|
U.S. Department of Justice
<br />Office of Community Oriented Policing Services °tr
<br />Certifications
<br />Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Drug-Free Workplace
<br />Requirements Coordination with A~'ected Agencies; Non-Supplanting; and Retention.
<br />Although the Department of Justice has made every effort to simplify the application process, other provisions of Federal law require us
<br />to seek your certification regarding certain matters. Applicants should read the regulations cited below and the instructions for certifica-
<br />tion included in the regulations to understand the requirements and whether they apply to a particular applicant. Signature of this form
<br />provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," and 28 CFR Part 67,
<br />"Government-wide Debarment and Suspension (Nonprocurement) and Government-wide Requirements for Drug-Free Workplace
<br />(Grants)," and the coordination and non-supplanting requirements of the Public Safety Partnership and Community Policing Act of 1994.
<br />The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Justice
<br />determines to award the covered grant.
<br />1. Lobbying
<br />As required by Section 1352, Title 31 of the U.S. Code, and imple-
<br />mented at 28 CFR Part 69, for persons entering into a grant or coop-
<br />erative agreement over $100,000, as defined at 28 CFR Part 69, the
<br />applicant certifies that:
<br />A. No Federal appropriated funds have been paid or will be
<br />paid, by or on behalf of the undersigned, to any person for
<br />influencing or attempting to influence an officer or employee of
<br />any agency, a Member of Congress, an officer or employee of
<br />Congress, or an employee of a Member of Congress in connec-
<br />tion with the making of any Federal grant; the entering into of
<br />any cooperative agreement; and the extension, continuation,
<br />renewal, amendment or modification of any Federal grant or
<br />cooperative agreement;
<br />B. If any funds other than Federal appropriated funds have been
<br />paid or will be paid to any person for influencing or attempting
<br />to influence an officer or employee of any agency, a Member of
<br />Congress, an officer or employee of Congress, or an employee
<br />of a Member of Congress in connection with this Federal grant
<br />or cooperative agreement, the undersigned shall complete and
<br />submit Standard Form - LLL, "Disclosure of Lobbying
<br />Activities," in accordance with its instructions;
<br />state or Federal court, or voluntarily excluded from covered
<br />transactions by any Federal department or agency;
<br />(ii) Have not within athree-year period preceding this applica-
<br />tion been convicted of or had a civil judgment rendered against
<br />them for commission of fraud or a criminal offense in connec-
<br />tion with obtaining, attempting to obtain, or performing public
<br />(Federal, state or local) transaction or contract under a public
<br />transaction; violation of Federal or state antitrust statutes or
<br />commission of embezzlement, theft, forgery, bribery, falsifica-
<br />tion or destruction of records, making false statements, or receiv-
<br />ing stolen property;
<br />(iii) Are not presently indicted for or otherwise criminally or
<br />civilly charged by a governmental entity (Federal, state or local)
<br />with commission of any of the offenses enumerated in pazagraph
<br />(A)(ii) of this certification; and
<br />(iv) Have not within athree-year period preceding this applica-
<br />tion had one or more public transactions (Federal, state or local)
<br />terminated for cause or default; and
<br />B. Where the applicant is unable to certify to any of the state-
<br />ments in this certification, he or she shall attach an explanation
<br />to this application.
<br />C. The undersigned shall require that the language of this certi-
<br />fication be included in the awazd documents for all subawazds
<br />at all tiers (including subgrants, contracts under grants and
<br />cooperative agreements, and subcontracts) and that all sub-
<br />recipients shall certify and disclose accordingly.
<br />2. Debarment, Suspension and Other Responsibility Matters (Direct
<br />Recipient)
<br />As required by Executive Order 12549, Debarment and Suspension,
<br />and implemented at 28 CFR Part 67, for prospective participants in
<br />primary covered transactions, as defined at 28 CFR Part 67, Section
<br />67.510 -
<br />A. The applicant certifies that it and its principals:
<br />(i) Are not presently debarred, suspended, proposed for debarment,
<br />declared ineligible; sentenced to a denial of Federal benefits by a
<br />3. Drug-Free Workplace (Grantees Other Than Individuals)
<br />As required by the Drug-Free Workplace Act of 1988, and
<br />implemented at 28 CFR Part 67, Subpart F, for grantees, as
<br />defined at 28 CFR Part 67, Sections 67.615 and 67.620 -
<br />A. The applicant certifies that it will, or will continue to,
<br />provide adrug-free workplace by:
<br />(i) Publishing a statement notifying employees that the
<br />unlawful manufacture, distribution, dispensing, posses-
<br />sion or use of a controlled substance is prohibited in the
<br />grantee's workplace and specifying the actions that will be
<br />taken against employees for violation of such prohibition;
<br />(ii) Establishing an on-going drug-free awareness pro-
<br />gram to inform employees about -
<br />(a) The dangers of drug abuse in the workplace;
<br />
|