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Certifications
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<br />U.S. DEPARTMENT OF JUSTICE
<br />OFFICE OF JUSTICE PROGRAMS
<br />OFFICE OF THE CHIEF FINANCIAL OFFICER
<br />CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND
<br />DRUG -FREE WORKPLACE REQUIREMENTS
<br />Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants
<br />should also review the instructions for certification included in the regulations before completing this form. Acceptance of this form
<br />provides for compliance with certification requirements under 28 CFR Part 69, "New Restrictions on Lobbying," 2 CFR Part 2867,
<br />"DOJ Implementation of OMB Guidance on Nonprocurement Debarment and Suspension," and 28 CFR Part 83, "Government -wide
<br />Debarment and Suspension," and Govemment-wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be
<br />treated as a material representation of fact upon which reliance will be placed when the Department of Justice determines to award
<br />the covered transaction, grant, or cooperative agreement.
<br />1. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons entering
<br />into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that:
<br />(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing
<br />or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an
<br />employee of a Member of Congress in connection with the making of any Federal grant, the entering into of any cooperative
<br />agreement, and the extension, continuation, renewal, amendment, or modification of any Federal grant or cooperative agreement;
<br />(b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
<br />influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
<br />Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit
<br />Standard Form - LLL, "Disclosure of Lobbying Activities," in accordance with its instructions;
<br />(c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all
<br />tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all sub -recipients shall
<br />certify and disclose accordingly.
<br />2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
<br />Pursuant to Executive Order 12549, Debarment and Suspension, implemented at 2 CFR Part 2867, for prospective participants in
<br />primary covered transactions, as defined at 2 CFR Section 2867.20(a), and other requirements:
<br />A. The applicant certifies that it and its principals:
<br />(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits
<br />by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency;
<br />(b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them
<br />for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal,
<br />State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of
<br />embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
<br />(c) Have not within a two-year period preceding this application been convicted of a felony criminal violation under any Federal
<br />law, unless such felony criminal conviction has been disclosed in writing to the Office of Justice Programs (OJP) at
<br />Ojpcompliancereporting@usdoj.gov, and, after such disclosure, the applicant has received a specific written determination from
<br />OJP that neither suspension nor debarment of the applicant is necessary to protect the interests of the Government in this case.
<br />(d) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with
<br />commission of any of the offenses enumerated in paragraph (b) of this certification; and
<br />(e) Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local)
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<br />https://grants.ojp.usdoj.jov/amsextemal/displayAssurancesTextAction.st?method=certify&status=N&id=2[4/25/2014 9:43:56 AM]
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