Orange County NC Website
!q- <br />Page 10 of ] 5 <br />Certifications (continued} ~ ~ <br />E. Certification that Applicant is Eligible to Receive Federal Funds: <br />The project director certifies that neither grant applicant nor any of its officers, directors or consultants are <br />presently debarred, proposed for debarment, suspended, declared ineligible or voluntarily excluded from <br />receiving federal funds. [If the director cannot make this certification, an explanation must be attached. If <br />this certification cannot be provided, the applicant will not necessarily be denied participation in this <br />program. The certification ar explanation will be considered in connection with the determination by the <br />Govemar•s Crime Commission as to whether or nat to approve the application. However, if neither the <br />certification nar an explanation is provided, the application will be rejected.] <br />F. Certification Regarding Lobbying: {for agencies receiving $100,000 or more} <br />The praject director certifies that {1) no Federally appropriated funds have been paid ar will be paid to any <br />person for influencing or attempting to influence an afficer or employee of any Federal agency, a member <br />of Congress, an officer or employee of Congress, or an employee of a member of Congress in cannection <br />with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br />loan, the entering into of any agreement; {2} Ifany nan-Federal funds have been paid or will be paid to any <br />person for influencing ar attempting to influence an officer or employee of any Federal agency, a member <br />of Congress, ari officer or employee of Congress, or an employee of a member of Congress in connectian <br />with this Federal grant, the praject director shat! initial here and complete and submit <br />Standard Form #LLL, "Disclosure of Lobbying Activities;' in accordance with Its insGvctions. <br />G, Drug Free Workplace Compliance: (for state agencies only} <br />Q I (project director} certify that {1 } a drug-free workplace awareness program was held on _ and/or will be <br />held annually on ~ which ail grant project employees are required to attend;{2) a copy of the agenda of <br />that program, including an attendance sheet signed by all empiayees, will be provided to the Governor's <br />Crime Commission;{3) a statement will be published notifying empiayees that any unlawful involvement <br />with a controlled substance is prohibited in the grantees workplace and that specific actions will betaken <br />against employees who violate this rule;{4) all empiayees wip receive a copy of this notice;(5) all <br />employees must agree to abide by the statement and to notify the applicant of any criminal drug statute <br />conviction for a violation occurring in the workplace within 5 days of the conviction;{ti}within 10 days of <br />receiving such notice, the applicant will inform the Governor's Crime Commission of an employee's <br />conviction;{7) any employee so convicted will be disciplined or required to complete a drug abuse <br />treatment program; and (8) the applicant will make a good faith effat# to maintain adrug-free workplace, En <br />accordance with the requirements of Title V, Secs. 5153 and 5154 of the Anti-Drug Abuse Act of 1988. <br />Available Technical Assistance <br />!f you need assistance in completion of the grant pre-application, <br />please contact the appropriate program area planner at the Governor's <br />Crime Commission by calling 1;919} 733-4564 <br />Program Area Planners <br />Juvenile Justice Planning Committee: <br />Victims' Services Committee: <br />Drug Cantral & Substance Abuse Committee: <br />Michelle Zachmann Michael Wilson Tina Howard Kimberly Wilson <br />Barry Bryant <br />Misty Amold <br />Starr Barbaro <br />Craig Turner <br />Wesley Clark <br />Information Systems &Technology Committee: Doug Yearwood Navin Puri <br />Page 10 <br />Starr Barbaro <br />file://C:\DOCUMEMi\employee\LOCALS~l \Ternp\VV8DK961.,htm l /26/2005 <br />