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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 <br />