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Fort Walton Beach Resolution — 2013 -03 FEMA--fire equipment — reading text
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provisions of the Hatch Act (5 U. S. C. § § 1501 - 1508 and 7324 -7328) which limit
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Application Number: ENM- 2012 -FO -02509
the political activities of employees whose principal employment activities are funded in whole or in part with
Federal funds.
9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U. S. C. § §276a to 276a -7), the
Copeland Act ( 40 U. S. C. § 276c and 18 U. S. C. § 874), and the Contract Work Hours and Safety Standards Act
40 U. S. C. § § 327 -333), regarding labor standards for federally- assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102( a) of the Flood Disaster
Protection Act of 1973 ( P. L. 93 -234) which requires recipients in a special flood hazard area to participate in the
program and to purchase flood insurance if the total cost of Insurable construction and acquisition is $ 10, 000 or
more.
11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National Environmental Policy Act of 1969 ( P. L. 91 - 190) and
Executive Order ( EO) 11514; ( b) notification of violating facilities pursuant to EO 11738; ( c) protection of
wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e)
assurance of project consistency with the approved State management program developed under the Coastal
Zone Management Act of 1972 ( 16 U. S. C. § §1451 et sec.); ( f) conformity of Federal actions to State ( Clean Air)
Implementation Plans under Section 176( c) of the Clean Air Act of 1955, as amended ( 42 U. S. C. § §7401 at
sec.); ( g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as
amended ( P. L. 93 -523); and, ( h) protection of endangered species under the Endangered Species Act of 1973,
as amended ( P. L. 93 -205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 ( 16 U. S. C. Section 1271 at seq.) related to protecting
components or potential components of the national wild and scenic rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation
Act of 1966, as amended ( 16 U. S. C. 470), EO 11593 ( identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974 ( 16 U. S. C. 469a -1 et sec.).
14. Will comply with P. L. 93 -348 regarding the protection of human subjects involved in research, development, and
related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 ( P. L. 89 -544, as amended, 7 U. S. C. 2131 at seq.)
pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other
activities supported by this award of assistance.
16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U. S. C. Section 4801 at seq.) which
prohibits the use of lead based paint in construction or rehabilitation of residence structures.
17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act
Amendments of 1996 and OMB Circular No. A -133, " Audits of States, Local Governments, and Non -Profit
Organizations."
18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies
governing this program.
Signed by Kenneth Perkins on 07/ 03/ 2012
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Form 20 -16C
You must read and sign these assurances.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug -Free Workplace
Requirements.
Note: Fields marked with an' are required.
O. M. B Control Number 1660 -0025
Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants
should also review the instructions for certification included in the regulations before completing this form. Signature on this form
provides for compliance with certification requirements under 44 CFR Part 18, " New Restrictions on Lobbying; and 44 CFR Part 17,
Government -wide Debarment and Suspension ( Non -procurement) and Government -wide Requirements for Drug -Free Workplace
Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the
Department of Homeland Security ( DHS) determines to award the covered transaction, grant, or cooperative agreement.
1. Lobbying
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons ( entering) into a grant
or cooperative agreement over $ 100, 000, as defined at 44CFR Part 18, the applicant certifies that:
a) No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned to any person for
influencing or attempting to influence 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 connection with the making of any Federal grant,
the entering into of any cooperative agreement and extension, continuation, renewal amendment or modification of
any Federal grant or cooperative agreement.
b) If any other funds than Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence 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 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 certification be included in the award documents for all the
sub awards at all tiers ( including sub grants, contracts under grants and cooperative agreements and sub contract(s))
and that all sub recipients shall certify and disclose accordingly.
2. Debarment, Suspension and Other Responsibility Matters ( Direct Recipient)
A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67, for prospective
participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17. 510 -A, the applicant certifies that it and its
principals:
a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of
Federal benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal
department or agency.
b) Have not within a three -year period preceding this application been convicted of or had a civilian judgment
rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain
or perform a public ( Federal, State, or local) transaction or contract under a public transaction; violation of Federal or
State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property.
c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity ( Federal, State, or
local) with commission of any of the offenses enumerated in paragraph ( 1)( b) of this certification: and
d) Have not within a three -year period preceding this application had one or more public transactions ( Federal, State,
or local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this
application.
3. Drug -Free Workplace ( Grantees other than individuals)
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As required by the Drug -Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F, for grantees, as defined at 44
CFR part 17, Sections 17. 615 and 17. 620:
A) The applicant certifies that it will continue to provide a drug -free workplace by:
a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the grantee' s workplace and specifying the
actions that will be taken against employees for violation of such prohibition;
b) Establishing an on -going drug tree awareness program to inform employees about:
1) The dangers of drug abuse in the workplace;
2) The grantees policy of maintaining a drug -tree workplace;
3) Any available drug counseling, rehabilitation and employee assistance programs; and
4) The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace;
c) Making it a requirement that each employee to be engaged in the performance of the grant to be
given a copy of the statement required by paragraph ( a);
d) Notifying the employee in the statement required by paragraph ( a) that, as a condition of employment
under the grant, the employee will:
1) Abide by the terms of the statement and
2) Notify the employee in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction.
e) Notifying the agency, in writing within 10 calendar days after receiving notice under subparagraph ( d)
2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted
employees must provide notice, including position title, to the applicable DHS awarding office, i. e.
regional office or DHS office.
f) Taking one of the following actions, against such an employee, within 30 calendar days of receiving
notice under subparagraph ( d)( 2), with respect to any employee who is so convicted:
1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; or
