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U.S. Department of Justice Office of Community Oriented Policing Services Certifications Regarding Lobbying; Debarment, Suspension and Other Responsibility Matters; Drug-Free Workplace Requirements Coordination with Affected Agencies; Non-Supplanting; and Retention. ..;.lthough th~ D~p2.rtm~nt of Justic~ has mad~ ~v~ry ~ffort to simplify th~ application P(OC~5S. oth~r ptovisions ofFed~ra\ law require us to s~~k yout c~rtification tegJrding certain matters. Applicants should reJd the regulJtions cited below and the instructions for ceniric:!- tion includ~d in the regulations to understand the requirements :!nd whether they :!pply to J particular applicant. Signature of this tarrT', provides for compliance with certification requir~ments und~r 23 CFR Part 69, "New Restrictions on Lobbying," and 23 CFR Part 67, "Govemment-wide Debarment and Suspension (Nonprocurement) and Govemment-wide Requirements for Drug-Free Workpl:!ce (Grants)." and the coordination and non-supplanting requirements of the Public Safety Partnership and Community Policing Act of 1994. The certifications shall b~ tre:!t~d as a material representation of fact upon which teliance will b~ placed wh~n the D~panment of Justice determines to award th~ cover~d grant. I. lobbying As required by Section 1352. Titk 31 of th~ U.S. Cod~, and imple- mented at 28 CFR Part 69. for persons ~ntering into a grant or coop- erative agreem~nt over S 100.000. as defined at 28 CFR Part 69, the applicant certifies that: A. No Federal appropriated furids have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to int1uenc.: an officer or employee of any agency. a Member of Congress, an officer or employee of Congress. or an employee of a Member of Congress in conn~c- tion with the making of any Federal grant; the ~ntering into of any cooperative agre~ment; and th~ ext~nsion, continuation, ren.:wa!. amendm.:nt or modification of any F.:deral gram or cooperative agr.:ement; B. if any funds other t\\:in Federal appropriated funds have be.:n paid or will be paid to any person for influencing or attempting to int1uence an officer or employee of any agency. a Member of Congress, an officer or employe.: of Congr~ss, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LlL. "Disclosure of Lobbying Activities." in accordance with its instructions; C. The undersigned shall require that the language of this certi- fication be included in the award docum~nts for all subawards at all tiers (including subgrants, contracts und~r grants and cooperative agreements. and subcontracts) and that all sub- recipients shall certify and disclose accordingly. 2. Debarment. Suspension and Other Responsibility Matters (Direct Recipient) As required by Executive Order 12549. Debarment and Suspension. and implemented at 28 CFR Part 67. for prospective participants in primary covered transactions. as defined at 23 CFR Part 67. Section 67510 - A. The applicant certifies that it and its principals: (i) Ar.: not presently debarred, suspended, proposed for debarment. d.:clarcd ineligible, sentenc.:d to a denial of Federal benefits by a state or Federal cOUr!. or voluntarily excluded from covered transactions by any Federal department or agency; (ii) Have not within a three-year period prec~ding this applica- tion been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal oITense in connec- tion with obtaining. attempting to obtain. or p~rforming public (Federal. state or local) transaction or contract under a public transaction; violation of Federal or state antitmst statutes or commission of emb.:zzlement. theft. forgery, brib~ry. falsifica- tion or destruction of records. making false statements. or receiv- ing stolen property; (iii) Are not presently indicted for or otherwise criminally or civilly charged by a gov.:mmental entity (Federal. state or local) with commission of any of the otTenses enumerated in paragraph (A)( i i) 0 f this certi fica:ion: and (iv) Have not within a three-year period preceding this applica- tion had on~ or mor.: public transactions (Federal. state or local) terminated for cause or default; and B. Where the applicant is unable to c.:rtify to any of the state- ments in this certification, he or she shall attach an explanation to this application. 3. Drug-Fre.: \Vorkplace (Grame.:s Other Than Individuals) As required by the Drug.Free Workplace Act of 1988. and implemented at 28 erR Part 67. Subpart F, for grantees. as defined at 28 CFR Part 67. Sections 67.615 and 67.620 - A. The applicant certifies that it will. or will continue to. provide a drug-free "vorkplace by: (i) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing. posses. sian or use of a controlled substance is \lrohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition: (iO Establishing a:l on-going drug.free awareness pro- gram to inform employees about - (a) The dangers of drug abuse in the workplace: Section VIII - You must return this page as part of Jour applicadon 67