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<br /> U.S. Department of,Justice /
<br /> Officc of Community Oricnted Policing Scrviccs
<br /> Cerfific—a—fiQns
<br /> Regarding Lobbying; Debarment; Suspension and Ott>ler Responsibility Matters; Drug-free Workplace
<br /> Requirements; Coordination wflh Affected Agencies; and Non-Supplanting.
<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 provide forcompGance with certification requirements under 28 CFR Part Fig,"New
<br /> Restrictions on Lobbying•'and 28 CFR Part 67,"Govenunent-wide Debarment and Suspension(Nonprocurement)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 award the covered grant.
<br /> L Lobbying
<br /> (i) Are not presently debarred,suspended,pmposed for
<br /> As required by Section 1352.Title 31 of the U.S.Code,apd imple- debarment,declared ineligible,sentenced to a denial of
<br /> mented at 28 CFR Part 69,for persons entering into a grant or mop- Federal benefits by a State or Federal court,or voluntarily
<br /> erative agreement over S100,000,as defined at 28 CFR Part 69,the excluded from covered transactions by any Federal depart-
<br /> applicant certifies that: ment or agency;
<br /> 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 /> erring or attempting to influence an officer or employee of any against them for commission of fraud or a criminal offense in
<br /> agency,a tiiember 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
<br /> with the making of any Federal grant,the entering into of any under a public transaction; violation of Federal or State
<br /> cooperative agreement,and the extension,continuation,renewal, antitrust statutes or commission of embezzlement,theft,
<br /> amendment,or modification of any Federal grant or cooperative forgery,bribery,falsification or destruction of records,making
<br /> agreement; false statements,or receiving stolen property;
<br /> B. If any funds other than Federal appropriated funds have been (iii) Are not presently indicted for or otherwise criminally or
<br /> paid or will be paid to any person for influencing or attempting civilly charged by a governmental entity(Federal,State,or
<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
<br /> a Member of Congress in connection with this Federal grant or
<br /> moperative agreement,the undersi,,med,hall complete and sub- tiv) Have not within a three-year perod preceding this appli-
<br /> mit Standard Form—C.LL"06clasure of Lobbying Activities,"in cation had one or more public transactions(Federal,State,or
<br /> accordance with its instruet3 w. local)terminated for cause or default and
<br /> C. The undersigned shall require that the language of this certin- B. Where the applicant is unable to cerhiy 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 subgrants.contracts under grants and moper- 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 A.<required by the Drug-Free Workplace Act of 19R5,and imple-
<br /> (Direct Recipient) merited at,S CFR Pan ti:,Subpart F,nir ranted,is defined at 2S
<br /> CFR Part 67,Svctions t)7-613 and t`..CRO—A.s required by Executive Canter l=549,Cet-irment and Suspension.
<br /> and implemented at 2s c:FR Put o'. for pRtpective partidF tots in A. The applicant certifies that it will continue to palvide a
<br /> primary covercNA tramictirns.as dednett at«ti CFR Part tv:,_: vtion drug-imv workplace by:
<br /> t,7.510-
<br /> —
<br /> ti) ('uNli.shing a aatemcnt nrtii%ne employees that the
<br /> A.The applicant.'c hfu.that tt and it`primipa6: unla%v nil manufacture.,tiztnt,ution, E vt ss�-;ion,or
<br />
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