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Certification - Miami City
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As required by Section 1352, Title 31 of the U.S. Code, and implemented at 28 CFR Part 69, for persons
entering into a grant or cooperative agreement over $100,000, as defined at 28 CFR Part 69, the applicant
certifies that:
1. (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the, to
any person for in-fluencing or attempting to influence an officer or employee ofagency, a
Member of Congress, an officer or employee of Congress, or an employee of aof Congress in
con-nection with the making of any Federal grant, the entering intoany cooperative
agreement, and the extension, continuation, renewal, amendment, orof any Federal grant or
cooperative agreement;
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2. (b) If any funds other 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;
3. (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, contracts under grants
and cooperative agreements, and subcontracts) and that all sub -recipients shall certify and
disclose accordingly.
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OJP Form 4061/6 (Rev. 7-00)
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Certification - Miami City
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As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for
prospecataive participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510 -
1. (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;
2. (b) Have not within a three-year period preceding this application been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with, attempting to obtain, or performing 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;
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3. (c) Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
4. (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
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5. (e) This certification is required by the regulations implementing Executive Order 12549,
Debarment and Suspension, 28 CFR Part 67.510, Participants' responsibilities. The
regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-
19211), (1) The prospective lower tier participant certifies, by submission of this proposal,
that neither it nor its principals are presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency. (2) Where the prospective lower tier participant is unable to
certify to any of the statements in this certification, such prospecrive participant shall attach
an explanation to this proposal.
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B. Where the applicant is unable to certify to any of the statements in this certification, he or she attach
an explanation to this application.
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OJP Form 4061/6 (Rev. 7-00)
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LLEBG - Certifications Page 1 of 2
Certification - Miami City
You must click on the box underneath each condition AND click on the Accept button at the bottom of
the screen.
As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for
grantees, as defined at 28 CFR Part 67 Sections 67.615 and 67.620.
1. (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;
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2. (b) Establishing an on -going drug -free awareness program to inform employees about (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;
3. (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);
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4. (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 employer in writing of his or her conviction for a violation of a criminal
drug statute occuring in the workplace no later than five calendar days after such
conviction;
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5. (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: Department of Justice, Office of Justice Programs, ATTN: Control Desk,810 Seventh
Street, N.W. Washington, DC 20531. Notice shall include the identification number(s) of
each affected grant;
6. (f) Take one of the following actions, 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(2)
Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approv
7. (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),
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• LLE3G - Certifications
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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:
Places of Performance (Street address, city, county, state, zip code)
address 1: I Add
address2: I Add I
address3: I Add I
address4: Add
1. Organization Name and Address:
Miami City 3500 Pan American Drive Miami METROPOLITAN DADE FL 33133-5504
2. Typed Name and Title of Authorized Representative
City Manager Mr. Joe Arriola
3. Grantee IRS/Vendor Number(s)
596000407
OJP Form 4061/7 (Rev. 7-00)
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