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Fort Walton Beach Resolution — 2008-18-Acceptance of 07/08 Byrne Grant — reading text
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Packs/le EEO Certlflcstlon
Page2of2
Rule Reference 11 D- 9.006 OCJG- 007 ( Rev. March 2007)
CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILlTIY
MATTERS; AND DRUG- FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
Edward Byrne Memorial Justice Assistance Grant Proaram
Form Provided by the U. S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS,
OFFICE OF THE COMPTROLLER
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS; AND DRUG- FREE WORKPLACE REQUIREMENTS
are required to
Applicants should refer to the regulations cited below to determine the certification to which they
attest. Applicants should also review the instructions for certification included in the regulations before completing this
form. Signature of this form provides for compliance with certification requirements under 28 CFR Part 69, " New
Restrictions on Lobbying" and 28 CFR Part 67, " Government-wide Debarment and Suspension ( Non- procurement) and
Government- wide Requirements for Drug- Free Workplace ( Grants)". The certifications shall be treated as a
material
will be when the Department of Justice determines to award the
representation of fact upon which reliance placed
covered transaction, grant, or cooperative agreement.
b) Have not within a three- year period preceding this application
1. LOBBYING been convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with
As required by Section 1352, Title 31 of the U. S. Code, and implemented at 28 obtaining, attempting to obtain, or performing a public (Federal, State,
or local) transaction or contract under a public transaction; violation of
CFR Part 69, for persons entering into a grant or cooperative agreement over
Federal or State antitrust statutes or commission of embezzlement,
100, 000, as defined at 28 CFR Part 69, the applicant certifies that:
theft forgery, bribery, falsification or destruction of records, making
false statements, or receiving stolen property;
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
c) Are not presently indicted for or otherwise criminally or civilly
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 charged by a governmental entity ( Federal, State, or local) with
commission of any of the offenses enumerated in paragraph ( 1) ( b) of
making of any federal grant, the entering into of any cooperative agreement, and
this certification; and
the extension, continuation, renewal, amendment, or modification of any federal
grant or cooperative agreement;
d) Have not within a three- year period preceding this application
had one or more public transactions ( Federal, State, or local)
b) If any funds other than federal appropriated funds have been paid or will be
terminated for cause or default; and
paid to any person influencing or attempting to influence an officer or employee of
of Congress, or an
any agency, a member of Congress, an officer or an employee
B. Where the applicant is unable to certify to any of the statements in
employee of a member of Congress in connection with this federal grant or
this certification,' he or she shall attach an explanation to this
cooperative agreement, the undersigned shall complete and submit Standard
Form - LLL, " Disclosure of Lobbying Activities., in accordance with its instructions; application.
c) The undersigned shall require that the language of this certification be
included in the award documents for all subawards at all tiers ( including subgrants, 3. DRUG- FREE WORKPLACE
contracts under grants and cooperative agreements, and subcontracts) and that all GRANTEES OTHER THAN INDIVIDUALS)
subrecipients shall certify and disclose accordingly.
As required by the Drug- Free Workplace Act of 1988, and
implemented at 28 CFR Part 67, Subpart F, for grantees, as defined
2. DEBARMENT, SUSPENSION, AND OTHER at 28 CFR Part 67 Sections 67. 615 and 67. 620-
RESPONSIBILITY MATTERS
A. The applicant certifies that it will or will continue to provide a drug-
DIRECT RECIPIENT)
free workplace by:
As required by Executive Order 12549, Debarment and Suspension, and
a) Publishing a statement notifying employees that the unlawful
implemented at 28 CFR Part 67, for prospective participants in primary covered manufacture, distribution, dispensing, possession, or use of a
transactions, as defined at 28 CFR Part 67, Section 67. 510-
controlled substance is prohibited in the grantee' s workplace and
A. The applicant certifies that it and its principals: specifying the actions that will be taken against employees for
violation of such prohibition;
a) Are not presently debarred, suspended, proposed for debarment, declared
b) Establishing an on- going drug- free awareness program to inform
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 employees about-
agency; 1) The dangers of drug abuse in the workplace;
2) The grantee' s 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;
FDLE JAG Grant Application Package Lobbying. Debarment. Suspension. and Drug-Free Workplace Certification
Page 1
CERTIFICATION REGARDING LOBBYING; DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILlTIY
MATTERS; AND DRUG- FREE WORKPLACE REQUIREMENTS
Florida Department of Law Enforcement
Edward Bvrne Memorial Justice Assistance Grant Program
c) Making it a requirement that each employee to be engaged in the performance
of the grant 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
Check here _ If there are workplaces on file that are not identified
2) Notify the employer in writing of his or her conviction for a violation of a here.
criminal drug statute occurring in the workplace no later than five calendar days
after the conviction;
Section 67.630 of the regulations provides that a grantee that is a
State may elect to make one certification in each Federal fiscal year.
8) Notifying the agency, in writing, within 10 calendar days after receiving notice
A copy of which should be included with each application for
under subparagraph ( d) ( 2) from an employee or otherwise receiving actual notice
Department of Justice funding. StateS"and State agencies may elect
of such conviction. Employers of convicted employees must provide notice
to use OJP Form 4061/ 7.
including position title, to: Department of Justice, Office of Justice Programs,
ATTN: Control Desk, 633 Indiana Avenue, N. W., Washington, D. C. 20531. Notice If the State has elected to complete OJP Form
Check here _
shall include the identification number( s) of each affected grant;
406117.
1) Taking one of the following actions, within 30 calendar days of receiving notice
under subparagraph ( d) ( 2), with respect to any employee who is
