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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
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