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CERTIFICATION REGARDING LOBBYING ; DEBARMENT, SUSPENSION , AND OTHER RESPONSIBILITIY
<br /> MATTERS ; AND DRUG-FREE WORKPLACE REQUIREMENTS
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<br /> Edward Byrne Memorial Justice Assistance Grant Program � c
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<br /> Form Provided by the U .S . DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS , ? '
<br /> OFFICE OF THE COMPTROLLER
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<br /> CERTIFICATIONS REGARDING LOBBYING ; DEBARMENT, SUSPENSION , AND OTHER RESPONSIBILITY
<br /> MATTERS , AND DRUG-FREE WORKPLACE REQUIREMENTS
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<br /> Applicants should ref ''kuatlie"regulations cited below to determine the certification to which they are required to m
<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 Requirementsfor 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 (Federal,
<br /> 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 /> 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 (1 )
<br /> (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 athree-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, or
<br />local)
<br /> paid to any person ikuencing or attempting to Influence an officer or employee of terminated for cause or default; and
<br /> any agency, a memfrr4r ohCongress, an officer or an employee of Congress, or an
<br /> employee of a membeh& 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 /> implemented at 28 CFR Part 67, Subpart F, for grantees, as defined
<br /> 2. DEBARMENT, SUSPENSION, AND OTHER at 28 CFR Pan: 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 unlawful
<br /> transactions, as defined at 28 CFR Part 67, Section 67.510 - manufacture, distribution, dispensing, possession , or use of 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 program to
<br /> inform
<br /> voluntarily excluded from covered transactions by any federal department or employees about-
<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 Workplace Certification
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