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1 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, 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 /> (c)Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
<br /> (Federal, State, or local)with commission of any of theoffenses enumerated in paragraph (1)(b)of this
<br /> certification; and
<br /> (d) Have not within a three-year period preceding this application had one or more public transactions
<br /> (Federal, State, or local) terminated for cause or default.
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