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CERTIFICATION REGARDING LOBBYING ; DEBARMENT , SUSPENSION , AND OTHER RESPONSIBILITIY <br /> MATTERS ; AND DRUG - FREE WORKPLACE REQUIREMENTS <br /> ATRUE COPY <br /> Florida Department of Law Enforcement CERTIFICATION ON LAST PAGE <br /> Edward Byrne Memorial Justice Assistance Grant Program J . K . BARTON , CLERK <br /> Form Provided by the U . S . DEPARTMENT OF JUSTICE , OFFICE OF JUSTICE PROGRAMS , <br /> OFFICE OF THE COMPTROLLER <br /> CERTIFICATIONS REGARDING LOBBYING ; DEBARMENT , SUSPENSION , AND OTHER RESPONSIBILITY <br /> MATTERS ; AND DRUG - FREE WORKPLACE REQUIREMENTS <br /> Applicants should refer to the regulations cited below to determine the certification to which they are required to <br /> attest . Applicants should also review the instructions for certification included in the regulations before completing this <br /> form . Signature of this form provides for compliance with certification requirements under 28 CFR Part 69 , " 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) " . The certifications shall be treated as a material <br /> representation of fact upon which reliance will be placed when the Department of Justice determines to award the <br /> covered transaction , grant , or cooperative agreement . <br /> (b) Have not within a three-year period preceding this application <br /> 1 . LOBBYING been convicted of or had a civil judgement rendered against them for <br /> commission of fraud or a criminal offense in connection with <br /> As required by Section 1352, Title 31 of the U . S . Code , and implemented at 28 obtaining , attempting to obtain , or performing a public <br /> (Federal , State , <br /> CFR Part 69 , for persons entering into a grant or cooperative agreement over or local) transaction or contract under a public transaction ; <br />violation of <br /> $ 100 , 000 , as defined at 28 CFR Part 69 , the applicant certifies that: Federal or State antitrust statutes or commission of embezzlement, <br /> theft forgery , bribery , falsification or destruction of records , making <br /> (a ) No federal appropriated funds have been paid or will be paid , by or on behalf false statements , or receiving stolen property <br />; <br /> of the undersigned , to any person for influencing or attempting to influence an <br /> officer or employee of any agency , a member of Congress, an officer or employee (c ) Are not presently indicted for or otherwise criminally <br />or civilly <br /> of Congress , or an employee of a Member of Congress in connection with the charged by a governmental entity ( Federal , State , or local) <br /> with <br /> making of any federal grant, the entering into of any cooperative agreement, and commission of any of the offenses enumerated in paragraph <br /> ( 1 ) (b) of <br /> the extension , continuation , renewal , amendment, or modification of any federal this certification ; and <br /> grant or cooperative agreement; <br /> (d ) Have not within a three-year period preceding this application <br /> ( b) If any funds other than federal appropriated funds have been paid or will be had one or more public transactions ( Federal , State <br />, or local ) <br /> paid to any person influencing or attempting to influence an officer or employee of terminated for cause or default; and <br /> any agency , a member of Congress , an officer or an employee of Congress , or an <br /> employee of a member of Congress in connection with this federal grant or B . Where the applicant is unable to certify to any of the statements <br /> in <br /> cooperative agreement, the undersigned shall complete and submit Standard this certification , he or she shall attach an explanation to this <br /> Form - LLL , " Disclosure of Lobbying Activities " , in accordance with its instructions , application . <br /> (c ) The undersigned shall require that the language of this certification be <br /> included in the award documents for all subawards at all tiers ( including subgrants, 3 . DRUG- FREE WORKPLACE <br /> contracts under grants and cooperative agreements , and subcontracts) and that all ( GRANTEES OTHER THAN INDIVIDUALS ) <br /> subrecipients shall certify and disclose accordingly . <br /> As required by the Drug - Free Workplace Act of 1988 , and <br /> AND OTHER implemented at 28 CFR Part 67 , Subpart F , for grantees , as defined <br /> 2 . DEBARMENT SUSPENSION <br /> at 28 CFR Part 67 Sections 67 . 615 and 67 . 620- <br /> RESPONSIBILITY MATTERS <br /> ( DIRECT RECIPIENT) A. The applicant certifies that it will or will continue to provide a drug- <br /> free workplace by: <br /> As required by Executive Order 12549 , Debarment and Suspension , and <br /> implemented at 28 CFR Part 67 , for prospective participants in primary covered (a) Publishing a statement notifying employees that the <br /> unlawful <br /> transactions , as defined at 28 CFR Part 67 , Section 67 . 510 - manufacture , distribution , dispensing , possession , or use of <br />a <br /> controlled substance is prohibited in the grantee' s workplace and <br /> A. The applicant certifies that it and its principals : specifying the actions that will be taken against employees for <br /> violation of such prohibition ; <br /> (a) Are not presently debarred , suspended , proposed for debarment, declared <br /> ineligible , sentenced to a denial of federal benefits by a State or Federal court, or ( b) Establishing an on-going drug-free awareness <br /> program to inform <br /> voluntarily excluded from covered transactions by any federal department or employees about- <br /> agency ; <br /> ( 1 ) The dangers of drug abuse in the workplace ; <br /> (2) The grantee ' s policy of maintaining a drug -free workplace ; <br /> (3 ) Any available drug counseling , rehabilitation , and employee <br /> assistance programs ; and <br /> (4) The penalties that may be imposed upon employees for drug <br /> abuse violations occurring in the workplace , <br /> FDLE JAG Grant Application Package Lobbying, Debarment , Suspension, and Drug-Free Workplace Certification <br /> Page 1 <br />