded from receiving federal funds. (if the director cannot make this certification, an explanaton must be attached . If this certification cannot be provided, the applicant will not necessarily be denied participation in this program. The certification or exphanation will be wnsidered in connection with the determination by the Govema~s Crime Commission as to whether or not to approve the application. However, if neither the certification nor an explanation is provided. the application will Ue rejected. j Certification Regarding Lobbying: (for agencies receiving $100,000 or mare) The project director certifies that (1) no Federally appropriated funds have been paid or will be paid to any person far influencing ar attempting to Influence an officer or employee of any Federal agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering info of any agreement; (2) if any non-Federal funds have been paid or wiU be paid to any person for influencing or attempting to influence an officer or employee of any Federal 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, the project director shall initial here and complete and submit Standard Fonn #LLL, "Disclosure of Lobbying Activities " in accordance with Its instructions. G. Drug Free Workplace Compliance: (far state agencies only) Q I (project diredar) certify chat (1) a drug-free workplace awareness program was held an _ andlor will be held annually on -which all grant project employees an: required to attend;(2) a copy of the agenda of that program, including an attendance sheet signed by all empbyees, wUl be provided to the Governors Crime Commission;(3) a statement will be published notifying employees that any unlawful involvement with a controlled substance is prohibited in the grantees workplace and that specific actions will be taken against employees who violate this rttie;(4) ail employees will receive a copy of this notirs;(5) all employees must agree to abide by the statement and to notify the applicant of any criminal drug statute • conviction for a violation occurring in the workplace within 5 days of the wnviction;(ti) within 10 days of receiving such notice, the appUcant wiU inform the Govemars Crime Commission of an employee's conviction;(7) arty emptayee so convicted will be disciplined or n3quved to complete a drug abuse treatment program; and (8) the appUcant will make a good faith effort to maintain a dntg-free workplace, to accordance with the requirements of Title V, Secs. 5153 and 5154 of the Anti-Drug Abuse Ad of 1988. Available Technical Assistance If you need assistance in completion of the grant pre-application, please contact the appropriate program area planner at the Governor's Crime Commission by calling {919) 733-4564 Program Area Planners Juvenile Justice Planning Committee: Victims' Services Committee: Drug Control & Substance Abuse Committee: Michelle Zechmann Michael Wilson Tina Howard Kimberiy Wilson Barry Bryant Misty Amoid Starr Barbaro Craig Turner information Systems &Technology Committee: Doug Yearwood Page 10 Wesley Clark Starr Barbaro Navin Puri • file:/IC:\DOCUME-llemployeelLOCALS--1\Temp\V V8DK961 _htm 1 /26/2005