|
12
<br />CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER
<br />RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
<br />Applicants should refer to the regulations cited below to determine the certification to which they are
<br />required to attest. Applicants should also review the instructions for certification included in the
<br />regulations before completing this form. Acceptance of this form provides for compliance with certification
<br />requirements under 28 CFR Part 69, "New Restrictions on Lobbying," 2 CFR Part 2867, "DOJ
<br />Implementation of OMB Guidance of Nonprocurement Debarment and Suspension," and 28 CFR Part'83,
<br />"Government -wide Debarment and Suspension," and Government -wide Requirements for Drug -Free
<br />Workplace (Grants).".The certifications shall be treated as a material representation of fact upon which
<br />reliance will be placed when the Department of Justice determines to award the covered transaction,
<br />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
<br />69, for persons entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part
<br />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
<br />any person for influencing or attempting to influence an officer or employee of any agency,
<br />a Member of
<br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
<br />with the making of any Federal grant, the entering into of any cooperative agreement, and the extension,
<br />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
<br />influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
<br />officer or employee of Congress, or an employee of a Member of Congress in connection with this
<br />Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form -
<br />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
<br />documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative
<br />agreements, and subcontracts) and that all sub -recipients shall certify and disclose accordingly.
<br />2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
<br />As required by Executive Order 12549, Debarment and Suspension, and implemented at 2 CFR Part
<br />2867, for prospective participants in primary covered transactions, as defined at 2 CFR Section
<br />2867.20(a):
<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
<br />denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions
<br />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
<br />judgment rendered against them for commission of fraud or a criminal offense in connection with
<br />obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract
<br />under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement,
<br />theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen
<br />property;
<br />111
<br />
|