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NOTE:You must click on the"Acce t" button at the bottom of the a e before closin this window <br /> U.S. DEPARTMENT OF JUSTICE <br /> CERTIFICATION <br /> S REGARDING LOBBYING; DEBARMENT,SUSPENSION AND OTHER RESPONSIBILITY <br /> MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS <br /> Applicantsn <br /> should refer to the regulations cited below <br /> instructions determine <br /> the for cer <br /> tification in to which <br /> inh the <br /> are <br /> Applicants should also review the requiredatin beforeo "Depaetmenep determines of <br /> ' ns completing this form.The certifications shall be treated as a material representation <br /> regulations laced when the U.S.Department of Justice <br /> o <br /> fact upon which reliance will be p or cooperative agreement. <br /> award the covered transaction, grant, <br /> 1.LOBBYING <br /> As required by 31 U.S.C.§ <br /> 1352, as implemented by 28 C.F.R. Part 69,the Applicant certifies and assures <br /> (to the extent applicable)the following: <br /> by or on behalf of the Applicant,to any <br /> (a)No <br /> funds have been paid or will be paid, of any agency, a to <br /> person Federal appropriatedtin to influence an officer or employee , Memberin of <br /> fion <br /> Congress,for influencingfi or er attempting <br /> employee of Congress, or an employee of a Member of Congress <br /> withthe <br /> making officeranyFederal <br /> Y of any cooperative agreement, or the extension, <br /> with the of Federal grant,the entering intoFederal grant or cooperative agreement; <br /> continuation, renewal, amendment,or modification of any <br /> or attempting influence <br /> Applicant's request for Federal funds is in excess e sonf o,r nfluenc►ng funds other than Federa <br /> (b)ap If the aid or will be paid to any p of Congress,i toin loru an <br /> appropriated fundso haveo been p enc a member of Congress, an officer or employee <br /> en ployeeofemployee of any ag Y� <br /> of a member of Congress in connection with this Federal grant or cooperative agreement, <br /> n the <br /> employee "Disclosure of Lobbying Applicant shall complete and submit Standard Form -LLL, <br /> accordance with its (and any DOJ awarding agency's) instructions; and <br /> (c)The Applicant shall requirelanguage of this certification be included in the award documents <br /> for all subgrants <br /> that the tang9 <br /> ub rants and procurement contracts (and their <br /> subcontracts) <br /> required of recipients of such subgrants <br /> fo <br /> and shall ensure that any certifications or lobbying disclosures <br /> and proc <br /> urement contracts (or their subcontractors) are made and filed in accordance with 31 U.S.C. <br /> 1352. <br /> 2. DEBARMENT, SUSPENSION,AND OTHER RESPONSIBILITY MATTERSA suspension implemented at 2 <br /> toe <br /> C.F.R.Pursuant 8 Department regulationsrelated the Applicant certifies,with respectprospective <br /> C Part in a and arto other co <br /> 2867.20(a),that neither it nor <br /> participants in a primary tier"covered transaction", as defined at 2 C.F.R. § <br /> any of its principals-- <br /> a denial <br /> is presently debarred,suspended, proposed for debarment, <br /> dl dad declared ineligible, <br /> covered s tr <br /> ansactions to <br /> of by any <br /> of Federal benefits by a State or Federal court, or voluntarily <br /> Federal department or agency; <br /> within a three-year period preceding this application been convicted of a felony criminal violation <br /> (b) has et for commissionog a public <br /> anyFederal law, or been convicted or had a civil judgment pt rendered <br /> obtain, or against it for of <br /> under <br /> fraud or a criminal offense in connection with obtaining, attempting <br /> or transaction; <br /> (Federal, State,tribal, or local)transaction or privateg <br /> ntl indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, <br /> State,(c) presently of the offenses enumerated in paragraph (b) of this <br /> tribal, or local)with commission of any <br /> rave/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/... 5/7/2020 <br /> file:///C:/Users/khar g <br />