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Certifications <br />14 <br />NOTE: You must click on the "Accept" button at the bottom of the page before closing this window <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) <br />83 <br />https://grants.ojp.usdoj.jov/amsextemal/displayAssurancesTextAction.st?method=certify&status=N&id=2[4/25/2014 9:43:56 AM] <br />