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FE08ftAL ~Rl3ENCY MANACiEMLNT A3ENCY
<br />GERTiFIGATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND
<br />OTHER RESPONSIBiE,1TY MATTERS; AND DRUG-FREE WORKPLACE REtZU{R5ME1~I'i'S
<br />Applicaata should refer to Ute re$aiabions cited below to determine the certification to which they are regttired to attest Appiteaats
<br />should also review the instructions for certification included is the regulations before completing th#s form, Signature an this
<br />form provides for compliauce witL certification requdr~ements tmdet 44 CFR Part 18, "New Restric#ions on Lobbying; end 28 CFR
<br />Patt 27, "Government•,wlde Debarment and suspension iNonprocm~ement) and Govetttment-wide Requirements for Drug•FSree
<br />Worltplace (Grants)," The cestiFicatians shall be treated as a material representation of fact upon which reliance wiII be placed
<br />when the Federal Emergency Management Agency (FEMA) deterwlnes to award the covered transaction, grant, or cooperative
<br />agreement.
<br />A As required by sedfon 1352,'Tltle 31 of the U.S Cods, and
<br />implemented at 44 CFR Part 18, forpersons entering into a grarK
<br />or cooperative agreement over $100,000, as defined at 44 CFR
<br />Part 18, the aPRUcant certifies that:
<br />(a) No Federal appropriated hrrtds have been paid or wS be paid,
<br />by or on behalf of the undersigned, to any person for infiuenang or
<br />attempting to tnfluencs an officer or employee of arty agengr, a
<br />Member of Congroas, an offcer ar employee of cortSpeaa, or an
<br />employee of a Member of Ogress in oonnectlort with the making
<br />of any Federal gram the entering Into of any oooperagve agreement,
<br />and the axtertslon, continuation, renewal, amendment; or nadtficaUOn
<br />of any Federal grarrt or cooperative agreement;
<br />(b) t) any other funds than Federal appropriated funds have been
<br />paid or w~ be paid to any person for inftwndrlg or attempting to
<br />influence an officer or ernpioyee of any agency, a Member of
<br />Congress, an officer or an employee of Congress, or smpfoyee
<br />of a member of Congress nt connecCon with this Federal grantor
<br />cooperative agreamerrt, the undersigned shall corriptefe and submit
<br />Standard Form LLL,'Discbsure of Lobbying Activities,- in
<br />accordance w@h ifs instructions;
<br />(b) Have not wlttdn athrew-year period preceding his appficailan been
<br />convicted of ar had a clvil[an judgment rendered against them for
<br />commission of fraud or a criminal offense in connecttan with
<br />obtaining, attempting m obtain, or perform a pubic {Federal, State,
<br />Or krcal) transaction or centred under a pubUc trar-saCYron; violation
<br />of Federal or Stara antiwst statutes or commission of embeaiement,
<br />theft, forgery, bribery, falsification ar desUvrdion Of recalls,
<br />makhLg false statements, or receiving stolen property;
<br />(e) Are not presentry indicted far or otherwise crirnineUy or eivUly
<br />charged by a governments[ antlty (FederaE, State, ar loran with
<br />commission of any of the offenses enumerated in paragraph (t)(b)
<br />of #ris oert{fication; and
<br />(d) Have rrotwithin a three-year period preceding this appticatton
<br />had one or more public t rensacUOng (Federal, State, or kxal)
<br />terminated for pose or defaulh and
<br />S Where the applicant is unable to certify to any of the statements
<br />in this certiflcatlon, he or shell ahaU attached an explanatlorr b this
<br />appUcotlort.
<br />S. DRUQ-FREE WORKPLACE
<br />(GRANTE>r3 OT1iER THAN INDNIDUALSj
<br />(c} The undersigned shall require that the language of this cerUftcation
<br />be included in rho award documents for all subawarda at all liars
<br />pndud'mg subgrarrts, contracts under grants and eooperaUvs
<br />agreem^nts and aubcontrad(s) and that aN subradpients shall
<br />verify and disctase accordingly
<br />Standard Form U.l..'Disclosura of Lobbying Adivifies" attached
<br />(This form must be attached to ceron If norrappropriafed funds
<br />are to be used to irrllrrarrp adivifles.)
<br />Z, DEBARMENT, SUSPENSION, AND OTHER
<br />R~SPONSlBIL lTY MATERS
<br />(DIRECT RECIPIENT)
<br />As required by Executive Order 12548 Debarment and Suspensbn,
<br />and implemented et 44 CFR Part 67, far prospedlve partidpants in
<br />primary covered transactions, as defined at 44 CfiR Part 17.
<br />Section 17..810,A Ttre appicant certifies that It and its prinapals:
<br />(a) Ara not presently debarred. suspended, Proposed for debarment
<br />deflated ineligible, sentenced to a denial of Federal Aertetks by a State
<br />or Federal oouR, or voluntarily excluded from covered transactWns by
<br />env Faders! depamnent or astencv;
<br />As required by the Dtug•Frea WortgHace Act of 1988. and
<br />implemented at 44 CFR Part 17, Sybpart F, for grarrtees, as defined
<br />at 44 CFR Part 17, 3ediai8 17..615 and 17 ,620:
<br />A The applianf cartlfiea that it will continue to privtde adrug-
<br />frea worig7tace hy:
<br />(a} Publistang a statemerrt rurtiFying employees that the unlawful
<br />manufacture, da;tnbution, dispensing, possession, or use of a
<br />controlled substance is prohibited in the grantee's workplace end
<br />apeeifying the actions tlit w11 betaken against employees for
<br />violaton of such protdbitior;
<br />(b) Estabfistung en at-going drug free awareness program to
<br />Inform empoyees atxwt
<br />(i) The dangers of dray abuse in the woltcplace;
<br />(2) The grantee's potley of malnfalning a drug•free workplace;
<br />(S) Any avaUabfe drug ecunseUng, rohabilitadon, and
<br />employee substance programs; and
<br />(4) the penaUies that may be imposed upon employees for
<br />drug abuse Wolaffons occurting in ttre workplace;
<br />FNMA
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