Fort Walton Beach Council agenda — 02-28-12 regular — reading text

grant or cooperative agreement. u0 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 m congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, m the undersigned shall complete and submit Standard Form LLL, " Disclosure of Lobbying Activities ", in accordance with its instructions. vQ c) The undersigned shall require that the language of this certification be included in the award documents for all the No 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. m n 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 c participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17. 510 -A, the applicant certifies that it and it 0 principals: v a 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. EE b) Have not within a three -year period preceding this application been convicted of or had a civilian judgment m rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain a or perform a public ( Federal, Stale, 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 tY application. 3. Drug -Free Workplace ( Grantees other than individuals) 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: Packet Pg. 69 https: / e/ services .fema.gov /FemaFireGrant /firegrant/jsp /fire2Ol l /application /print_app.jsp ?print= true &app_ n... 2/ 21/ 2012 Application Number: EMW- 2011 -FO -09950 Page 22 of 23 10. 1. b 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 free awareness program to inform employees about: 1) The dangers of drug abuse in the workplace; 2) The grantees policy of maintaining a drug -free 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: a 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 rj statute occurring in the workplace no later than five calendar days after such conviction. ea e Notifying the agency, in writin g within 10 calendar days after receiving notice under subparagraph O d tm v 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: m N 1) Taking appropriate personnel action against such an employee, up to and including N termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or Y 2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law N enforcement or other appropriate agency. a;nm g) Making a good faith effort to continue to maintain a drug free workplace through implementation of paragraphs ( a), ( b), ( c), ( d), ( e), and ( f). c0 2 B) The grantee may insert in the space provided below the site( s) for the performance of work done in connection with the specific grant: n Place of Performance Action rcaE Street City State Zip If your place of performance Is different from the physical address provided by you in the Applicant Information, press i Place of Performance button above to ensure that the correct place of performance has been specified. You can add multiple addresses by repeating this process multiple times. Section 17. 630 of the regulations provide that a grantee that is a State may elect to make one certification in each Feder . fiscal year. A copy of which should be included with each application for DHS funding. States and State agencies may e to use a Statewide certification. Signed by Kenneth Perkins on 0911212011 Packet Pg. 70 https: / /eservices. fema. gov/ FemaFireGranUfiregrant /jsp /fire20l l /applicationlprint_app.jsp ?print= tmc &app_ n... 2/ 21/ 2012 Application Number: EMW- 2011 -FO -09950 Page 23 of 23 t0. t. b FEMA Standard Form LLL Only complete if applying for a grant for more than $ 100,000 and have lobbying activities. See Form 20 -16C for lobbying activities definition. This form is not applicable ane c0 qU n Q6 C rVEER Packet Pg. 71 https:// cscrvices. fema. gov/ FemaFireGrant /Sregrant/jsp /fire20l I / application /print_app.jsp ?print =true& app_n... 2/ 21/ 2012