S - Grant - Application for U.S. Dept of Justice, COPS Program Technology Grant & Accept Grant Award

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U.S. Dcparittunt ofJosUct Office of Cotnmm»ty Oiiented Po&cing 5cfvices Certifications covued gent 1. Lobbying Regarding lobbying; Debarment Suspension and Other Responsibility Matters; Drug-Free Workplace Requirements Coordination vlfith Affected Agencies. Although the Dtpartrrxnt of f varlet has made RuY effon to aiatprtfy the application proses , other pmwipons of Fedeal hwzogoire os to seek yo»r agency's eatiEeation regarding txnain matters Applicants should read elte regt$ations eked beroar and the irrstruetions for eertifintion iticloded in the xgtthtions to nadcrstand the rcquiretnena and wbe:thu thry apply to : pareteulat appTxant Sigrerrg this form comprta with ur6fication regaircmrnts undo 28 CFR Issrt 69,'3dew ltcstricttonc on Inbblirrg„' 28 GFR Part 67,'Govrrnmcnt• Wide Debarmern and Susprnaioo ¢~Ionprtxorcmcns~' 28 CFR part 83 Govetnmem-Wide Regt$tortents forDtetgFree Workphtt (Grarus~'t and the coordtrotion regttirementz of the P»blic Safety Parmvship and C,rnrmttnity PoCdngAtx of ]'~4 77se certifications shall be treated as a rmtctial nprescnation of fact upon which reliance vriA be placed trben Sit D<parvr;erit of ]ratite deuvmintx to award the As required by Section t352, 7itk 3t of the US Codc, and impkanented at 28 C7'72 Put 69, for penoiu catering into a gnat or eoopcrati~e agreement over;100,000 as defined at 28 CFR Part 49 the applicant certifies that: A No federal appropriated funds ha. a been paid w wtll be paid, bl yr oa behalf of the undersigned to any pcraon for influencing of attempting ro inRtrence an officer or employee of any agency a member of Congress an offxer or employee of Congress, or an empksyee of a member of Csmgress in connection with the maktrsg of any federal grant the emeririg into of arty ctmperative agreement and the cxtrnsion continuation rcnctva~ amendmrnt w rttodi6catioc o[ a~ Iedenl grant w cuopesacire agreemen[; Lv~-t, *~` ~~ (u) Have tta within a three-year peitod preceding this app6catiort been convicted of w had a tit+il judgmtm rrndered against them fw ctxntrdssion of frsnd or a trimiaa! offense in cormection with obtaining, attempting to obtain, w pcfotrning a pubGe (federal, sate w locdj a pmrate agreement or transatvon; violation of federal or crate antitrvu statutts w commission of cmberalcment, [heft, forgery, bribery, fahifxation os desauction of record; making false statements, rate evasion w ttcciving stdrn property making false dolor; ~ obstruction of justice, w commission of any offense indicating a lack of business integrity or haleness honestp that seriously cad directly affects your presort responstbt'bts W~ Arc ntx pruently indicted for or titlicrv»se trirrrinaUy or rivi7ly charged by a gave[mneotal entity (federal, state or kxan with commission of any of tM offenses emtmerated in paragraph (A)(u) of this certification; and influvxe an offices w employee of am agrner, a manber of (tv) Nave not within athree-year period preceding tftis app)itslion Ganges: an of5cer or employee of Congress, or an employee of a had one or more ~ubLe vartsacdons (federal, state or low _ - ._ _ _ -- ----.- -- - - - -_°-(~®ngr'es`a-te~saneeeot+s?c~ er aft a r, an - - cooperatie agreement the undersigned dull complete and submit Standard Form - L1.i„ Disclosure of Lobbying Actitdrict." in H Where ehc applicant is tvnbk to certify to asst' of Ste B If arty funds ocher than fedrnl appropriated fonds bare been paid or will be paid to coy person for influencing or attempting [o accordance with its irravucdons; G IIie undusipyied shall require that the lwgtngc of this certifieitioa be ioehtded in the award doeZioioits Cot all subavards u all ticss (iadodmg sobgtant; corxracts ttseder grants and eoopcrative agreemmv, and etibeouvaets) and these all steb~reeipients shag C°ti~' and d-iacdosc accozdisip~g Z Dcbarmcat, Sttspeasioo and Other RespoastbUtl Mattes (Direct Reapient) As acquired by I£xeenuve Ckdrs 12549, Dcbarmmt and Suspension, and impiemmted at 28 CFR Fite 67, for prospective participants its pritnuy earveted transaction; as tiefinrd u 28 CFR Fart 67, Section 67440 A I]te applitane eerdScs t]wt it and its prinapair sntemrnts in this certification hr: or else sbaD attach an cxplaoatioa ro this application 3 DrugFree Workplxe (Grwtcu Other 3Tion Lid-tridtnl:) As required bl Ste Drng•Frae Workplace Act of 1988, and impkuitasod>t ZS f,~R Pfut 63, for grantee, as defined at 26 CFA i?art 63, Sectioas 83 std 83SiQ - A 17ic applinat eezdfies that rt wild tx vrilt tantimx t0. provide a drag&ee vroakp6ce bit. ~ Ptibrultittg a Sbtrmeot aotifping canplolees that the ttaiawfol tmnofacture, distributioq disptacn& possession or use of s contaeiUed subsraocc is pooh io the grantee's wwkplsoe cad specifying the aedogs that vniA be Iakrn agairot eanployett for violation of loth prohibition; ~ Are not pretaxidy debarred, snspwded, ptopoced for debarment, [n) Fstabbslargl as oa-gcvng dcog-five aw[atess piogfam to detlued ineligible, sentesteed m a denial of federal benefits br a state inform tanplopas about - or fedaai can; or wNntan'ly esclttded from :a>+aed tranaactioris by cal federal deparnnetr w agtase]: