AND
<br /> CERTIFICATION REGARDING
<br /> SOAND DRUG -FREE WORKPLACE REQUIREMENTSER RESPONSIBILITIY
<br /> A TRUE COPY
<br /> Florida Department of Law Enforcement CERTIFICATION ON LAST PA E
<br /> Edward Byrne Memorial Justice Assistance Grant Program J . R . SMITH , CLERK IIIIIIIIIIIN
<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 /> obtaining , attempting to dbtain , or performing a public (Federal , State ,
<br /> As required by Section 1352, Title 31 of the U . S . Code , and implemented at74� ransaction or contract under a public transaction;
<br /> violation of
<br /> CFR Part 69 , for persons entering into a grant or cooperative agreement over Federal or local) tr State antitrust statutes or commission
<br /> n embezzlement,
<br /> $ 100 , 0001 as defined at 28 CFR Part 69 , the applicant certifies that: theft forgery, bribery, falsification or destruction of
<br /> records , making
<br /> (a) No federal appropriated funds have been paid or will be paid , by or on behalf
<br /> false statements, or receiving stolen property;
<br /> of the undersigned , to any person for influencing or attempting to influence an c Are not resent) indicted for or otherwise
<br />criminally or civilly
<br /> officer or employee of any agency, a member of Congress , an officer or employee charged by a governmental entity (Federal , State ,
<br /> or local) with
<br /> of Congress , or an employee of a Member of Congress in connection with the commission of any of the offenses enumerated in
<br /> paragraph (1 ) (b) of
<br /> making of any federal grant, the entering into of any cooperative agreement, and this certification; and
<br /> the extension , continuation , renewal , amendment, or modification of any federal
<br /> grant or cooperative agreement; (d ) Have not within a three-year period preceding this application
<br /> had one or more public transactions (Federal , State , or local )
<br /> ( b) If any funds other than federal appropriated funds have been paid or will be terminated for cause or default; and
<br /> paid to any person influencing or attempting to influence an officer or employee of
<br /> any agency, a member of Congress , an officer or an employee of Congress , or an B Where the applicant is unable to certify to any
<br /> of the statements in
<br /> employee of a member of Congress in connection with this federal grant or this certification , he or she shall attach an explanation
<br /> to this
<br /> cooperative agreement, the undersigned shall complete and submit Standard application.
<br /> Form - LLL, " Disclosure of Lobbying Activities" , in accordance with its instructions ; PP
<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 . (GRANTEES mFREE WORKPLACE INDIVIDUALS
<br /> contracts under grants and cooperative agreements , and subcontracts) and that all )
<br /> subrecipients shall certify and disclose accordingly .
<br /> As required by the Drug-Free Workplace Act of 1988 , and
<br /> implemented at 28 CFR Part 67 , Subpart F , for grantees , as defined
<br /> 2 . DEBARMENT, SUSPENSION , AND OTHER at 28 CFR Part 67 Sections 67 . 615 and 67 . 6201,
<br /> RESPONSIBILITY MATTERS
<br /> (DIRECT RECIPIENT) A. The applicant certifies that it will or will continue to provide adrug-
<br /> free workplace by:
<br /> As required by Executive Order 12549 , Debarment and Suspension , and a Publishing a statement notifying employees that the unlawful
<br /> implemented at 28 CFR Part 67 , for prospective participants in primary covered manufacture , distribution , dispensing , possession , t
<br /> use nl a
<br /> transactions , as defined at 28 CFR Part 67 , Section 67 . 510 - controlled substance is prohibited in the grantee's workplace
<br /> and
<br /> licant certifies that it and its principals : specifying the actions that will be taken against employees for
<br /> A. The app violation of such prohibition ;
<br /> (a) Are not presently debarred , suspended , proposed for debarment, declared b Establishingon-going g
<br /> an on- oin drug-free awareness program to inform
<br /> ineligible , sentenced to a denial of federal benefits by a State or Federal court, or employees about-
<br /> voluntarily excluded from covered transactions by any federal department or
<br /> agency; ( 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 Work lace Certi page 7
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