|
22
<br /> . • l r
<br /> U.S. Department of.Justice
<br /> Office of Community Oriented Policing Services -
<br /> CerUrfi ons
<br /> Regarding lobbying; Debarment; Suspension and Other Responsibility Matters; Drug-Free Workplace
<br /> Requirements; Coordination w Affected Agencies; and Non-Supplanting.
<br /> ith
<br /> 3
<br /> Although the Department of Justice has made every effort to simplify the application process,ether provisions of federal law
<br /> require us to seek your certification regarding certain matters. applicants should read the regulations cited below and the
<br /> instructions for certification included in the regulations to understand the requirements and whether they apply to a particular
<br /> applicant. Signature of this form provides for compliance with certification requirements under 28 CFR Part Fig,"New
<br /> Restrictions on Lobbying"and 28 CFR Part 67,"Government-wide Debarment and Suspension(Non procurement)and
<br /> Government-wide Requirements for Drug-Free Workplace(Grants);'and the coordination and non-supplanting requirements
<br /> of the Public Safety Partnership and Community Policing Act of 1994. The certifications shall be treated as a material represen-
<br /> tation of fact upon which reliance will be placed when the Department of Justice determines to sward the covered grant.
<br /> L Lobbying
<br /> (i) Are not presently debarred,suspended,proposed for
<br /> As required by Section 1352 Title 31 of the U.S.Code,and imple- debarment,declared ineligible,sentenced to a denial of f
<br /> mented at 28 CFR Part 69,for persons entering into a grant or coop- Federal benefits by a State or Federal court,or voluntarily
<br /> erative agreement over$100,000,as defined at 28 CFR Part 69,the excluded from covered transactions by any Federal depart-
<br /> applicant certifies*that: ment or agency;
<br /> l
<br /> A. No Federal appropriated funds have been paid or will be (ii) Have not within a three-year period preceding this appli-
<br /> paid,by or on behalf of the undersigned,to any person for influ- cation been convicted of or had a civil judgment rendered
<br /> eneing or attempting to influence an officer or employee of any against them for commission of fraud or a criminal offense in
<br /> agency,a Member of Congress,an officer or employee of connection with obtaining,attempting to obtain,or perform-
<br /> Congress,or an employee of a Member of Congress in connection ing public(Federal,State,or local)transaction or contract 3
<br /> with the making of any Federal grant,the entering into of any under a public transaction; violation of Federal or State Q
<br /> cooperative agreement,and the extersion,continuation,renewal, antitrust statutes or commission of embezzlement,theft, ;
<br /> amendment,or modification of any Federal grant or cooperative fo oerv,bribery,falsification or destruction of records,making
<br /> agreement; false statements,or receiving stolen property;
<br /> B. If anv Funds other than Federal appropriated funds have been (iii) Are not presently indicted for or otherwise c-nminally or
<br /> paid or will be paid to any person for influencing or attempting civilly charged by a governmental entity(Federal,State,or f
<br /> to influence an officer or employee of any agency,a Member of local)with commission of anv of the offenses enumerated in
<br /> Congress,an officer or employee of Congress,or an employee of paragraph(A)(ii)of this certification;and t
<br /> a Member of Congress in connection with this Federal grant or a
<br /> cooperative agreement,the undercrp ed shill complete and sub- (iv) Have not within a three-year perod preceding this app li- )
<br /> mit Standard Form—LLL"Disclosure of Lobbying Activities;'in cation had one or more public tran:aclions(Federal,State,or
<br /> accordance with its instructions; local)terminated for cause or default-, and
<br /> C. The undersigned shall require that the language of this certifi- B. Where the applicant is unable to certify to any of the state-
<br /> cation be included in the award documents for all subawards at ments in this certification,he or she shall attach an explanation to
<br /> all tiers(including subgrsnts.contracts under grants and cwpera- this application.
<br /> tive agreements,and subcontracts)and that all sub-recipients
<br /> shall certify and disclose accordingly. 3. Drug-free Workplace(Grantees Other Than Individuals)
<br /> Z. Debarment,Suspension,and Other Responsibility'Matters As required by the Drug-Free Workplace Act of 113&81,and imple-
<br /> (Direct Recipient) mented at ZS CFR Part 67,Subpart F,for rantees,as defined at 2S
<br /> CFR Part n;,Sectiorts 67.615 and r7 c-X—
<br /> As required by Executive Order 1_549,Debarment and Suspension,
<br /> and implemented at�S CFR Part o7, for pnrpective participants in A. The applicant certifie`that it dill or will continue to pmvide a
<br /> primary covert\t transactions,a:;defined at_s CFR Part o7,Station drug-fmv workplace by:
<br /> t,7.510-
<br /> ti) Publishing a statement notifying emplovices that tha
<br /> A.The applicant:ertiries that tt and its pnncipals: unlawful manufacturv..iistnburk,n, ur
<br />
|